Tipp City, OH · Miami County

No notary required

Business Application/Contract for Utility Service

Businesses use this application to request utility service in Tipp City and provide business information for the city’s income tax accounts.

What this form is

This packet combines a business utility service application and contract with a business income tax questionnaire and an optional automatic deduction authorization. It asks for service and business details, contact and tax information, and agreement to utility service terms. The form says to return the questionnaire with the utility forms; it also describes income tax filing requirements and the documents needed for automatic deduction.

Who needs it

A business seeking Tipp City utility service should complete the application and questionnaire, and may complete the automatic deduction authorization if desired.

How to submit it

Return the completed business questionnaire with the utility forms to the Utility Billing department. The questionnaire lists Tipp City Income Tax Department, 260 S. Garber Dr., Tipp City, OH 45371, as its return address.

About notarization

This document is signed and dated without a notary; attach a voided check or official bank document for automatic deduction, with no sworn step stated.

How to submit this form

  1. 1

    Download the Application

    Download the business utility service application and its included questionnaire and optional automatic deduction authorization.

  2. 2

    Complete the Business Forms

    Enter the requested service, business, contact, and income tax information and sign and date the applicable forms.

  3. 3

    Gather Automatic Deduction Documents

    If requesting automatic deduction, attach a voided check or official bank document showing your name, account number, and routing number.

  4. 4

    Return the Forms

    Return the completed business questionnaire with the utility forms to the Utility Billing department; the questionnaire lists its return address.

Frequently asked questions

Who should complete the Business Application/Contract for Utility Service?
A business seeking utility service in Tipp City should complete the application and the business income tax questionnaire included in the packet.
Do I need a notary for the Business Application/Contract for Utility Service?
No. This document is signed and dated without a notary. For optional automatic deduction, attach a voided check or official bank document; no sworn step is stated.
How do I submit the business utility service application?
Return the completed business questionnaire with the utility forms to the Utility Billing department. The questionnaire lists 260 S. Garber Dr., Tipp City, OH 45371, as its return address.
What information does the business questionnaire request?
It asks for business identification, filing type, address and contact details, business activity, employee and withholding information, and details about work performed in Tipp City.

Need something notarized?

This Business Application/Contract for Utility Service doesn’t need a notary — but if you have another Tipp City form that does, a commissioned online notary can help.