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St. Mary's County Metropolitan Commission |
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Please complete all fields. You may mail this form or, FAX to: 301-737-7459 |
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| Property Address: |
_______________________________________________ (Please Print or Type) |
| Customer Number: |
_______________________________________________ (Please Print or Type) |
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REQUEST FOR CHANGE IN BILLING - |
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| Application is hereby made to have water and/or sewer charges and assessments, including all notices of any kind relating thereto, for the following property sent to: | |
| Name: |
_______________________________________________ (Please Print or Type) |
| Mailing Address: |
_______________________________________________ (Please Print or Type) |
| Effective Date: |
_______________________________________________ (Please Print or Type) |
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It is understood and agreed that
the mailing of bills pursuant to this request in no way relieves the Owner of
the premises of equal liability for the payment of all charges and assessments
so billed and further that any bill so mailed shall be considered as notice to
the Owner as if it were mailed to the Owner. The St. Mary’s County
Metropolitan Commission will notify the owner the tenant is about sixty (60)
days overdue. Bills shall be rendered in accordance with this request until
further notice in writing is given to the Metropolitan Commission. Owner
understands that in accordance with Section 113-14D request for changes in
billing to persons or entities other than the Owner are honored at the
discretion of the Commission. The owner agrees to update address changes
immediately. |
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| Owner's Signature: |
_______________________________________________ |
| Owner's Address: |
_______________________________________________ (Please Print or Type) |
| Owner's Daytime Phone Number: |
_______________________________________________ (Please Print or Type) |
| Owner's Email Address: |
_______________________________________________ (Please Print or Type) |
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| Tenant's Signature: | _______________________________________________ |
| Tenant's Daytime Phone Number: |
_______________________________________________ (Please Print or Type) |