Date Form Filled Out (mm/dd/yyyy)(Required) Month Day Year Owner's Name(Required) First Last Apartment NameIf applicable. Property ManagerIf you are using a management company enter here; copy of agreement is required Management Company Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Enter Unit Numbers HereConsent(Required) I assume the responsibility of payment of the bill for the service used at the above stated property from the date of tenant’s termination order until the new tenant has the service connected in his/her name. I understand that this agreement is to remain in effect until cancelled in writing by me, as the owner. I hereby verify the information to be true and complete and agree to the terms and conditions. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Electronic Signature (Full Name(Required) When an owner signs our “Landlord Interim Service Agreement”, he/she agrees to pay for the service between the time that a tenant asks us to terminate the service and the time a new tenant requests the beginning of service. If the new tenant does not arrange promptly for the service in his/her own name, the owner is billed until the tenant does request service. This agreement saves the owner the inconvenience of ordering the service in his/her name for cleaning and showing the property. It also saves the owner the customer processing charge (after the initial transfer). To cancel the agreement, please contact the office. There is no charge to cancel the Landlord Interim Service Agreement, but the Landlord/Owner should not rely on a future Landlord/Owner assuming the service. CancellationTo cancel the agreement, please contact the office. There is no charge to cancel the Landlord Interim Service Agreement, but the Landlord/Owner should not rely on a future Landlord/Owner assuming the service.Upload Property Management Agreement(Pdfs, Word documents or .jpg files accepted) Drop files here or Select files Max. file size: 200 MB. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
