Waynesboro, PA · Franklin County

No notary required

Refuse Exoneration Form

Waynesboro residents use this form to request exoneration from refuse service when a property is vacated for at least six continuous months.

What this form is

This form gives written notice to the Borough Manager that a property has been vacated and requests exoneration from refuse service. The document says the property must remain vacant for at least six continuous months and its water meter must be removed and returned to the Borough. The request asks for the property address, vacancy date, account number, year, and signer details; exonerations expire at year-end or when the meter is reinstalled.

Who needs it

A customer seeking refuse-service exoneration for a vacated Waynesboro property may submit this form if the stated conditions are met.

How to submit it

Give the Borough Manager written notice using the attached form at the Office of Borough Manager, 55 East Main Street, P.O. Box 310, Waynesboro, Pennsylvania 17268.

About notarization

No notary is required; the signer signs and dates a verification made under penalty of perjury.

How to submit this form

  1. 1

    Download The Form

    Download the Refuse Exoneration Form PDF.

  2. 2

    Complete The Form

    Enter the property address, vacancy date, account number, year, and signer details.

  3. 3

    Review The Requirements

    Confirm the property will be vacant for at least six continuous months and that its water meter is removed and returned.

  4. 4

    Sign And Submit

    Sign and date the form, then give it as written notice to the Borough Manager at the listed office address.

Frequently asked questions

What does the Refuse Exoneration Form request?
It provides written notice to the Borough Manager that a property has been vacated and requests exoneration from refuse service.
Who can request refuse-service exoneration?
A customer may request it when the property is vacant for at least six continuous months and the water meter is removed and returned to the Borough.
Do I need a notary for the Refuse Exoneration Form?
No. The signer signs and dates a verification made under penalty of perjury; the form does not require notarization.
How do I submit the Refuse Exoneration Form?
Give the completed form as written notice to the Borough Manager at the Office of Borough Manager, 55 East Main Street, P.O. Box 310, Waynesboro, PA 17268.

Need something notarized?

This Refuse Exoneration Form doesn’t need a notary — but if you have another Waynesboro form that does, a commissioned online notary can help.