Fort Loramie, OH · Shelby County
Residential Utility Application and Tax Registration
Fort Loramie residents use this application to request residential utility service and provide tax registration and household information to the village.
What this form is
This application is for residents requesting utility service at a residential address in Fort Loramie. It asks for applicant and household details, service and mailing addresses, billing preferences, and whether the applicant is renting or buying; the signer also agrees to the listed utility terms. Renters are asked to provide the property owner’s information.
Who needs it
Residents applying for residential utility service in Fort Loramie should complete the application and provide the requested applicant and household information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Residential Utility Application and Tax Registration.
- 2
Complete The Application
Enter the requested applicant, household, address, and billing information, and indicate whether you are renting or buying.
- 3
Provide Owner Information
If renting or leasing, provide the requested property owner name and address.
- 4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Residential Utility Application?
- No. The application has a signature and date line but no notary block, and it lists no notarized or sworn attachment.
- How do I submit the Residential Utility Application?
- The document does not provide a submission address or contact details. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the application ask for?
- It requests applicant and household information, service and mailing addresses, contact details, billing preference, and whether the applicant is renting or buying.
- Does the application mention a deposit?
- Yes. It states that renters must pay a $250 deposit for service. The document says the deposit is applied to the final bill when service is disconnected, with any remaining deposit refunded.