<p> RELEASE AUTHORIZATION FOR UTILITY BILL HISTORIES</p><p>Apartment Community Name: Resident Name(s): Mailing Address: </p><p>Property: Apt #: Date: </p><p>I/we live at the Apartment Community listed above. I/We hereby give my/our permission for the utility company(ies) listed below to whom I/we pay utility fees, to release consumption/usage data on my/our account.</p><p>This information is necessary in order for Management to determine whether the utility allowance given by program requirements is adequate. I/We have provided Management with the information listed below for this purpose.</p><p>Apt #: Account Holder's Name(s):</p><p>Account Holder's Mailing Address: Zip: </p><p>Electric Gas</p><p>Account Number</p><p>Name of Utility Company</p><p>Utility's Mailing Address</p><p>City, State, Zip Code</p><p>Dear Utility Company,</p><p>Please provide the most current past 12-month history of consumption/usage for my/our apartment. Be sure to list the usage and charges separately for each billing period.</p><p>Please mail this information to the apartment community's address shown above.</p><p>Sincerely,</p><p>Account Holder's Signature(s): Date:</p><p>Account Holder's Signature(s): Date:</p><p>Thank you for your assistance in this matter.</p><p>Utility Release Authorization (4/04) Page 1 of 1 RA-24hrt</p>