111 N Main St., Cottonwood, Arizona 86326 (928) 634-0186 Fax: (928) 639-4254
website: www.cottonwoodaz.gov
“City of Cottonwood is an Equal Opportunity Employer”
Revised by MB 10/28/15
Landlord Agreement
This OWNER/AGENT AUTOMATIC TRANSFER SERVICE AGREEMENT (“Agreement”),
between the CITY OF COTTONWOOD (“City”) and:
________________________________________________________(“Owner and/or Agent”),
(print the name of Owner and/or name of the Agent for the owner)
Entered into this______day of____________________________, 20______, guarantees water
services, to be provided by the City, to the certain real property located at:
LISTED PROPERTY: (Address) (Customer Acct #)
______________________________________________________________________________________________________________________
LISTED PROPERTY: (Address) (Customer Acct #)
______________________________________________________________________________________________________________________
LISTED PROPERTY: (Address) (Customer Acct #)
RECITALS:
Whereas, the Owner and/or Agent thereof, hereby authorizes the City, to provide water services to
the above listed property; and
Whereas, the Owner and/or Agent rents/leases the property to tenants for various, periodic terms;
and
Whereas, tenants often vacate the property with little, or no notice to the Owner and/or Agent; and
Whereas, the Owner and/or Agent for the above listed property, desires to have water service
automatically transferred into the Owner and/or Agent’s name, immediately, upon termination
of a tenant’s services.
THEREFORE, the parties agree as follows:
1. The Owner and/or Agent agrees to pay for the above listed services as billed when due and
payable, regardless of whether the Owner and/or Agent is aware of the tenant’s
termination.
2. An establishment fee, plus tax, shall be billed to the Owner and/or Agent for each
transfer.
111 N Main St., Cottonwood, Arizona 86326 (928) 634-0186 Fax: (928) 639-4254
website: www.cottonwoodaz.gov
“City of Cottonwood is an Equal Opportunity Employer”
Revised by MB 10/28/15
3. It shall be the Owner and/or Agent’s responsibility to promptly notify the City of any
changes, material or otherwise, concerning the ownership and/or management of the
affected property. This Agreement requires that the contact information provided below,
must be kept current and up to date (mailing address, phone number, ect.).
4. Either party may terminate the Agreement upon posted, written notice to the other party.
5. This Agreement may become null and void, as a consequence of arrearage and collections
efforts.
______________________________________________
OWNERS AND/OR AGENTS NAME (PLEASE PRINT)
_________________________________________________________
OWNERS AND/OR AGENTS SIGNATURE
Owner and/or Agents
Mailing Address
___________________________________________
___________________________________________
___________________________________________ (_______) ________ - ________________
City, State and Zip-code Phone#
________________________________________________________________________________________________ _______________
(TITLE IF CORP., PRINTED NAME AND SIGNATURE FOR AGENT, OR OTHER CONTACT TAX ID#
Corporation
Mailing Address
___________________________________________
___________________________________________
___________________________________________ (_______) ________ - ________________
City, State and Zip-code Phone#
Acknowledged By: ______________________________ of the Utilities Department on this ______
day of _____________________, 20_____.
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