Who can apply for the senior citizen discount?

The application is for owner-occupied residences whose homeowner is at least 65 years old and receives the Ohio Homestead Exemption.

What discount does this application request?

It requests a 30% water and/or sanitary sewer discount. Each residence is eligible for one water and/or sanitary sewer discount.

How do I submit the Senior Citizen Discount Application?

Complete and sign the application, then mail it to the Lake County Department of Utilities, P.O. Box 8005, Painesville, OH 44077.

Do I need a notary for the Senior Citizen Discount Application?

No. The application is signed without a notary; the signer prints their name, signs, and dates it.

Timberlake, OH · Lake County

No notary required

Senior Citizen Discount Application

Eligible Timberlake homeowners use this application to request a 30% water and/or sanitary sewer discount through the Lake County Department of Utilities.

What this form is

This application lets eligible homeowners request a 30% discount on water and/or sanitary sewer service provided by the Lake County Department of Utilities. It is for owner-occupied residences where the homeowner is at least 65 and receives the Ohio Homestead Exemption. The form asks for property, utility account, and contact details, along with a signed declaration of eligibility.

Who needs it

A homeowner age 65 or older who occupies the property as a principal residence and receives the Ohio Homestead Exemption may apply.

How to submit it

Submit the completed application to the Lake County Department of Utilities, P.O. Box 8005, Painesville, OH 44077.

About notarization

This application is signed without a notary; the signer just prints their name, signs, and dates it.

How to submit this form

1
Download The Application
Download the Senior Citizen Discount Application.
2
Complete The Form
Provide the property, service address, utility account, contact, and date-of-birth information requested.
3
Sign And Date
Print your name, sign, and date the declaration confirming your eligibility.
4
Mail The Application
Send the completed application to the Lake County Department of Utilities, P.O. Box 8005, Painesville, OH 44077.

Frequently asked questions

Who can apply for the senior citizen discount?: The application is for owner-occupied residences whose homeowner is at least 65 years old and receives the Ohio Homestead Exemption.
What discount does this application request?: It requests a 30% water and/or sanitary sewer discount. Each residence is eligible for one water and/or sanitary sewer discount.
How do I submit the Senior Citizen Discount Application?: Complete and sign the application, then mail it to the Lake County Department of Utilities, P.O. Box 8005, Painesville, OH 44077.
Do I need a notary for the Senior Citizen Discount Application?: No. The application is signed without a notary; the signer prints their name, signs, and dates it.

Need something notarized?

This Senior Citizen Discount Application doesn’t need a notary — but if you have another Timberlake form that does, a commissioned online notary can help.