Marysville, WA · Snohomish County
Landlord/Tenant Statement for Utility Accounts
Property owners or agents use this statement to authorize the City of Marysville to bill a tenant for utility services at a specified property.
What this form is
The statement authorizes the City of Marysville to bill a tenant for utility services and explains that the owner or agent remains ultimately responsible for the account’s charges. The owner or agent provides service and account details, contact information, and a signature, then supplies tenant information and a move-in date. It also asks whether the tenant may receive payment extensions and includes instructions about account status and move notifications.
Who needs it
A property owner or agent who wants the City of Marysville to bill a tenant for utility services should complete this statement.
How to submit it
Return the completed form to City Hall by fax, email, mail, or in person. The form lists [email protected] and 501 Delta Ave, Marysville, Washington 98270.
About notarization
This statement is signed and dated without a notary; the document lists no notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Statement
Download the Landlord/Tenant Statement for Utility Accounts.
- 2
Complete The Form
The owner or agent fills in the property, account, contact, and tenant information, signs and dates the statement, and provides the move-in date.
- 3
Review Account Requirements
Review the form’s account instructions, including that accounts must be paid in full and closed before a new tenant is added.
- 4
Submit To City Hall
Return the completed form to City Hall by fax, email, mail, or in person using the contact information on the form.
Frequently asked questions
- What does the Landlord/Tenant Statement authorize?
- It authorizes the City of Marysville to bill the tenant for utility services at the listed property. The owner or agent remains ultimately responsible for account charges.
- Who completes the tenant information section?
- The form says the tenant information section is to be completed by the owner or agent only. It requests tenant contact and identification details.
- Do I need a notary for the Landlord/Tenant Statement?
- No. The statement is signed and dated without a notary, and the document lists no notarized or sworn attachment or related step.
- How do I submit the Landlord/Tenant Statement?
- Return it to City Hall by fax, email, mail, or in person. The form lists [email protected] and the address 501 Delta Ave, Marysville, Washington 98270.