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(please include City, State, and Zip code)
Your lease agreement MUST be submitted with your application.
As owner of the service address, I understand and agree that I am liable for any and all outstanding utility charges provided to that address. As the owner, I also understand that unpaid balances for utilities can and will be certified to the taxes for this property if I do not pay them.
(please include City, State, Zip code)
List street Address
(please provide the name of who owns the properties, the addresses, city, state, zip, and when the properties were initially rented)
If you selected renter or land contract above, please contact the City of Monroe at 513-539-7374 x 1000 to pay the $200 utility deposit. Utilities will not be transferred into your name until the lease agreement and deposit have both been received.
The undersigned agrees to pay each month, upon proper billing, the charges for water and/or sewer, storm water and refuse service used at the rates established for the system on which the property is located. The Applicant, by signing this application, agrees to be bound by all the provisions and the
Rules and Regulations adopted by the City of Monroe, Ohio, as they exist and as amended from time to time. Upon vacating the premises, the Applicant further agrees to give proper notice to the Utility Department, and all charges against said property, upon proper billing, shall be paid in full. The Applicant authorizes access to meters at any time for all purposes deemed by the City
All residents living in Monroe (including part year residents) are required by the Ohio
Revised Code Section 718 and Monroe Ordinance No. 2015-40 to file a Local return. A return is required even if tax is fully withheld. Retired residents are required to file every third year. (2015, 2018, etc.).
Please complete the resident account registration form and submit it with the Annual return.
Under penalties of perjury, I declare that I have examined the information on this form, and to the best of my knowledge
and belief, the information provided herewith is true, correct, and complete.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
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