{"id":5486,"date":"2021-12-01T17:16:59","date_gmt":"2021-12-01T17:16:59","guid":{"rendered":"https:\/\/bentonil.com\/?page_id=5486"},"modified":"2021-12-01T17:16:59","modified_gmt":"2021-12-01T17:16:59","slug":"water-sewer-owners-authorization-sheet","status":"publish","type":"page","link":"https:\/\/bentonil.com\/?page_id=5486","title":{"rendered":"Water &#038; Sewer Owner&#8217;s Authorization Sheet"},"content":{"rendered":"<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5485-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5486#wpcf7-f5485-o1\" method=\"post\" class=\"wpcf7-form\" novalidate=\"novalidate\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5485\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.1.6\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5485-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"g-recaptcha-response\" value=\"\" \/>\n<\/div>\n<link rel=\"stylesheet\" href=\"https:\/\/bentonil.com\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/css\/frontend.css\" \/><script type=\"text\/javascript\" src=\"https:\/\/bentonil.com\/wp-content\/plugins\/pdf-forms-for-contact-form-7\/js\/frontend.js?ver=2.1.2\"><\/script><p>Owner's Authorization Sheet<br \/>\nBenton Water & Sewer Department<br \/>\n1403 South Main Street - Benton, IL 62812<br \/>\nBus: 618-439-6131      Fax: 618-435-2610<\/p>\n<p>Name of owner: <span class=\"wpcf7-form-control-wrap ownername\"><input type=\"text\" name=\"ownername\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nOwner's address: <span class=\"wpcf7-form-control-wrap owneraddress\"><textarea name=\"owneraddress\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p>Renter\/Renter's Name(s): <span class=\"wpcf7-form-control-wrap rentername\"><input type=\"text\" name=\"rentername\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nRental Address: <span class=\"wpcf7-form-control-wrap rentaladdress\"><textarea name=\"rentaladdress\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p>The above named individual(s) has rented property from me on <span class=\"wpcf7-form-control-wrap rentaldate\"><input type=\"date\" name=\"rentaldate\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Submission of this form authorizes the Benton Water & Sewer Department to connect water and sewer service to the rental address mentioned above.  This notice in no way relieves you of your liability under Benton Municipal Code Chapter 38 Section 38-2-2, which states:<\/p>\n<p style=\"margin-left: 10%\">38-2-2 <b><u>Liability of Charges<\/u>: The <u>owner<\/u> of the premises, the <u>occupant<\/u> thereof and the <u>user<\/u> of the utility service shall be jointly and severally liable to pay for the services to such premises and the utility services are furnished to the premises by the City only upon the condition that such owner of the premises, occupant <u>and<\/u> user are jointly and severally liable therefore to the City.<br \/>\nThis authorization sheet must be received in the Benton Water and Sewer Department Office before service can be turned on at the residence and must be signed by the property owner in the presence of the City of Benton Water Department Clerk, or notarized.<b><br \/>\nIf ownership of the property changes, the Water Office should be notified of the change and the date in order to change the records.<\/b><\/p>\n<p>I, <span class=\"wpcf7-form-control-wrap renter\"><input type=\"text\" name=\"renter\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span> (Renter) acknowledge that the Owner has the right to access any and all information concerning my account for provision of service provided by this agreement.<\/p>\n<p><center><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/center><\/p>\n<div class=\"wpcf7-response-output wpcf7-display-none\"><\/div><\/form><\/div>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"_cbd_carousel_blocks":"[]","_mc_calendar":[]},"_links":{"self":[{"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/pages\/5486"}],"collection":[{"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bentonil.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5486"}],"version-history":[{"count":2,"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/pages\/5486\/revisions"}],"predecessor-version":[{"id":5489,"href":"https:\/\/bentonil.com\/index.php?rest_route=\/wp\/v2\/pages\/5486\/revisions\/5489"}],"wp:attachment":[{"href":"https:\/\/bentonil.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5486"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}