Fairfax Tenant Form PDF Details

If you are a new Fairfax County tenant, one of the important forms you will need to complete is the Fairfax Tenant Form. This form is used to collect information about you, your family, and your occupancy. It is required by law in order to start your tenancy, so be sure to fill it out completely and accurately. The form can be found on the Fairfax County website, and must be submitted before or when you sign your lease. There are a few key things that the form asks for, so let's take a closer look at each section. The first part of the Fairfax Tenant Form asks for your name, address, and contact information. You will also need to provide information about any co-tenants or roommates. This part of the form is very important, as it helps ensure that everyone who is living in the property is listed on the lease. Next, you will need to provide information about your family members who will be living with you. This includes both adults and children. Be sure to include their full name,

QuestionAnswer
Form NameFairfax Tenant Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesabut your bill tenant form, fairfax water tenant form, fairfax water landlord tenant form, tenant authorization to release information

Form Preview Example

TENANT AUTHORIZATION

Print and Remit Completed Form to:

FAIRFAX WATER

Attn: Customer Service 8570 Executive Park Avenue Fairfax, VA 22031 tenantform@fairfaxwater.org Phone (703) 698-5800 Fax (703) 466-6863

This form must be signed by the legal recorded property owner or authorized property manager.

Completion of this form is required to establish new Tenant Service. Tenant accounts will not be opened without a completed form and the required Lien Offset payment of $190.00. (To be paid by the Tenant by cash, money order, or check payable to Fairfax Water. For your convenience and a fee, we also take check and credit card payments by phone and online via Speedpay®. Call us for more information.)

Service Address

 

Service Start Date

 

 

 

The following tenant(s) have entered into a lease agreement for the referenced service address and is(are) authorized to obtain services from Fairfax Water at this address as my tenant(s).

Please print the first and last name of each tenant on the lease agreement.

Tenant Name

 

 

Tenant Name

 

 

 

 

 

 

 

Tenant Name

 

 

Tenant Name

 

 

 

 

 

 

Tenant Contact Information

 

 

 

 

Phone (H)

(C)

 

Email

 

 

 

 

 

 

 

Lien Offset may be waived for tenants who receive need based local, state, or federal rental assistance. If your tenant receives rental assistance, please provide documentation with this form.

Property owner information - Please provide first and last name, mailing address (different from the service address), and contact information.

Owner Name

Street

City

State

 

 

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone (H)

 

 

(C)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date

Signature

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property Owner or Authorized Agent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For more information, please visit www.fairfaxwater.org

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Use Only

 

 

 

 

 

Lien Offset received

Cash

 

 

 

Check

 

Money Order

Speedpay

 

Lien Offset Waived

Amount Received $

 

 

 

 

 

Account Number

 

Received By

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Updated 08/20/2014)

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tenant authorization to release information writing process outlined (part 1)

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Office Use Only, City, and State in tenant authorization to release information

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