Berryville, VA · Clarke County
Owner Authorization for Tenant Utility Service
Property owners complete this form to authorize a tenant to obtain water and sewer service at a Town of Berryville service address.
What this form is
This authorization tells the Town of Berryville that a tenant has a lease and may obtain water and sewer service at the listed address. The form requests the tenant and service address, owner information, and signatures from all names on the property deed. It also explains that the property may have a lien for unpaid tenant service charges after proper notification and 30 days.
Who needs it
Property owners complete this form when authorizing a tenant to obtain water and sewer service at the listed Town of Berryville address.
How to submit it
Submit the completed form to the Town of Berryville at 101 Chalmers Court, Suite A, Berryville, VA 22611. The form lists 540-955-1099.
About notarization
This document is signed without a notary; all names on the property deed must print and sign, and each signer just signs and dates the form.
How to submit this form
- 1
Download The Form
Download the Owner Authorization for Tenant Utility Service form.
- 2
Complete The Form
Fill in the date, tenant and business name if applicable, move-in date, service address, and property owner information.
- 3
Gather Owner Signatures
Have all names on the property deed print and sign; attach any additional property owner signatures.
- 4
Submit To The Town
Submit the completed form to the Town of Berryville at 101 Chalmers Court, Suite A, Berryville, VA 22611.
Frequently asked questions
- Do I need a notary for the Owner Authorization for Tenant Utility Service?
- No. The form has no notary block; all names on the property deed must print and sign it.
- How do I submit the tenant utility service authorization?
- Submit the completed form to the Town of Berryville at 101 Chalmers Court, Suite A, Berryville, VA 22611.
- Who must sign the authorization?
- All names on the property deed must print and sign below. The form says it will not be accepted if incomplete.
- What does the owner authorization cover?
- It authorizes the named tenant to obtain water and sewer service at the listed Town of Berryville service address.
