Property Utility Disclaimer Statement 2026

1. Click ‘Get Form’ to open the Property Utility Disclaimer Statement in the editor.
2. Begin by filling in the Customer’s Information section. Enter the Owner’s Name, Company Name, Social Security Number or Federal Tax ID Number, Mailing Address, Phone Number, and Email Address accurately.
3. In the Authorized Party’s Information section, provide the Third Party’s Name, Phone Number, and Email Address who will receive the information.
4. Specify the Address Where Bills Should Be Sent. Ensure this is clear and complete for proper delivery.
5. List all Service Location(s) included in this authorization. If more space is needed, attach a separate sheet.
6. Check the boxes under Information to Be Authorized based on what you wish to allow the Third Party Agent to access.
7. Review and agree to the Terms and Conditions of the Revert to Owner Agreement by checking the box provided.
8. Complete the Expiration/Termination of Disclaimer section by selecting how long you want your authorization to remain effective.
9. Finally, sign and date at the Acknowledgement and Signature section. Ensure all details are correct before submitting.

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