Common Contracts
1 similar Utilities Service Agreement contracts
ContractUtilities Service Agreement • October 28th, 2014
City of Bellevue BELLEVUE TAX/UTILITIES SERVICE AGREEMENT AND WAIVER OF SECURITY DEPOSITBellevue Codified Ordinance 921.04 and 925.14 TENANT INDIVIDUAL QUESTIONAIRE Service Address: Acct. No.: Owner’s Name: Address: Phone: Tenant’s Name: Mailing Address: Phone: Employer: Mailing Address: Phone: Tenant’s Name: Mailing Address: Phone: Employer: Mailing Address: Phone: In the last 7 years, have you filed with the Bellevue Tax Department? Yes NoIf yes, under what name? Are you over the age of 18? Yes No Below, list the names of all other adults (over 18) living at this address: SIGNATURES: SOCIAL SECURITY NUMBERS TO AVOID A $50.00 DEPOSIT, PLEASE COMPLETE THIS FORM. THANK YOU.
