Chautauqua County, NY · Chautauqua County
Landfill Credit Application
Businesses apply to the Chautauqua County Landfill for credit by providing company, ownership, bank, and trade reference information.
At a glance
- Issued by
- City of Chautauqua County · Chautauqua County, Chautauqua County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- chautauquacountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This application lets a business request a line of credit from the Chautauqua County Landfill. It asks for business and contact details, ownership information, banking and trade references, and the desired credit amount. The applicant certifies that the information is true and complete and agrees to the listed payment and credit terms.
Who needs it
A business seeking credit from the Chautauqua County Landfill should complete this application and provide the requested business and reference information.
How to submit it
The form lists the Chautauqua County Landfill at 3889 Towerville Road, Jamestown, NY 14701, and provides telephone and fax numbers. It does not specify a submission method.
About notarization
This application is signed without a notary; the applicant signs and dates it, and the form identifies no notarized attachment or related step.
How to submit this form
- 1
Download the Application
Download the Chautauqua County Landfill Credit Application.
- 2
Complete the Application
Fill in the requested business, contact, ownership, bank reference, trade reference, and credit amount information.
- 3
Sign and Date
Certify the information and agreements, then sign, print your name, provide your title, and date the application.
- 4
Submit to the County
Use the landfill address listed on the form; it also provides a fax number but does not specify a submission method.
Frequently asked questions
- Do I need a notary for the Landfill Credit Application?
- No. The application has a signature and date line but no notary block; the applicant signs and dates it.
- How do I submit the Landfill Credit Application?
- The form lists the Chautauqua County Landfill at 3889 Towerville Road, Jamestown, NY 14701, and includes a fax number. It does not state how to submit the application.
- What information does the application request?
- It requests company, contact, ownership, banking, and trade reference details, along with the desired credit amount. The applicant also certifies the information and agrees to the listed terms.