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2. 
4. Note:

   Please complete this form if you have recently purchased property. Please note, we do not create new tenant accounts.

6. Possession Date*
   Possession Date
8. Account Type*
   -- Select One --ResidentialCommercial
12. Property Service Address
14. Address*
16. City*
17. Province*
18. Postal Code*
22. Property Owner Name
24. First & Last Name or Business Name*
26. Additional Name
30. Owner Mailing Address (if different)
32. Address
34. City
35. Province
36. Postal Code
40. Phone Number*
41. Alternate Phone Number
43. Email Address*
45. Are you able to provide proof of ownership (required if the City has not received notification from Alberta Land Titles Office):*
    -- Select One --YesNo
49. Service Information
51. Meter Install Required (new build)?*
    -- Select One --YesNo
52. Have garbage collection requirements been established with the City of Brooks' Public Works Department? (For commercial and new build properties only)*
    -- Select One --YesNoNot Applicable
54. Will there be a business operating out of your residential property? (If so, an in-home occupation permit is required)*
    -- Select One --YesNo
55. Is the occupant of your residential property 65 years or older? (If so, upon proof of age at City Hall, a discounted residential garbage rate will be available)*
    -- Select One --YesNo
59. I/We, the undersigned as registered property owner(s) hereby request the City of Brooks open a utility account in my/our names(s) for the property listed above.

    ACKNOWLEDGEMENT

    1. The property owner(s) is/are directly responsible to the City of Brooks for all rates, charges and other costs associated with providing water, sewer and waste collection/recycling services to the service address named above. All accounts for utility services shall be payable upon receipt of the bill.
    2. A $25.00 returned payment fee will be charged for each cheque or pre-authorized debit that is returned unpaid.
    3. Accounts not paid on or before the due date stated on the utility bill shall pay a late payment penalty of 10% of the outstanding balance.
    4. Section 553 of the Municipal Government act states that any utility charges remaining unpaid may be added to the tax roll of a parcel. Outstanding utility charges which remain unpaid over 50 days will be transferred to the registered property owner’s tax account.
    5. The information contained in this form is being collected under the authority of Section 33(c) the Freedom of Information and Protection of Privacy (FOIP) Act. It will be used for the purpose of opening a utility account. The personal information provided will be protected in accordance with Part 2 of the Act. If you have any questions regarding the collection, use and disclosure of personal information, please contact the FOIP Coordinator at 403-362-3333.
    6. The property owner(s) agree(s) to notify the City office promptly when there are changes to the information provided herein.
    7. If the utility invoice is not received by the 15th of your billing month, you are responsible for notifying the City of Brooks to obtain a copy and to update your information.
61. Today's Date*
    Today's Date
63. First Name*
64. Last Name*
66. First Name
67. Last Name
69. Please attach Proof of Ownership in the form of the Bill of Sale or Notice of Change of Ownership.
71. Law Firm used in purchase of property:*
72. Law Firm Phone Number*
Leave This Blank:


74. 1. Receive an email copy of this form.
75. Email address

    This field is not part of the form submission.

76. Submit

* indicates a required field