Authorization to Email Tenant Copy of Billing Statement

It is the owner's responsibility to ensure that the account is paid current. Murphys Sanitary must be notified of any change in tenants. Account Balances must be paid and all information must be furnished in order to process this request. This authorization is only to send a copy of the sewer bill to the tenant by email.

Effective Date: (required)

Account # (required)

Service Address (required)

I, the owner of the above reference property, request a copy of the billing for sewer service be e-mailed to (enter tenant email address below) (required)

As the property owner, I acknowledge by typing my name, I am responsible for the above account, and payment of all charges. I understand a lien may be placed on my property if charges are not paid in accordance with Murphys Sanitary District's Use Ordinance Article IX Management and Enforcement Code 02.09.020.

Owner Name (required)

Tenant Name (required)

Tenant Phone (required)

Tenant Email (required)

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