Subject Property Address

List below (4) four different utility bill amounts and dates related to this property:

Electricity:
End Date on Bill 1:     Days in Cycle:     Total of Electricity Bill:     Electricity Co:
End Date on Bill 2:     Days in Cycle:     Total of Electricity Bill:     Electricity Co:
End Date on Bill 3:     Days in Cycle:     Total of Electricity Bill:     Electricity Co:
End Date on Bill 4:     Days in Cycle:     Total of Electricity Bill:     Electricity Co:

Sewer and Trash:
End Date on Bill 1:     Days in Cycle:     Total of Sewer and Trash Bill:     S & T Co:
End Date on Bill 2:     Days in Cycle:     Total of Sewer and Trash Bill:     S & T Co:
End Date on Bill 3:     Days in Cycle:     Total of Sewer and Trash Bill:     S & T Co:
End Date on Bill 4:     Days in Cycle:     Total of Sewer and Trash Bill:     S & T Co:

Gas:
End Date on Bill 1:     Days in Cycle:     Total of Gas Bill:     Gas Co:
End Date on Bill 2:     Days in Cycle:     Total of Gas Bill:     Gas Co:
End Date on Bill 3:     Days in Cycle:     Total of Gas Bill:     Gas Co:
End Date on Bill 4:     Days in Cycle:     Total of Gas Bill:     Gas Co:

Water:
End Date on Bill 1:     Days in Cycle:     Total of Water Bill:     Water Co:
End Date on Bill 2:     Days in Cycle:     Total of Water Bill:     Water Co:
End Date on Bill 3:     Days in Cycle:     Total of Water Bill:     Water Co:
End Date on Bill 4:     Days in Cycle:     Total of Water Bill:     Water Co:

Cable or Satellite Dish: 
End Date on Bill 1:     Days in Cycle:     Total of Cable or Satellite Dish Bill:     Cable/SD Co:
End Date on Bill 2:     Days in Cycle:     Total of Cable or Satellite Dish Bill:     Cable/SD Co:
End Date on Bill 3:     Days in Cycle:     Total of Cable or Satellite Dish Bill:     Cable/SD Co:
End Date on Bill 4:     Days in Cycle:     Total of Cable or Satellite Dish Bill:     Cable/SD Co:

Please offer any other comments about the utility costs that might be helpful below:

Person Submitting This Information
Owner/Landlord Tenant Agent Relationship To Subject Property (Select One ... Scroll Down)
Your Home Phone # (Include Area Code)
Your FAX # (Include Area Code)
Your Cell Phone # (Include Area Code)
Your Work Phone # (Include Area Code)
Your Email Address

This information is extremely helpful because it allows us to be better informed about this property.  Thank you for your help.