Free Real Estate Utility Billing Form Template

Real Estate Utility Billing Form

Please complete the following utility billing form accurately to ensure your utility usage is correctly recorded and billed. If you have any questions or require assistance, please contact our management office.

Property Information

Property Name

Address

Unit Number

Tenant Name


Billing Period: From                                To                               

Utility Usage

Meter Reading Start

Meter Reading End

Total Usage

Rate

Amount Due

Electricity

Water

Gas

Waste Removal

NA

NA

NA

Total Amount Due

Payment Due Date:                               

Tenant Acknowledgment

I,                                (tenant name), acknowledge the accuracy of the above utility usage and agree to the total amount due as calculated. I understand my payment obligations and the consequences of late payments as outlined above.


[Date]

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