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Utility Account: New Move In

Saddle Hills County

Customer Statement:

I must notify the office of Saddle Hills County of any service changes or disconnection and I am fully responsible for any service amount(s) charged to my account if I move and do not provide appropriate notification of any service disconnection. I shall give access to an authorized person of Saddle Hills County to the service/meter for the purpose of reading, inspecting, repairing or changing meter. I shall be responsible to keep the meter frost free from injury by frost or damage or otherwise be liable for any charges which may be levied.

Furthermore, I , the owner of property under the tax roll number above request water and/or wastewater utility connection to this property. I request that utility charges be billed to the renter of this property as specified above on this authorization form. By signing below, I authorize Saddle Hills County to transfer all unpaid costs associated with the requested water and/or wastewater connection to my tax roll if the account remains unpaid over 90 days.

Registered Owner's Signature

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Renter's Signature

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This information is being collected in accordance with Part 2 of the Freedom of Information and Protection of Privacy Act and is being collected for the purpose of disconnecting utility service(s) within Saddle Hills County. Our Legislative Officer – Records Management, FOIP is available to answer any questions you may have pertaining to the collection and use of the information and may be contacted at 780-864-3760.