Common Contracts
1 similar Third Party Billing Agreement contracts
ContractThird Party Billing Agreement • December 22nd, 2020
Third Party Billing Agreement Please return this completed application to Citrus Heights Water District 6230 Sylvan Rd, Citrus Heights CA 95610-5610 PO Box 286, Citrus Heights CA 95611-0286 Fax (916) 725-0345 Voice (916) 725-6873 Email Custserv@chwd.org Date of Application: Effective Date: Account Number: (For use by CHWD only) Service Address: I request the billing for water service as identified above, be mailed to: Third Party Information Please Print Clearly Third Party Name: Mailing Address: (if different than ServiceAddress) City: State: Zip Code: Phone #1: Phone #2: Email Address: Owner Information Property Owner's Account Number: Property Owner Name: Home Phone: Mailing Address: Work Phone: City: State: Zip Code: By State Law, Citrus Heights Water District (CHWD) looks to the land that received the service for payment. For this reason, CHWD requires the Owner to keep the account in their name, but as a courtesy, CHWD will bill the Third P
