What services does the Termination of Responsible Party Form cover?

The form is for water, sewer, and trash services. It records the service address and information about the occupant and owner.

Do I need a notary for the Termination of Responsible Party Form?

No. The occupant and owner sign and date the form; it lists no notarized or sworn attachment or related step.

Who is responsible for utility charges after the final read?

The form says the occupant is responsible until the requested final read date, and the owner is responsible for charges after that date.

Unionville, MI · Tuscola County

No notary required

Termination of Responsible Party Form

Occupants and owners use this form to end an occupant’s responsibility for water, sewer, and trash services at a service address.

What this form is

This form records the occupant, owner, service address, and lease dates when responsibility for water, sewer, and trash services is ending. The occupant and owner sign and date it, and the form notes that the owner must verify account termination before the Village closes the account. Contact the Village Clerk at least two weeks ahead to schedule a final read date.

Who needs it

An occupant and property owner use this form when ending the occupant’s responsibility for water, sewer, and trash services at a service address.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. Contact the Village Clerk at least two weeks ahead to schedule a final read.

About notarization

The occupant and owner sign and date this form without a notary; it lists no notarized or sworn attachment or related step.

How to submit this form

1
Download The Form
Download the Termination of Responsible Party Form.
2
Complete The Form
Enter the service address, occupant and owner details, forwarding address, and effective lease dates.
3
Sign And Date
The occupant and owner sign and date the form.
4
Schedule And Submit
Contact the Village Clerk at least two weeks ahead to schedule a final read, then submit the form to the city department named on it.

Frequently asked questions

What services does the Termination of Responsible Party Form cover?: The form is for water, sewer, and trash services. It records the service address and information about the occupant and owner.
Do I need a notary for the Termination of Responsible Party Form?: No. The occupant and owner sign and date the form; it lists no notarized or sworn attachment or related step.
How do I submit the Termination of Responsible Party Form?: Submit it to the city department named on the form and check the city website for current contact details. Contact the Village Clerk at least two weeks ahead to schedule a final read date.
Who is responsible for utility charges after the final read?: The form says the occupant is responsible until the requested final read date, and the owner is responsible for charges after that date.

Need something notarized?

This Termination of Responsible Party Form doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.