To whom it may concern:

 

___________________________________ has my/our permission to change all the utilities, water and cable into my/our name and I/we take all responsibilities to pay all bills or charges that come from my/our use of the property at:

_____________________________________________________________________________

during the time of our residence corresponding with the lease dated:

_____________________________________________________________________________

 

 

Tenant 1 Name: __________________________________________________________

Social Security Number: ___________________________________________________

Signature: _______________________________________________________________

 

 

Tenant 2 Name: __________________________________________________________

Social Security Number: ___________________________________________________

Signature: _______________________________________________________________