AES Ohio Tenant Affidavit
Tenant Information:
Name: [Your Name]
Address: 123 Elm Street
City: Dayton State: OH ZIP: 45402
Phone Number: (555) 123-4567
Lease Information:
Lease Start Date: January 1, 2050
Names of All Adult Occupants: [Your Name], Jane Doe
Landlord/Property Manager Name: Green Valley Rentals, LLC
Landlord/Property Manager Contact Number: (555) 987-6543
Prior Occupant Information (if applicable):
Name of Previous Occupant: Sarah Smith
Date Previous Occupant Vacated Property: December 15, 2049
Affirmation by Tenant:
I, [Your Name], affirm under penalty of perjury that the information provided in this affidavit is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the denial of electric service.
Tenant Signature:
[Your Name]
Date: January 2, 2050
Notary Section:
State of Ohio
County of Montgomery
Subscribed and sworn to before me this 2nd day of January 2050.
Notary Public
My Commission Expires: December 31, 2055
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