South Amherst, OH · Lorain County
New Resident Application Form
South Amherst residents use this packet to apply for utility service, authorize optional ACH payments, and register with the Regional Income Tax Agency.
What this form is
The packet includes a South Amherst Utility Individual Questionnaire for requesting water service, an optional ACH debit authorization, and a Regional Income Tax Agency individual registration form. The utility questionnaire asks for applicant, contact, residence, and service information; the ACH section requests bank details and account-holder signatures. The packet also requests residence, employment, and income information for tax registration.
Who needs it
New South Amherst residents applying for water service can complete the utility questionnaire, and residents may also use the included ACH and tax registration forms.
How to submit it
Return the utility form to the Water Clerk by email at [email protected] or at 103 W. Main St., South Amherst, OH 44001. The ACH authorization lists the same return options; mail the RITA form to the Registration Department at the address printed on it or fax it to 440.526.3136.
About notarization
This document is signed without a notary; the utility questionnaire and ACH authorization request signatures and dates, and the packet lists no notarized or sworn attachment.
How to submit this form
- 1
Download the Packet
Download the New Resident Application Form packet for South Amherst.
- 2
Complete the Relevant Forms
Fill out the utility questionnaire and, if applicable, the ACH authorization and RITA registration form.
- 3
Gather Any Additional Information
Provide the requested applicant, residence, bank, employment, or income details as applicable.
- 4
Submit the Forms
Send the utility form to the Water Clerk using the listed email or address; submit the RITA form by mail or fax as printed on it.
Frequently asked questions
- Do I need a notary for the New Resident Application Form?
- No. This packet has no notary block or notarized attachment; the utility questionnaire and ACH authorization ask the signer to sign and date.
- How do I submit the New Resident Application Form?
- Email the utility form to [email protected] or deliver it to 103 W. Main St., South Amherst, OH 44001. The RITA form lists a mailing address and fax number.
- What information does the utility questionnaire request?
- It asks for applicant and co-applicant details, contact information, service and billing addresses, service date, and ownership or landlord information when applicable.
- Does the packet include an ACH payment authorization?
- Yes. The optional ACH section requests account-holder and bank information, debit details, and signatures. It says payments are debited on the 20th of each month, or the following business day if that date falls on a weekend or holiday.