Quincy, OH · Logan County
Water and Sewer Use Agreement
Tenants and property owners use this agreement to apply for water and sewer service and record the property owner’s payment obligation.
What this form is
This agreement is the Village of Quincy application for water and sewer use and records the service location, tenant, property owner, address, phone number, and $132 deposit. The property owner also agrees to pay unpaid tenant water and sewer bills. The form says it must be signed and returned within 10 days after renting or purchasing a property or building; otherwise, water and sewer connection will be terminated.
Who needs it
Tenants applying for water and sewer service and property owners agreeing to cover unpaid utility bills should complete and sign the agreement.
How to submit it
Sign and return the form within 10 days after renting or purchasing a property or building to the Village of Quincy, 115 N. Miami Street, P.O. Box 126, Quincy, Ohio 43343-0126.
About notarization
No notary is required; the applicant and property owner sign and date the form.
How to submit this form
- 1
Download The Agreement
Download the Village of Quincy water and sewer use agreement PDF.
- 2
Complete The Application
Enter the service location, tenant and property owner details, addresses, phone number, and agreement date.
- 3
Review The Deposit And Obligation
Note the listed $132.00 deposit and the property owner’s agreement to pay unpaid tenant water and sewer bills.
- 4
Sign And Return The Form
Sign and return the form to the Village address shown within 10 days after renting or purchasing a property or building.
Frequently asked questions
- Who completes the water and sewer use agreement?
- The tenant applying for water and sewer use provides service and contact details. The property owner signs the agreement accepting responsibility for unpaid tenant water and sewer bills.
- Do I need a notary for the water and sewer use agreement?
- No. This document is signed without a notary; the applicant and property owner sign and date the form.
- How do I submit the water and sewer use agreement?
- Sign and return it to the Village of Quincy at 115 N. Miami Street, P.O. Box 126, Quincy, Ohio 43343-0126, within 10 days after renting or purchasing a property or building.
- What deposit does the agreement list?
- The agreement lists a water and sewer deposit of $132.00.
