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2. Submission Instructions
   The City of Modesto requires all Property Management companies requesting utility service to complete a Property Management Contract. A security deposit may be required prior to activation of service in accordance with MMC 11-6.02. All requests will be processed within 48 hours from the time of receipt. Please print and submit your contract along with all required documents by fax to 209-491-5920.
4. Required Items*

   1. Completed City of Modesto property management contract signed by the representative of the company
   2. Copy of the management agreement between the property owner and the management company
   3. Copy of your business license with the City of Modesto
8. Name of Property Management Company*
9. Property Owner *
11. Property Management Company Tax ID Number*
12. Property Owner's Identification*
    Please enter one of the following: Driver's License Number, or Tax ID Number.
14. Billing Address*
15. Service Address*
17. Phone Number*
18. Fax Number
20. We, the above listed property management company, do hereby agree that in signing this document we are requesting the City of Modesto to place the utility services in our name (water, sewer, storm drain and garbage) until we request in writing that services be terminated. We understand we are responsible for payment of the services each month. If the final bill is left unpaid, it is understood we will not be allowed to have any new accounts set up until all past due balances are paid in full.
22. Responsible Party Signature
23. Date
24. Account Number
26. Property Vacancy - Garbage Service

    1. If property is vacant and no garbage service is needed, please check here

    Please note that if box is not marked, customer assumes responsibility for all services billed. If the property is found to be occupied, garbage billing will be reactivated and may be billed retroactively for all charges.
28. Please select from the following:*

    1. Start Service
    2. Stop Service
Leave This Blank:


29. Print Only

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