Owner Utility & HOA Bills

This form is for when an owner receives a utility bill or an HOA bill (not a tenant violation) that they need Revolution to process in some way. This could be because the tenant didn't transfer utilities into their name when they were supposed to, because you just need/want to keep the utilities in your name, or any other reason that you need Revolution to process payment of a utility bill or an HOA bill on your property that we manage.

NOTE: DO NOT fill out this form for a utility bill paid out of your owner account with Revolution. We will automatically bill tenants for these bills when appropriate. This form is only for bills you receive yourself separately from Revolution.

I confirm that this is NOT for a utility bill charged to my Owner Portal with Revolution:*

I confirm

Your Name*

First NameLast Name

Your Email Address*

example@example.com

Property Address (if a multi-unit property that splits the bill, do NOT enter unit numbers here)*

Street Address

Street Address Line 2

CityState

Zip Code

Type of Bill*

Utility Provider Name*

Bill Amount*

Select an option:*

I have already paid this bill myself; I just need the tenant billed to reimburse meI have NOT paid this bill; I need Revolution to pay it out of my account AND charge the tenantI have NOT paid this bill but the tenant does NOT need to be billed; I just need Revolution to pay this out of my account for me

Start of Service Period Covered by Bill*

Date

End of Service Period Covered by Bill*

Date

Is this utility on a shared meter that needs to be split?*

NoYes; I am one of the people occupying a unit that shares part of the costYes; I don't occupy the property and all of the bill is covered by the tenants

How many units at this property split the bill (yourself included if you occupy a unit):

1234

NOTE: If your property has more than 4 units, do NOT submit this form, and contact Toddo@RevolutionRM.com for further instructions.

Enter the unit that you occupy in the Unit 1 Address field below.

Unit 1 Address (including unit number if applicable)*

Street Address

Street Address Line 2

CityState

Zip Code

Unit 2 Address (including unit number if applicable)*

Street Address

Street Address Line 2

CityState

Zip Code

Unit 3 Address (including unit number if applicable)*

Street Address

Street Address Line 2

CityState

Zip Code

Unit 4 Address (including unit number if applicable)*

Street Address

Street Address Line 2

CityState

Zip Code

HOA Name*

HOA Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Account Number*

Enter the address of your property if there is no account number

I understand that this form is only used to submit HOA bills for dues, standard fees, assessments, and other costs that are the responsibility of me as the owner. This form is NOT to be used to submit HOA violations or fines because of tenant non-compliance, and such submissions will not be properly processed if they are sent through this form*

I understand

I understand and agree that I will be charged a $25 Bill Payment Admin Fee for the processing of this payment*

I understand and agree

Attach a copy of the bill:*

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