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Tenant Change Form

  1. As owner of the above listed property, I am informing you that:*

  2. Bill to:

  3. Please choose one of the following Off Cycle Billing options for your tenant move in/out:

  4. Note: As a courtesy to the owner, only the owner may request to have the billing sent to the tenant. If the tenant vacates leaving outstanding charges, the City will not go to collections to get payment from the tenant. The unpaid charges stay with the property and therefore become the responsibility of the owner.

    There will be a $5 fee to add a tenant.

  5. Electronic Signature*

  6. Please type name.

  7. Section A: TENANT INFORMATION FOR BILLING

  8. Bill Type

    Select "Both" to receive a paper and electronic bill

  9. Section B: AGENT/PROPERTY MANAGEMENT/POA

  10. Section C: OWNER INFORMATION FOR OWNER ACCOUNT

  11. Leave This Blank:

  12. This field is not part of the form submission.