SNEW: South Norwalk Electric and Water > Forms > Blanket Deposit Application

Blanket Deposit Application

Printable Form, Deposit Application Form (PDF)

Deposit application for landlords, management agents and other businesses involved with management of residential accounts

Date of Application:
MM slash DD slash YYYY
Name of Landlord, Management Agent or Business*
Billing Address For All Covered Premise's)*
Street Address Address Line 2 City State ZIP Code
Billing Contact
Title*
Name*
First Middle Last
Phone Number*
EXT.
Fax Number
Email*
BUSINESS
Select a business that applies to you.
- Sole Proprietorship:
- Partnership Or Limited Partnership (LP) (LLC) (LLP) (PA) Trust or Estate
- Corporation (Inc), Tax-exempt or other exempt business entity
Social Security Number:
OR
Employer I.D. Number:
Business Owner's Name on IRS Records:
Name on IRS Records:
Service Information*
Please List Each Premises To Be Averted By The Deposit Application
Owners Name (As Listed With Norwalk Town Clerk) Service Location Account Number
Please read this section carefully!
All landlords, management agents and other businesses involved in the management of residential rental units, hereinafter designated as Management, who are customers of South Norwalk Electric and Water (SNEW) shall be required when placing the account for electric service into the name of the Management, to place a deposit with SNEW.
SNEW shall have the right to offset unpaid bills against deposit and the right to cancel for non-payment. Management is responsible for the electric service and billing and payment of service from the time the former tenant vacates the premises, whether SNEW is notified by either the tenant or the landlord, in writing (fax accepted), until the date at which the unit is occupied and an account opened in the name of a new residential customer. Management will cooperate and provide information on former tenants.
Management agree to abide by and be governed by the resolution, rules, regulations, policies and practices of the South Norwalk Electric and Water currently enforce and as they are subsequently modified by the Second Taxing District Electric Commission.
In order to limit your liability, you the consumer will be responsible to notify South Norwalk Electric and Water in writing prior to termination of service.
Authorization*
- I/We the undersigned , hereby apply to South Norwalk Electric and Water for utility service at the above address and agree to be JOINTLY AND SEVERALLY LIABLE for payment for such service. (NOTE "Jointly and Severally Liable" means each applicant is personally.
  I/We have read this application prior to signing it and understand its terms and conditions. I/We will follow all applicable rules and regulations.

Owners Name (As Listed With Norwalk Town Clerk)	Service Location	Account Number

Blanket Deposit Application

Deposit application for landlords, management agents and other businesses involved with management of residential accounts

Billing Contact

BUSINESS

Please read this section carefully!