Fill - Free fillable Form 20132: ByrequestingutilityservicefromtheTownofPurcellville,thecustomeragreestocomplywithall localordinancesconcerningtheseservicesincludingallnewrateschedulesandfeesthatthe TownCouncilmayadopt. M PDF form

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221S.NurseryAvenue,PurcellvilleVA

20132

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540‐338‐7093Hours:8:30–4:30Mon‐Fri

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ByrequestingutilityservicefromtheTownofPurcellville,thecustomeragreestocomplywithall

localordinancesconcerningtheseservicesincludingallnewrateschedulesandfeesthatthe

TownCouncilmayadopt.

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Establishinganewaccount:

 Minimumof24hoursnotificationisrequiredforallnewconnectionsandsomenew

accountsmayrequireadditionaltimebeforeserviceisestablished.

 Newapplicationsmustincludethefollowing:

o Completedapplication

o PictureID

o Requireddeposit(CASHorCHECKONLY)

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 AllapplicantsmustappearinpersonandprovideavalidIDinaccordancewiththe

IdentityTheftPreventionProgram/RedFlagRules.Ifapplicantsareunabletoappearin

person,theapplicationmustbenotarized.

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 ***DepositsaredueBEFOREservicewillbeconnected–CA SH orCHECKONLY***

o Residential$300

o Business/Commercial$300

o Restaurant$750

o ApartmentBuildings$3,000

o Laundry$7,050

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BillingInformation:

 Utilitybillsaremailedbi‐monthly.

 TheTowncoderequiresthatallpropertieswithwaterconnectionsaretobebilleda

minimumchargeevenifserviceisturnedoffornowaterisusedforabillingcycle.

 Thepaymentduedateisstatedonthefront

ofthebill.Failuretoreceiveabilldoesnot

entitlethecustomertopaywithoutapenalty.TheTownisnotresponsibleforfailureof

theUSPostalServicetodeliverbills.

 Billsaremailedonevenmonths(Feb,Apr,Jun,Aug,Oct,Dec)

 Billpaymentisdue

onthe1stdayofoddmonths(Jan,Mar,May,Jul,Sep,Nov)

 Allnewaccountsarechargedaninitialhandlingfeeof$20onthefirstutilitybillingcycle

andwillshowonthefirstbillasa“previousbalance”.

 Fixedservicechargesapplyoneverybi‐monthlyutilitybillbasedonmetersize.

 Tieredratefeesapplybasedongallonsused.

 Sewerchargesarebasedonwaterconsumption.

 TheTownreservestherighttoestimateutilitybillswhenitisnotpossibletoread

themetersduetoinclementweatherorotherreasons.

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PaymentOptions:

 Mailordropoffutilitypaymentsto:

   TownofPurcellville

   221SNurseryAve

   Purcellville,VA20132

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 ACH:AvoidLatePaymentPenalties!SignupforthisFREEautomaticpaymentoption.You

willcontinuetoreceiveyourbi‐monthlybillinthemailandpaymentwillbeauto

drafted

fromyourcheckingaccountoneweekbeforethebillisdue.

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 DropBox:Aconvenient,securedropboxislocatedontheJStreetsideofTownHall.Park

inour15minuteparkinglotforeasyaccesstothedropbox.

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 CreditCard/E‐Check:ElectronicpaymentserviceisofferedbyOfficialPaymentCorp.

whochargesaconveniencefeeforthisonlinepaymentservice.

PleaseuseJurisdictionCode6233whenmakingpayment.

PayOnline:

 Paybycreditcardatwww.officialpayments.com

($200.00TransactionLimit)conveniencefeeapplies

 Paybyelectroniccheckatwww.officialpayments.com

(NoTransactionLimit)conveniencefeeapplies

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 CallOfficialPaymentsdirectlyat1‐800‐272‐9829

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 OnlineBillPay:Thispaymentoptionisgeneratedbyyouthroughyourbank.Checksare

sentonyourbehalffromyourbankandcantakeupto7businessdaystobedelivered.

Paymentisnotelectronicanddoesnotarriveovernight.Checksforonlinebanking

customersmustarrivebythebillduedatetoavoidpenalties.Donotuseonlinebill

paymentservicesaftertheduedate.YourpaymentwillNOTbereceivedbeforethecut

offdeadline.

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 PaymentExtension:Apaymentextensionisameanstoextendtheamountoftimeto

payyourutilitybilltoavoiddisconnection.

 Aminimumof25%ofthebillmustbepaidwhenthepaymentplanisestablished.

 Latefeesarestillapplicable.

 Contactour

officebeforethedisconnectdateifyouneedtorequestapayment

extension.

 Paymentextensionswillnotbegrantedafterservicehasbeendisconnected.

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LatePayment/DisconnectionProcess:

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 Allutilitypaymentsaredueonthe1

dayoftheoddmonths.

(Jan,Mar,May,Jul,Sep,Nov)

 A10%penaltyisassessedonallbalancesaftertheduedate.

 Failuretoreceiveabilldoesnotentitlethecustomertopaywithoutpenalty.TheTownis

notresponsibleforfailureoftheUSPostalServicetodeliverbills.

 Adelinquentnotice/warningofdisconnectismailedthedayafterthebillsaredue.

 Doorannouncementswarningofdisconnectarepostedonthefrontdooroftheservice

addressonedaybeforedisconnection.A$10.00feeisadded.

 Iftheaccountisnot

paidinfullby10a.m.onthecut‐offdate,servicewillbecutoff

withoutfurthernoticeanda$50.00Non‐Paymentfeewillbecharged.

 Oncedisconnected,theaccountbalanceandallapplicablefeesmustbepaidin

fullbeforeservicecanberestored. 

 Service

willberestoredwithinapproximately4hoursfollowingpaymentinfull

receivedduringregularofficehours.

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EmergencyAfterHoursReconnection:UnderEXTREMEorEMERGENCYcircumstances,aTown

employeewillreconnectwaterservice,afterhours,foranADDITIONAL$100overtimecallout

fee.Thisamountwillbeinadditiontothebalanceofyourcurrentnoticeandfeesassociated

withyourdisconnectnotice.AllfeesmustbepaidINFULLinthedropboxat221SNurseryAve

by8:00a.m.thenextmorning,otherwisewaterservicewillbedisconnectedagainand

additional

feeswillapply.

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ReturnedPayment:

A$50.00returneditemfeewillbeappliedtopaymentsreturnedbyyourFinancialInstitution.

Returneditemsinclude:check,ACH,officialpaymente‐checkandcreditcardpayments.

Notificationofthereturnedpaymentissentviacertifiedmail.Customershave5businessdaysto

satisfypaymentinfullincludingthe$50.00returneditemfee.TheTownwillonlyacceptcashor

certifiedfundsasrepaymentforareturneditem.Failuretopayinfullwillresultindisconnection

ofwaterservicewithoutfurthernoticeandadditionalreconnectioncharges.



AsprescribedintheTown’sFinancePolicy,ifpaymentisreturnedforanyTownservicesbyan

individualorbusinessforinsufficientfundsmorethantwotimesinatwelvemonthperiod,the

Townwillrequireallfuturepaymentsbythatindividualorbusinessbemadeintheformofcash,

certifiedcheckormoneyorder.

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Leaks:

 Pleasebeconservativeofwater&fixleaksimmediately.Waterratesaretieredwith

higherratesforhigherusageandsewerchargesarebasedonwaterconsumption.

 Ifyourusagehasspikedwithoutchangeinyourdailyhabitsoroccupants,contactour

officetohavetheleakdetectiondevice

onyourmeterchecked.

 MaintenanceStaffarenotplumbersandcannotdeterminethecauseoftheleak.Ifa

leakisdetectedandcustomersareunabletodeterminethecause,werecommendyou

contactaPlumber.

 Commonleaksinclude:toilets,faucets,waterheaterpressurereleasevalves,faulty

humidifiersinstalledonairhandlingsystems,irrigationsystems,outdoorspigots,and

undergroundsupplylines.

 Ifyouhavealeakandfixit,youmayqualifyforaleakadjustment.Visitourwebsiteat

www.purcellvilleva.govtofindourLeakAdjustmentPolicyandUtilityLeakAdjustment

Form.



Owner/LandlordResponsibilities:

 Tenantsmayestablishutilityaccountswithoutpriorapprovalfromthelandlord.

 CodeofVirginiarequiresaminimumdepositofthreemonthsusagefee.

 ThepropertyownerwillneedtoadvisetheTowniftheaccountshouldreverttothe

landlordbetweentenants.Otherwiseservicewillbeturnedoffuntilallnewaccount

requirementsaremetbythenewtenant.

 TheCodeofVirginiaaswellastheTownCode,particularlySec.82‐84Responsibilityof

Use,authorizestheTowntocollectdelinquentbalancesfromthelandlordandis

collectibleasalienagainsttheproperty.

 Propertyownersarenotifiedoftenantfinalbillsandwillberequiredtopaydelinquent

balancespriortoserviceconnectionforanewtenant.



DelinquentAccounts/CollectionAction:

 Nonpaymentofutilityservicewillresultindisconnectionofwaterservice.

 UtilityLiensarerecordedwiththeLoudounCountyClerkoftheCircuitCourt.

 Activeaccountswillcontinuetobeminimumbilledandlatefeesareapplicable.

 Landlordsareresponsiblefornonpaymentoftheirtenant’sfinalbill.

 Finalbilldelinquentaccountswillbeturnedovertoathirdpartycollectionservice.

 Balancesmustbepaidinfullbeforeservicecanberestored.



UNAUTHORIZEDWATERUSEorSYSTEMTAMPERING:

 UnauthorizeduseofTownwaterortamperingwiththewaterdistributionsystem,

includingopeningthewatermeterortamperingwiththesetter,constitutesaClass1

misdemeanor.OnlyTownpersonnelhavetheauthoritytodisconnectorreconnectwater

service.

 Tampering,connectingto,ortakingwaterfromafirehydrantisillegal.Criminalcharges

andfinesareassessedtoallperson(s)foundstealingwaterperTownCodeSec.82‐86.

 ContactthePurcellvillePoliceDepartmentimmediatelyifyouseesomeonestealing

water.540‐338‐7422



MovingOut?

 Yourutilityaccountwillremainactiveuntilyouletusknowyouaremoving.

 Call540‐338‐7093torequestafinalmeterreadtoendservice.

 Provideaforwardingaddressandcontactinformation

 Finalbillsaremailedwithinapproximatelytwoweeksandaredue

uponreceipt.



AdditionalTownInformation:



TrashandRecycling:

 Trash,YardWaste&RecyclingispickeduponWednesdaysforResidentsonly.

o Businessesmustestablishtheirowntrashservice.

 RecyclingbinsareavailableforpickupattheTownOffice.

 AmericanDisposalofferslargerecyclingbinsfreeofcharge.ContactAmericanDisposal

at(866)884‐8700torequestyourstoday.

 Trash/YardWaste/RecyclingQuestions:Contact540‐338‐7421

Taxes:

TheTownofPurcellvilleisnotfullyfundedbyLoudounCounty.TaxescollectedbytheTownare

usedtopayforGovernmentoperationsincludingPolice,streetmaintenanceandsidewalks,

trash,recyclingandyardwastecollection,Building/ZoningEnforcementandInspections,Parks

andRecreation,andEconomicDevelopment.



CountyTaxesareusedtopayforSchools,PublicSafety‐Fire/Rescue,Sheriff/Jail,Libraries,

AnimalControl,ElectionServices,CommunityCenters,MentalHealthandWelfareprograms.



 HomeownerspayrealestatetaxesannuallytobothLoudounCountyandtheTownof

Purcellville.TownrealestatetaxesaredueJune5

andDecember5



 ResidentsandBusinessespaypersonalpropertytaxestobothLoudounCountyandthe

TownofPurcellville.TownpersonalpropertytaxesaredueannuallyonJune5



 NewCitizenshave30daystoregistertheirvehiclewiththeTown,throughtheDMV.

 VehicleLicenseFee‐ThisfeeisincludedwiththeAnnualPersonalPropertytaxbills.As

ofJanuary1,2018,Citizensarenolongerrequiredtodisplayadecalasproofof

registration.

 AlltaxrecordsarereceivedfromLoudounCounty.Ifyoumove,sell,tradeorbuyacar,

notifytheLoudounCountyCommissionerof Revenueat703‐777‐0260.Ourrecordsare

updatedfromtheirinformation.

 TheTownofPurcellvilleDOESNOTproratetaxes.Personalpropertytaxesareassessed

ifthe

propertyislocatedintheTownofPurcellvilleasofJanuary1perLoudounCounty

assessmentrecords.

BusinessLicense:

 Allpersonsandentitiesengagedinanybusinessorprofessionoroccupationinthe

TownmustapplyforabusinesslicenseandanoccupancypermitwithCommunity

Development.

 Business

LicenserenewalsaredueannuallybyMarch1

.

MealsTax:

 TheTownofPurcellvilleleviesamealstaxonthepurchaseoffoodandbeverageswhere

theyaresoldtothepublicforimmediateconsumption. 

 Businessesmustremitmealstaxbythe20

ofeverymonth.



221S.NurseryAvenue,PurcellvilleVA20132



540‐338‐7093



Hours:8:30–4:30

www.purcellvilleva.gov



UtilityServiceApplication

Pleasecompletetheentireapplication,submitwithproperIDtotheTownOfficeandremitproper

deposittoestablishutilityservice. Servicewillnotbeconnectedwithoutanapprovedapplicationand

paiddeposit.CashandchecksareonlyacceptedattheFinancecounter.Wecannotprocesscreditcards.



DateofApplication: _______________________________



PurcellvilleServiceAddress: 



RequestedEffectiveDateofService: 

MINIMUMof24HOURSNOTICEREQUIREDforServiceTurnOn



APPLICANTINFORMATIONRequired:



CustomerName: 



SocialSecurityorDriver’sLicense# DateofBirth: 



Home/CellPhone:______________________________WorkPhone:____________________________



EmailAddress:  ________________________________



Co‐ApplicantName: 



SocialSecurityorDriver’sLicense# DateofBirth: 



Home/CellPhone:______________________________WorkPhone:____________________________



EmailAddress:_______________________________________________________________________



MailingAddressifdifferentfromnewPurcellvilleServiceAddress:



Street  



City 

State  Zip___________

AreyouthePropertyOwnerorTenant?

 PropertyOwner–PleaseprovideSettlementAgencyinforma tion

SettlementAgencyName:  

SettlementContactName: Phone#:

_



 Tenant‐PleaseprovideLandlordinformation



LandlordName:  

LandlordAddress: 

LandlordPhone#: 



StaffUseOnly:TYPEofIDprovided:  

TotalDepositAmountPaid$ (DoNotProcessWithoutPaidDeposit)

ACHFormProvided:  Yes  No WelcomePacketProvided: Yes  No



I(applicantand/orco‐applicant)herebyrequesttheTownofPurcellvilletoprovideutility

servicesattheaboveservicelocation.I(applicantand/orco‐applicant)agreetopayallcharges

forservicesrenderedasaresultofthisrequest.Iunderstandandagreethatfailuretopayany

amountduetotheTownofPurcellvillemayresultinterminationofservicesandlegalactionfor

thecollectionofsuchsumsplusinterest,courtcostsandlegalexpensesandfees.Ihaveread

andunderstandtheserviceinformationguidelinesprovidedbytheTownofPurcellvilleandhave

bysigningthefollowingdocument

agreedtoadheretothetermsofthisdocument.



_________________________________________________________________

Signature(Applicant)Signature(Co‐Applicant)



Note:Notarizationisonlyrequiredifyouarenotappearinginperson:



Notary:

Stateof_______________________________City/Countyof

_________________________________

On______________________________________

Theindividual(s)whosenameissignedtotheforegoinginstrumentappearedbeforeme,

acknowledgedtheforegoingsignaturetobehis/hers,andhavingbeendulyswornbyme,made

anoaththatthestatementsinthesaidinstrumentaretrue.



Mycommissionexpires:__________________________________



Signature_________________________________________

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Form 20132: ByrequestingutilityservicefromtheTownofPurcellville,thecustomeragreestocomplywithall localordinancesconcerningtheseservicesincludingallnewrateschedulesandfeesthatthe TownCouncilmayadopt. Minimumof24hoursnotificationisrequiredforallnewconnectio

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