Tipp City, OH · Miami County

No notary required

Summer Yard Watering Notice and Application

Tipp City residents use this application to request winter-average billing for summer sewer charges based on their preceding six months of water consumption.

What this form is

This application lets a residential customer request the city’s winter-average program, which caps summer sewer and wastewater charges based on the unit’s average water consumption during the preceding six months. The form says an occupant must have lived at the unit throughout that period to qualify, and utility disconnection for more than four consecutive weeks makes the occupant ineligible. It asks for the customer’s name, service address, phone number, account number, signature, and date.

Who needs it

A residential customer seeking winter-average summer sewer billing must complete this application and meet the stated occupancy and utility-service conditions.

How to submit it

Complete the bottom of the form and return the entire form to the Utility Billing office at 260 S. Garber Dr., Tipp City, Ohio.

About notarization

This application is signed without a notary; the form lists no sworn attachment or related notarized step, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Application

    Download the Summer Yard Watering Notice and Application.

  2. 2

    Complete the Form

    Fill in the requested customer and service details at the bottom of the form.

  3. 3

    Sign and Date

    Sign and date the application.

  4. 4

    Return the Form

    Return the entire form to the Utility Billing office at 260 S. Garber Dr., Tipp City, Ohio.

Frequently asked questions

Do I need a notary for the Summer Yard Watering Application?
No. This application has no notary block or sworn attachment; the signer just signs and dates it.
How do I submit the Summer Yard Watering Application?
Complete the bottom of the form and return the entire form to the Utility Billing office at 260 S. Garber Dr., Tipp City, Ohio.
Who may qualify for winter-average billing?
The form says an occupant must have lived at the unit throughout the preceding six-month period. An occupant disconnected from utility service for more than four consecutive weeks during that period is not eligible.
What information does the application ask for?
It asks for the customer’s name, service address, phone number, account number, signature, and date.

Need something notarized?

This Summer Yard Watering Notice and Application doesn’t need a notary — but if you have another Tipp City form that does, a commissioned online notary can help.