FORM MUST BE FILLED OUT AND SUBMITTED BY OWNER OR PROPERTY MANAGER ONLY - NO EXCEPTIONS

I am the owner/property manager of the service address shown above. I understand per Joshua Basin Water District Rules and Regulations that the property owner is ultimately responsible for payment of all applicable water charges. I further understand that Joshua Basin Water District will not activate any new accounts on a property with a delinquent balance, and all account balances must be paid in full prior to establishing a new service. If all outstanding charges are not paid, the property owner must open and maintain the account(s). The property manager/owner will be notified if the tenant account becomes subject to lock off for non-payment. The property manager/owner will also receive a copy of the tenant’s final bill for reference. I authorize Joshua Basin Water District to furnish water in the tenant’s name. I hereby guarantee payment of all charges for any accounts listed at the above address. I understand and agree that this authorization is valid until revoked by the property owner or terminated by Joshua Basin Water District.