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Utility Service Transfer - Move In - Owner

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Steps

1. PROPERTY INFORMATION This section is complete This section is incomplete
2. APPLICANT INFORMATION This section is complete This section is incomplete
3. TAX QUESTIONNAIRE - APPLICANT EMPLOYEMENT This section is complete This section is incomplete
4. TAX QUESTIONNAIRE - CO-APPLICANT EMPLOYMENT This section is complete This section is incomplete
5. TAX QUESTIONNAIRE - PRIOR RESIDENCY This section is complete This section is incomplete
6. TAX QUESTIONNAIRE - ADDITIONAL RESIDENTS This section is complete This section is incomplete
7. TAX QUESTIONNAIRE - FILING STATUS This section is complete This section is incomplete
8. TAX QUESTIONNAIRE - RENTAL PROPERTY This section is complete This section is incomplete
9. UTILITY TERMS AND AGREEMENT This section is complete This section is incomplete
10. INCOME TAX TERMS AND AGREEMENT This section is complete This section is incomplete
11. ELECTRONIC SIGNATURE This section is complete This section is incomplete

PROPERTY INFORMATION

Complete the information below if you are the new owner of a residential or commercial property, and you want to establish an account for utility services.
What is the address of the property you are moving into?*
Please remember to include the unit number, if there is one.
City:*
State:*
Zip Code:*
Is this property commercial or residential?*
1. Commercial
2. Residential
Please provide the Federal Tax ID:*
Will the address above also be the mailing address?*
1. Yes
2. No - the bills should be mailed to a different address.
Mailing Address:*
City:*
State:*
Zip Code:*
What date should your utility services begin?*
What date should your utility services begin?
Continue

APPLICANT INFORMATION

Name of the business or account holder:*
Primary Account Holder - First Name*
Primary Account Holder - Last Name*
Last 4 digits of social security number:*
Date of birth:*
Phone number:*
Email address:*
Is there a Co-Applicant?*
1. No
2. Yes
Co-Applicant - First Name*
Co-Applicant - Last Name*
Last 4 digits of social security number:*
Date of birth:*
Co-Applicant phone number:
Co-Applicant email address:
What is the Co-Applicant's relationship to the Applicant?*
Continue |Go Back

TAX QUESTIONNAIRE - APPLICANT EMPLOYEMENT

Attention Commercial Applicants:
1. Commercial Applicants do not need to complete the Income Tax Questionnaire. Please click "Continue" until you get to the "Utility Terms" section.
ATTENTION:
1. In order for your utility services to be transferred, you must complete the following Income Tax Questionnaire.
Is the Applicant employed?*
1. Yes
2. No
3. Self-Employed
4. Retired
Does the Applicant's employer withhold City tax?*
1. Yes
2. No
3. I don't know.
Name of employer:*
Address of employer:*
City:*
State:*
Zip Code:*
Employer's phone number:*
What is the Applicant's source of income?*
What is the name of the business?*
What is the address of the business?*
City:*
State:*
Zip Code:*
What is the phone number of the business?*
What year was the business established?*
Continue |Go Back

TAX QUESTIONNAIRE - CO-APPLICANT EMPLOYMENT

Is the Co-Applicant employed?*
1. Yes
2. No
3. Self-Employed
4. Retired
Does the employer withhold City tax?*
1. Yes
2. No
3. I don't know.
Name of Co-Applicant's employer:*
Address of employer:*
City:*
State:*
Zip Code:*
Employer's phone number:*
What is the Co-Applicant's source of income?*
What is the name of the business?*
What is the address of the business?*
City:*
State:*
Zip Code:*
What is the phone number of the business?*
What year was the business established?*
If there is no Co-Applicant:
1. Please click "Continue."
Continue |Go Back

TAX QUESTIONNAIRE - PRIOR RESIDENCY

What is the Applicant's previous address?*
City:*
State:*
Zip Code:*
What is the Co-Applicant's previous address?*
City:*
State:*
Zip Code:*
Continue |Go Back

TAX QUESTIONNAIRE - ADDITIONAL RESIDENTS

Are there any adults (other than the Applicant and Co-Applicant) living at the residence?*
1. No
2. Yes
For each additional adult besides the Applicant and Co-Applicant - please list their name, date of birth, and last 4 digits of their social security number.*
Continue |Go Back

TAX QUESTIONNAIRE - FILING STATUS

Is the Applicant, Co-Applicant, or anyone else in the household presently filing or have they previously filed with the Monroe Income Tax Office?*
1. No
2. Yes
Please list each person that has previously filed with the Monroe Tax Office and the years that they filed.*
Continue |Go Back

TAX QUESTIONNAIRE - RENTAL PROPERTY

Does anyone residing at this location own a rental property?*
1. No
2. Yes
For each rental property - please provide the address, property owner name, and when the property was initially rented.*
Continue |Go Back

UTILITY TERMS AND AGREEMENT

UTILITY TERMS AND AGREEMENT
I agree to be bound by the provisions adopted by the City of Monroe, Ohio, as they exist currently or as they are amended.

Upon vacating the premises, I agree to provide proper notice (at least one business day) to the Utility Department. I understand that the total balance displayed on the final bill must be paid by the due date on the final bill.

I authorize access to the water meter for all purposes deemed by the City of Monroe.
As the owner of the service address, I understand and agree that I am liable for all outstanding utility charges billed to the property. I also understand that delinquent balances may be certified to the property taxes if they remain unpaid.
Continue |Go Back

INCOME TAX TERMS AND AGREEMENT

INCOME TAX TERMS AND AGREEMENT

NOTIFICATION OF TAX FILING REQUIREMENT
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 tax return. A return is required to be filed even if tax is fully withheld.

Retired residents are only required to file if they make more than the standard deduction for each specific year.

Please complete the resident account registration form and submit it with your annual return. This form may be found on the City website, or you may call the Income Tax Department to obtain the form.

TAX DECLARATION
Under penalties of perjury, I declare that I have examined the information on this form, and closest to my best knowledge and belief, the information provided herewith is true, correct and complete.
Continue |Go Back

ELECTRONIC SIGNATURE

Electronic Signature Agreement*
By checking the "I agree" box and providing the electronic signature below, you agree and acknowledge the terms of the Utility Agreement, Tax Filing Requirement, and Tax Declaration.
1. I agree.
Electronic Signature*
Today's Date*
Today's Date

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