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Real Estate Agent Contract
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The City of Modesto requires all Real Estate Companies requesting utility service to complete a Real Estate Agent Contract. A security deposit may be required prior to activation of service in accordance with MMC 11-6.02. All requests will be processed within 48 hours from the time of receipt. Please print and submit your contract along with all required documents by fax to 209-491-5920.
Completed City of Modesto Real Estate Agent Contract signed by the representative of the company
Copy of your business license with the City of Modesto
Copy of Agent's California Driver's License
Name of Real Estate Agent
Name of Property Owner for the property which the Real Estate Agent is managing and requesting services.
Agent's Tax ID Number
Agent's Driver's License Number
I, the above listed agent, do hereby agree that in signing this document I am requesting the City of Modesto to place the utility services in my name (water, sewer, storm drain and garbage) until I request in writing that services be terminated. I understand I am responsible for payment of the services each month. If the final bill is left unpaid, it is understood I will not be allowed to have any new accounts set up until all past due balances are paid in full.
Responsible Party Signature
If property is vacant and no garbage service is needed, please check here
Please note that if box is not marked, customer assumes responsibility for all services billed. If the property is found to be occupied, garbage billing will be reactivated and may be billed retroactively for all charges.
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