Get Wi Utility Account Deferred Payment Agreement - Village Of Brooklyn

This guide provides detailed instructions on how to complete the WI Utility Account Deferred Payment Agreement for residents of the Village of Brooklyn. Whether you are managing your utility account or establishing a deferred payment plan, this guide will walk you through each step in a clear and supportive manner.

Follow the steps to complete your deferred payment agreement.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by entering the date at the top of the form next to the 'Date' field. This should reflect the current date when you are filling out the agreement.
3. In the 'Account No.' field, enter your utility account number as it appears on your bills.
4. Fill in your name in the 'Name' section, ensuring it matches the name on the utility account.
5. Provide your complete address in the 'Address' field, including street, city, state, and zip code.
6. Indicate your ownership status by selecting 'Yes' or 'No' in the corresponding section. If you select 'No,' please provide the owner's name in the designated area.
7. Fill in the 'Total Past Due Balance' with the total amount you owe.
8. Specify the 'Today’s Payment' amount that you intend to pay immediately.
9. Enter the 'Total Due' amount, which is the sum of the total past due balance and today's payment.
10. Provide the 'Delinquent Amount Deferred' which is the part of the past due balance you wish to defer.
11. Outline your proposed 'Payment Plan' by indicating the number of months you wish to make payments over.
12. Fill in the 'Amount of Monthly Payment' based on your proposed payment plan.
13. Review the agreement terms and ensure you understand your rights as stated in the document regarding suggesting alternate payment agreements.
14. Sign and date the agreement in the 'Signature' and 'Date' fields, confirming your acknowledgment of the terms.
15. Provide your home and work telephone numbers in the designated spaces for contact purposes.
16. The agreement must be witnessed; ensure the witness signs in the 'Witnessed by' section.
17. Record any payments due and payment history in the designated area on the form.
18. Once you have entered all required information, ensure you save your changes, and proceed to download, print, or share the completed form as needed.

Complete your WI Utility Account Deferred Payment Agreement online today to ensure your utility needs are managed effectively.