Owner Landlord Agreement

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Central Electric Cooperative, Inc. provides a service to owners of rental property that automatically transfer responsibility of service from renter to owner. As the owner of rental property, we are requesting that you confirm, in writing, permission for your rental to automatically transfer the account for electric service into your name upon their notification to Central Electric Cooperative they are removing service from their name on a specific date.

Fields marked with an asterisk (*) are required.

Owners Name*

First MI Last

Owner Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number:*

Email:*

By providing CEC with the above phone number(s) and email address, you are giving express written consent to contact you via these channels for outage notifications and other CEC specific business purposes. You may setup or turn off specific notifications to be sent to you via email or text in your SmartHub account. You may opt out at any time by contacting CEC in writing (email or letter).

CEC Service Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you have a property manager for the above property?*

Yes

Property Manager Company Name*

Property Manager Phone Number:*

Agreement*

I hereby give my permission, as owner of the property, to allow my renters to have the account reinstated into my name when they notify Central Electric Cooperative they are removing service from their name on a specified date.

Agreement*

I understand that any dispute regarding the effective date will be between my renters and me.

Agreement*

I understand if my tenant is disconnected for non-payment, the account will not automatically be transferred into my name.

Consent*

I certify the above information is true and correct and I am the person submitting this form.

By checking this box and typing my name, I certify that all information on this form is true and correct and I am following the terms and conditions outlined above. I also agree that the checkbox and my name typed below are to be used as my electronic signature. I understand that I can be held liable if I provide false or misleading information.

Owner Full Name*