St. Louis, MI · Gratiot County
Extension for Time to Pay Utilities
Property owners and renters use this form to request more time to pay overdue utility amounts and state how they will catch up.
What this form is
This form lets property owners and renters request an extension to pay utility amounts subject to shutoff. It asks for contact details, past-due and current amounts, penalties, a grand total, and a payment promise. File before shutoff to avoid the stated shut-off administrative fee; the form says extensions cannot be offered two months in a row. Renters also need their landlord’s acknowledgment.
Who needs it
A property owner or renter seeking more time to pay utility amounts subject to shutoff should complete this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the owner or renter signs and dates it, and renters also obtain their landlord’s acknowledgment and signature.
How to submit this form
- 1
Download the Form
Download the Extension for Time to Pay Utilities form.
- 2
Complete Your Information
Fill in your contact details, utility amounts, and proposed payments.
- 3
Get Landlord Acknowledgment
If you are a renter, provide your landlord’s information and obtain the landlord’s acknowledgment and signature.
- 4
Submit to the City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Extension for Time to Pay Utilities?
- No. The form has no notary block; the property owner or renter signs and dates it. Renters also need their landlord’s acknowledgment and signature.
- How do I submit the Extension for Time to Pay Utilities?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the form ask for?
- It asks for your contact details, utility amounts subject to shutoff, a payment promise, and a signature. Renters must also provide landlord information and acknowledgment.
- When should I file the extension request?
- The form says to file before shutoff to avoid the stated $35 shut-off administrative fee. It also says extensions cannot be offered two months in a row.
Need something notarized?
This Extension for Time to Pay Utilities doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.