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***$20.00 APPLICATION FEE WILL APPEAR ON FIRST MONTH’S BILL**
NOTE: Previous balance(s) owed to the City of Chickasha must be paid in full before service will be connected.
The Applicant will pay forthwith to this Authority the sum of ($55 for a homeowner, $80 for a renter) as a deposit for the Utility services. Deposit will be retained by the Authority until service is
disconnected. Upon the issuance of the final bill, the deposit will be applied to the
outstanding charges and the balance, if any remains it will be mailed to the forwarding
address on file.
The Applicant will comply with and be bound by the provisions of the regulations of the
Authority. If any delinquent account is turned to collections or an attorney, or if suit is
filed, all costs and attorney fees associated therewith, fees, costs, and expenses, shall be
added to the delinquent account.
Applicant hereby agrees to furnish the information as required by the Authority. Any
information found to be false or not supplied, hereby beeches the contract and the
above said services can be terminated at the option of the City of Chickasha Municipal
Upload one of the following documents: a copy of your lease agreement (renters) or proof of ownership (homeowners).
Upload a copy of your valid, government-issued ID
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