Low-Volume Consumer or Designated Form for Multi-Unit Residential Premises

Low-Volume Consumer or Designated Form For Multi-Unit Residential Premises

Property Information(Required)
Account Numbers (123456-1234567)
Account Name
Basis for Qualification
Number of Units Within Property/Complex
 

The following individuals have the authority to provide and certify the accuracy of the information provided on this form and any additional attachments. Please fill out the applicable section.

Corporation

Corporation's Name

Sole Proprietor

MM slash DD slash YYYY

Partnership

MM slash DD slash YYYY
Consent

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