Mount Gilead, NC · Montgomery County

No notary required

Application For Utility Services

This Town of Mount Gilead application is for people requesting utility services and provides space for residence, contact, and optional landlord information.

What this form is

Use this application to request utility services from the Town of Mount Gilead. It asks for the residence and billing addresses, contact details, and information about the property owner if different from the applicant. The form lists a non-refundable $15 connection fee and explains how the town uses voluntarily provided Social Security numbers in debt collection.

Who needs it

People applying for utility services from the Town of Mount Gilead can use this form to provide residence, billing, and contact information.

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 application has no notary block; the applicant completes and dates it, and the document lists no notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Mount Gilead Application for Utility Services PDF.

  2. 2

    Complete The Application

    Provide the residence and billing addresses and requested contact details; add property owner information if the owner is different.

  3. 3

    Review The Fee And Notice

    Review the listed non-refundable $15.00 connection fee and the notice about voluntary Social Security number disclosure.

  4. 4

    Submit To The Town

    Submit the application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Mount Gilead utility services application for?
It collects residence and billing addresses, contact information, and, when applicable, information about a property owner who is different from the applicant.
What does the application say about the connection fee?
The form lists a non-refundable $15.00 connection fee. It does not provide additional payment instructions.
Do I need a notary for the Mount Gilead utility services application?
No. The application has no notary block and lists no notarized or sworn attachment; the applicant completes and dates it.
How do I submit the Mount Gilead utility services application?
The document does not give submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.

Need something notarized?

This Application For Utility Services doesn’t need a notary — but if you have another Mount Gilead form that does, a commissioned online notary can help.