Landlord No Tenant Form

Landlord Account Information - Service When No Tenant Is Present

Landlord Information

Landlord Account (Business)

First Name

Last Name

Phone Number

Confirm Email

Address Line 1

City

State

Zip Code

Address of MVEC Service Location

Address Line 1

Address Line 2

City

State

Zip Code

SSN or Fed ID

Choose to put in your SSN or Fed ID #

Social Security NumberFederal ID Number

Social Security Number

Federal ID Number

Effective Date

Date cannot be prior to the last billing statement date at this address(es). If left blank the Signature/Submission Date below will be used as the effective date.

Effective Date:

When the service address(es) listed below are not occupied by a tenant, I/we as the owner/manager of such property(ies) authorize MVEC to continue service in my/our name as indicated above. It is my/our responsibility to contact MVEC at such time I/we want this agreement to end.

Address of MVEC location -1

Street Address - 1

Apartment Number - 1

More locations

YesNo

Address of MVEC location -2

Street Address - 2

Apartment Number - 2

More locations

YesNo

Address of MVEC location -3

Street Address - 3

Apartment Number - 3

More locations

YesNo

Address of MVEC location -4

Street Address - 4

Apartment Number - 4

Contact Information