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STEP 1 : STOP SERVICE AT YOUR PREVIOUS PROPERTY

Complete the information below if you want to stop utility services at one property in Monroe, and start utility services at a different property in Monroe.
IMPORTANT NOTE:
If the property you are moving out of has a past-due balance, your request to transfer utility services will not be approved.
Please pay any past-due balances before submitting this request.
Name (first and last):*
Address of the property you are moving OUT OF:*
Please tell us more...*
1. I was renting this property and I am moving out.
2. I sold this property to a new buyer.
3. The property has not been sold yet but it is currently unoccupied, so I want the utilities taken out of my name.
Thanks for the info!
1. The water service will not be interrupted as the account is transferred to the new owner.
We're sorry...
1. If the home has not been sold yet, we cannot take the utilities out of your name. As long as you are the deeded owner of the property, your name must remain on the account.
2. If you want to have the water service turned off, please contact our office at (513) 539-7374.
3. You will continue to receive a bill for this property until your name is removed from the deed.
What date should we stop service?*
What date should we stop service?
To establish utility service at your new property,
click here.

(Once the previous property has officially been sold, please remember to come back to the Monroe website and re-submit your move-out request!)
PLEASE DO NOT PROCEED ANY FURTHER ON THIS FORM.
CLICK HERE TO RETURN TO THE HOMEPAGE.
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STEP 2 : START SERVICES AT YOUR NEW PROPERTY

What is the address of the property you are moving INTO?*
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.
Please provide the mailing address:*
City:*
State:*
Zip Code:*
Please verify your current phone number:*
Please verify your current 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?*
What date should your utility services begin at this property?*
What date should your utility services begin at this property?
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TAX QUESTIONNAIRE - APPLICANT EMPLOYMENT

ATTENTION:
1. Commercial Applicants do not need to complete the 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?*
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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."
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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:*
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TAX QUESIONNAIRE - 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.*
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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.*
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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.*
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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.
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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.
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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

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Utility Service Transfer (Move-out / Move-in Within City) - Owner

Steps

STEP 1 : STOP SERVICE AT YOUR PREVIOUS PROPERTY

STEP 2 : START SERVICES AT YOUR NEW PROPERTY

TAX QUESTIONNAIRE - APPLICANT EMPLOYMENT

TAX QUESTIONNAIRE - CO-APPLICANT EMPLOYMENT

TAX QUESTIONNAIRE - PRIOR RESIDENCY

TAX QUESIONNAIRE - ADDITIONAL RESIDENTS

TAX QUESTIONNAIRE - FILING STATUS

TAX QUESTIONNAIRE - RENTAL PROPERTY

UTILITY TERMS AND AGREEMENT

INCOME TAX TERMS AND AGREEMENT

ELECTRONIC SIGNATURE