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Stage 2
Buda Moves into Stage 2 Drought Measures
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Application for Utility Services
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Application for Utility Services
Deposit:
Sewer/Trash - $65.00 Water/Sewer/Trash - $115.00 ($25.00 Water turn on fee/ $90 deposit) Trash Only - $25.00 Sewer Only - $65.00 Commercial Accts - $250.00
Services Applying For:
*
Sewer/Trash
Water/Sewer/Trash
Trash Only
Sewer Only
Commercial Account
Name
*
Spouse
*
Service Address
Address1
*
Address2
City
*
State
*
Zip
*
Mailing Address
(If different than service address)
Address1
Address2
City
State
Zip
Home Number
*
Cell Number
*
Email address
*
Date of Birth
*
Driver's License Number
*
State
*
Social Security Number
*
Place of Employment
*
Work Number
*
Service Start Date
*
Senior Citizen Discount
There is a 10% discount on sanitation services for seniors 65 and older. Please supply the utility department with a copy of your state issued identification to qualify.
Note:
Payments are due by the 10th of each month. Deposits will be returned after 12 consecutive months of on time payments. Returned checks / NSF electronic draft will be subject to a $25.00 fee.
Sewer Customers with Goforth Water
If you receive your water bill from Goforth Water Supply Company, you can submit your water bills for the months of November, December, January & February to us each year to calculate your sewer bill for the next year. If you do not submit those bills you will be charged based on 7,000 gallons of water usage to calculate your sewer.
Garbage Service (check all that apply)
*
90 gallon cart already at residence
Order 90 gallon cart PLUS recycle bin
Order recycle bin only
Recycle bin already at residence
Order 90 gallon cart only
None
Terms of Acceptance
*
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.
Account
Meter Count
Subdivion
Date Paid Deposit
Method of Payment
Service Start Date
Services
Water
Sewer
Trash
TDS Contact Date
Staff Initals
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