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Centerton Utilities New User Agreement Form

Applicant

Type of Account

Date of Application

Date to Start Services

Name

First

Last

Date of Birth

Last 4 of SSN

DL Number

DL State

Drivers License

Maximum file size: 15MB

Phone

Service Address

Service City

Service Zip

Billing Address (If Different)

City

State/Province

Zip/Postal

Letter of Credit If available

Maximum file size: 104.86MB

Paperless Billing

Yes

If you select yes you will not receive a paper bill.

Add Secondary Person to the Account

Yes

Name

First

Last

Date of Birth

Phone

Last 4 of SSN

2nd DL Number

2nd DL State

Drivers License

Maximum file size: 104.86MB

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Centerton Utilities New User Agreement

Centerton Utilities User Agreement

517 N Main St. Centerton, AR 72719-0366
(479) 795-0222
E-mail: admin@centertonutilities.com

I , hereby make application to the Centerton Utilities and request that the property located at the address be connected to the Utility System starting to be supplied with water service, and sewer service where applicable, upon the terms and conditions set forth below. In consideration thereof, by signing this application below, I, agree to the provisions set forth on this agreement below.

In consideration thereof, I agree:
1. To pay all applicable deposits, service charges, rates, meter connection charges or tapping fees, and any other charges imposed by Centerton Utilities, and to comply at all times with the Ordinances, rules and regulations thereof relating to water service, making them part of this agreement.

2. To pay a Security Deposit, which is refundable, in accordance with the rules and regulations of Centerton Utilities. As a renter, I may be requested to provide a copy of my lease agreement.

3. For new locations, to pay water and sewer system connection and tapping fees in accordance with Centerton Utilities’ Schedule of Fees as approved by the Centerton Waterworks and Sewer Commission.

4. For new homes on septic systems, I must present to Centerton Utilities a copy of the final inspection of my septic system within thirty (30) days after my meter is set. Service will be immediately disconnected if Centerton Utilities does not receive a copy of the final septic inspection.

5. My water bills are sent out on a monthly basis shortly after the previous month’s due date. To avoid a ten percent (10%) penalty being added to the net amount of my bill, it must be paid on time.

6. To install, when applicable, and maintain in good order and condition at all times, at my expense, the necessary service lines to cause the property, which is owned or occupied by me, to be connected with Centerton Utilities’ System. The installation and maintenance of said service lines shall be made by duly licensed Master Plumbers in accordance with the Arkansas State Plumbing Code. All leaks or other defects in the service lines shall be immediately repaired at my sole expense.

7. To obtain a plumbing permit from the city or county when applying for water services and pay the appropriate fees. All homes or mobile homes connecting to Centerton Utilities’ System are to be in compliance with the Arkansas State Plumbing Code. Newly constructed homes shall have all necessary inspections performed by the City of Centerton’s or Benton County’s Plumbing Inspector. Service will be immediately disconnected if a plumbing permit and inspections are not obtained.

8. If the water main is on the opposite side of the road, I shall pay for the road crossing. Fees are in accordance with Centerton Utilities’ Schedule of Fees as approved by the Centerton Waterworks and Sewer Commission. These Fees will be paid by me at the time of this application and put into a non-interest bearing escrow account and actual costs will be charged against this
amount. If the cost of the road bore is more than the fee, then a bill will be issued to me for the additional amount and I will be responsible for payment of this amount before a meter is set. If there are any monies remaining after the bore is completed, they will be refunded to me (please allow 10 working days to process) or applied to my account, whichever preferred .

9. Centerton Utilities shall in no way be responsible for maintaining any service line owned by me, or for damages done by water escaping therefrom or for defects in my service lines connecting to Centerton Utilities’ System. Neither Centerton Utilities or the Centerton Waterworks and Sewer Commission shall not be held responsible for: (a) the breaking of any service lines or apparatus,
(b) any failure in the supply of water, or (c) the stoppage of the flow of water for any reason.

10. Without additional notice, service will be disconnected for non-payment or in cases of inadequate payment (the amount paid is less than the required amount)15 days after the due date printed on your statement. Further, without additional notice, service will be disconnected for my failure to comply with all or any part of this agreement. I also understand that for my service to be resumed, full payment of my bill must be made along with a $30.00 reconnection fee during the normal office hours of 8:00am – 4:30pm.

____________________________________________________________________________________________________________________________________________________

Account Information

Type:

Name: DOB: Contact Info:

Service Address: AR

Others Authorized

Centerton Utilities User Agreement Revised 7/11/2021

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July 11, 2021 6:42 pm CDT

Centerton Utilities New User Agreement Uploaded by Centerton Utilities - newaccounts@centertonutilities.com IP 98.172.7.19

July 12, 2021 2:30 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 63.46.19.4, 127.0.0.1, 198.71.237.35, 0.0.0.0

July 12, 2021 2:33 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 63.46.19.4, 127.0.0.1, 198.71.237.35, 0.0.0.0

October 19, 2021 1:07 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 63.46.19.4, 127.0.0.1, 198.71.237.39, 0.0.0.0

October 19, 2021 1:10 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 72.250.40.81, 127.0.0.1, 198.71.237.41, 0.0.0.0

October 19, 2021 1:11 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 72.250.40.81, 127.0.0.1, 198.71.237.41, 0.0.0.0

October 19, 2021 1:12 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 72.250.40.81, 127.0.0.1, 198.71.237.41, 0.0.0.0

October 19, 2021 1:15 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 72.250.40.81, 127.0.0.1, 198.71.237.41, 0.0.0.0

October 19, 2021 1:16 pm CDT

Centerton Utilities - admin@centertonutilities.com added by Sign Secure - Documents@SignSecure.App as a CC'd Recipient Ip: 63.46.19.4, 127.0.0.1, 198.71.243.23, 0.0.0.0

December 2, 2021 2:01 pm CDT

Document owner Documents@SignSecure.App has handed over this document to newaccounts@centertonutilities.com 2021-12-02 14:01:01 - 166.205.58.19, 127.0.0.1, 198.71.243.21, 0.0.0.0, 166.205.58.19

December 2, 2021 2:01 pm CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 166.205.58.19, 127.0.0.1, 198.71.243.21, 0.0.0.0, 166.205.58.19

December 2, 2021 2:13 pm CDT

December 21, 2021 1:41 pm CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 65.113.117.210, 127.0.0.1, 198.71.237.35, 0.0.0.0, 65.113.117.210

May 5, 2023 1:15 pm CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 72.250.71.99

February 1, 2024 1:56 pm CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 2600:100b:b008:6e2a:c15:6b25:7dbc:b020

March 14, 2024 12:07 pm CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 172.99.144.143

March 15, 2024 10:15 am CDT

Centerton Utilities - newaccounts@centertonutilities.com added by Centerton Utilities - newaccounts@centertonutilities.com as a CC'd Recipient Ip: 172.99.144.152