Berryville, VA · Clarke County

No notary required

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. 1

    Download The Form

    Download the Owner Authorization for Tenant Utility Service form.

  2. 2

    Complete The Form

    Fill in the date, tenant and business name if applicable, move-in date, service address, and property owner information.

  3. 3

    Gather Owner Signatures

    Have all names on the property deed print and sign; attach any additional property owner signatures.

  4. 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.

Need something notarized?

This Owner Authorization for Tenant Utility Service doesn’t need a notary — but if you have another Berryville form that does, a commissioned online notary can help.