Property Manager & Renter form

This form should be completed if the owner wants both the property manager and a renter to receive the bills. Payment of sewer service charges is the ultimate responsibility of the property manager. If a lien is filed due to non-payment, both the property manager & renter/tenant will be removed from the account permanently.

Service Address (required)

Midway Account #

Renter/Tenant Name(s) (required)

Effective Date (MM/DD/YY) (required)

Property Management Company Name (required)

Property Manager Name (required)

Property Manager Mailing Address (required)

Property Manager Phone # (required)

Property Manager Fax # (required)

Property Manager Email Address (required)

Owner Name (required)

Owner Mailing Address (required)

Owner Phone # (required)

Owner Email Address

Submission Date (MM/DD/YY) (required)

By typing my full name below, I am requesting that Midway Sewer send bills to both my tenant and my property manager. I understand that I will receive copies of any past due notices, and that sewer service charges stay with the property and are my responsibility. (required)

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