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Account authorisation – tenant to owner

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Enquiry fieldset

Conclusion date:

Account no:

Invoice no:

Property address: *

I, the owner of the above property agree to the terms and conditions below: *

(Please tick box)

Accept terms and conditions

Vacating tenant's full name: *

Vacating tenant's postal address: *

Vacating tenant's contact no: *

Vacating tenant's email address:

I request the final water volume invoice to be sent to the above email address:

(Please tick box)

Confirm

Property owner's full name: *

Property owner's postal address: *

Property owner's contact no: *

Property owner's email address:

I request the water service and volume invoice be sent to the above email address:

(Please tick box)

Confirm

Notes:

TERMS AND CONDITIONS

Upon receipt of this authorisation, I the property owner/s authorise payment to be debited to the property owner/s Busselton Water account for a
Change of Tenancy.
All future invoices will be sent to the owner/s of the property.
All unpaid accounts will be the responsibility of the property owner/s (as per S126, Water Services Act 2012).
All debt recovery will be addressed to the property owner/s.