Opening and Closing Accounts

Noble Village Hall

113 E. North Ave.

Noble, IL 62868

Hours: 8:00 a.m.- 12:00 p.m., 1:00 p.m. - 4:00 p.m.
618/723-2212

New Water Accounts:

- Water accounts must be opened in person, a State ID and a completed application is required, at the Noble Village Hall, 113 E. North Ave., Noble, IL 62868.

- A $100 deposit is required by all non-property owners at the time the water account is opened and a $50.00 deposit is required by all non-property owners at the time the sewer account is opened. The deposit will be applied to the final bill with any remaining amount refunded to the customer.

Closing Water Accounts:

- Water accounts must be closed in person, a State ID is required, at the Noble Village Hall, 113 E. North Ave., Noble, IL 62868 with proper verification, accounts can be closed over the phone.

- Once the Village has processed the request to close the account a final meter read will be taken and a final bill processed. The deposit will be applied to the final bill. Any amount still owed by the customer is required to be paid within 20 days. Any remaining deposit amount will be refunded to the customer.

- Property owners may also close accounts, even if the account is in a tenant's name, if the tenant has vacated the property or has failed to pay a bill and the account has obtained delinquent status.

- Lastly, if the final balance is not paid, a lien can be filed on the property in the amount of the balance plus additional fees.

 Late Payment & Penalties:

- Water Bill
If a water customer fails to pay their water bill by the 10th of the month, a 10% penalty will be added to the bill and a notice will be sent by the Village of Noble to the customer.

- Notice
If the water bill and penalty are not paid by the due date printed on the notice the water service will be shut off and the customer will be charged a $50 reconnection fee. The water service will not be turned back on until the customer has paid their delinquent balance and reconnection fee in full.

- NSF Check
Any person who pays for water service with a check which is not honored because of insufficient funds will be charged a $30 service fee. If the water user submits two checks, in a twelve-month period, which are returned for insufficient funds, the water user will be required to pay cash for the next twelve calendar months.



APPLICATION FOR UTILITY SERVICES

 

FOR OFFICE USE ONLY

 

Deposit _______________________

Deposit Transferred from _________________________

Previous Address _______________________________

Previous Account ____________ Cut Off Date________

Address of Service ______________________________

Account Number ____________ Turn on Date________

Meter reading _______________

 

 

Village of Noble

Noble Village Hall

113 E. North Ave.

P.O. Box 278

Noble, IL 62868

(618)723-2212

 

 

 

 

Renter(s) and/or Contract Purchaser(s) are required to pay a $100.00 WATER deposit, $50.00 SEWER deposit in advance.  Utility deposits are refunded upon closing the account minus any balance due on the account.

APPLYING FOR SERVICES:                   _____ Water    _____ Sewer    _____ Garbage

Services are billed monthly, due on the 10th of each month and any amount due after the 10th will have a 10% penalty applied.

Name of Applicant:

Mailing Address

Address of New Service:

City, State, Zip:

Telephone:

Requested Activation date:

Name and Town of Last Utility Company:

Name, address and phone number of nearest living relative not living with you:

 

Specific number of persons living in household and their names:

 

Employment Information (Applicant)


Employer Name:

Address:

City, State, Zip:

Telephone:

Past Employer (include last three years):

 

CONTINUE ON OTHER SIDE


I (applicant) hereby request the Village of Noble to provide utility services at the above service location.  I (applicant) agree to pay all charges for services relevant to the Water and Sewer Ordinances rendered as a result of this request.  I (applicant) understand and agree that failure to pay any amount due to the Village can result in termination of services and that I will be liable for any and all expenses incurred by the Village in attempting to collect payment from me for my unpaid utility charges.  Such expenses include, but are not limited to, attorney fees and expenses, court costs, and lien and lis pendens preparation and recording costs.

I acknowledge if I am notified for nonpayment of utility bills and I am not the legal property owner of record, then the Village shall per Village Codebook 38-2-1 (H)(6) notify the owner of the property by first-class mail.

I also authorize the Village of Noble to verify the information provided on this form as to Federal law requiring all municipalities to obtain, verify and record information that identifies each person who opens an account.

Printed name (Applicant) ___________________________

Signature (Applicant)       ___________________________

Today’s Date                    ___________________________

Social Security Number   ___________________________   Date of Birth _____________________

Driver’s License Number ___________________________

 

CHALLENGE QUESTION FOR ACCOUNT

ANSWER ONLY ONE

 

QUESTION                                                                            ANSWER

Favorite Sport                                                                         _____________________
Federal ID Number                                                                 _____________________
High School Sport Mascot                                                      _____________________
Incorporated Date                                                                   _____________________
Last 4 digits of SSN                                                               _____________________
Manufacturer of First Car                                                       _____________________
Mother’s Maiden Name                                                          _____________________
Pet Name                                                                                _____________________

 

I ______________________________ authorize the deposit paid on my behalf to be returned to
_______________________________ upon the closing of this utility account.

OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE


Proper Identification shown and applicant’s signature obtained in the presence of Village employee.

Employee Signature _______________________    Date ______________________

 

 

 

 

 


AFFIDAVIT OF LAWFUL OCCUPANCY

 

USE THIS AFFIDAVIT IF THE PERSON APPLYING FOR AN
UTILITIES ACCOUNT DOES NOT OWN OF THE PREMISES.

 

Under penalty of perjury, I, ________________________________________ print name currently occupy and reside at the following utilities account premises address:

                        ________________________________________ (street)
                       
                        ________________________________________ (city, state, zip)

I further declare that the lawful possessor (landlord, etc.) of the above stated utilities premises is:

            lawful possessor's name __________________________________
            his address _____________________________________________
            city, st, zip _____________________________________________
            his phone # _____________________________________________

 

and that said lawful possessor did on ______________________ , 20________ grant me permission to reside at said address by either a written or oral lease or by any other written or oral agreement or understanding, that such permission has not been withdrawn, that no request has been made to me to vacate and surrender the premises to the lawful possessor, and that I currently still occupy and reside at said address.  Accordingly I request that the utilities account for said premises be placed in my name. 

I hereby grant you permission to contact the landlord to confirm that the landlord has given me permission to reside at said address.

If I have a written lease or some other written agreement, then I have attached a copy of that to this Affidavit.

I understand that making a false statement herein under penalty of perjury is a Class 3 felony, punishable by up to 5 years in state prison.

 

                                                                                                                                   
_________                                          __________________________________________
Date                                                                Signature

 



“You have applied to the Village of Noble to open up an utilities account.  As part of that application, you have been required to provide your social security number pursuant to certain exceptions contained in the Illinois Identity Protection Act.  The purpose of having that information is so that the Village may run a credit check on you if so desired and to facilitate collection of past due utility bills from you in the event that you do not pay your account when due.  Another purpose is that the number may be used by the Village for internal verification or administrative purposes for keeping track of your usage and billings.  Another purpose may be that your social security card may be used as one of the two forms of identification that must be presented to the Village in order to open up a new utility account.  The disclosure of your social security number is mandatory; failure to disclose that number will result in your application to open an utilities account being denied.  Your social security number will be held in strictest confidence, subject to disclosure only as allowed by law, and will be accessed and handled by only those personnel trained in handling that information per the requirements of the Illinois Identity Protection Act.”

 



RACE AND ETHNICITY DATA COLLECTION

Title VI of the Civil Rights Act of 1964 requires “Race and Ethnic” data collection from beneficiaries of federally assisted programs.  Please note “Disclosure Clause” below:

“The following information is requested by the federal government in order to monitor compliance with Federal laws prohibiting discrimination against applicants seeking to participate in the program.  You are not required to furnish this information, but are encouraged to do so.  This information will not be sued in the evaluation of your application or to discriminate against you in anyway.  However, if you choose not to furnish it, Management is required to note race/ethnicity on the basis of visual observation or surname”.

 

If you do not wish to provide the information, please check the box below:

____ I do not wish to furnish this information.

 

Ethnicity: (Mark only one)

____Hispanic or Latino
____Not Hispanic or Latino

 

Race: (Mark one or more)

____ American Indian/Alaskan Native
____Asian
____Black or African American
____Native Hawaiian or Other Pacific Islander
____White

Gender:

____ Male            ____Female

 

____ Information provided by Management.



REQUEST to discontinue Utility Services

 

FOR OFFICE USE ONLY

Deposit refunded ______________________

Address of Service _________________________
Account Number ________ Turn off Date________
Meter reading _______________   LOCKED [  ]

 

Village of Noble
Noble Village Hall     
113 E. North Ave.      
P.O. Box 278 
Noble, IL  62868
(618)723-2212           

Utility deposit for Renter(s) will be refunded upon closing the account minus any balance due on the account.

DISCONNECT SERVICES:             _____ Water    _____ Sewer    _____ Garbage

 

I, _____________________ [print name] of _____________________________________ [home & mailing address] hereby declare under penalty of perjury, that I am the legal possessor of the following described premises: ________________________________________ [print utility premises address] that I have not allowed any other, person to possess or occupy said premises, except: _____________________________________________ [name any persons so allowed], that the utilities account for said premises is in my name, and that I hereby request that the Village's utilities be disconnected at said premises on ____________________ [turn off date].  I further understand that making a false statement herein under penalty of perjury is a Class 3 felony, punishable by up to 5 years in state prison.

I hereby requested the Village of Noble to provide utility services at the above service location and at this time I am requesting services be discontinued.  I agree to pay all charges for services relevant to the Water and Sewer Ordinances rendered as a result of my request.  I understand and agree that failure to pay any amount due to the Village, I will be liable for any and all expenses incurred by the Village in attempting to collect payment from me for my unpaid utility charges.  Such expenses include, but are not limited to, attorney fees and expenses, court costs, and lien and lis pendens preparation and recording costs

 

______________                                            _________________________________
Date                                                                Signature

New mailing address              ___________________________

                                                ___________________________

Telephone:                               ___________________________                   
Social Security Number          ___________________________    
Date of Birth                           ___________________________

 

OFFICE USE ONLY – DO NOT WRITE BELOW THIS LINE


Proper Identification shown and applicant’s signature obtained in the presence of Village employee.

Employee Signature _______________________    Date ______________________



 

To:       name ____________________________________   and to: All unknown occupants
            address __________________________________
            city, st, zip _______________________________

You have been identified as a possible possessor and occupant of the premises known as ____________________________________ , ___________________ . IL whose utilities account with the Village is in the name of someone other than yourself.   Attached you will find the Village's standard shutoff notice issued against said premises for nonpayment of utilities due thereon.  You, as said possible possessor and occupant, are entitled to additional notice of the following:

1.         the right to pay the past due utilities bill in order to stop the shutoff, or if shutoff has already occurred, in order to have the utilities services restored to the  premises; and/or
2.         the right to apply to put the utilities account in your name but only if:
                        [1]  you are determined "creditworthy" under normal procedures, and
[2]  any unpaid utilities bills are paid even if you had already paid the landlord for the utilities bill in question which the landlord did not pay to the village, and
                        [3]  you promise to pay all future utilities bills

As part of that application, you will be required to truthfully state under penalty of perjury, which is a Class 3 felony punishable by up to 5 years in state prison, that the lawful possessor of the premises (usually the landlord) granted you permission to occupy and reside at said address by either a written or oral lease or by any other agreement or understanding, that such permission has not been withdrawn, that no request has been made to you to vacate and surrender the premises to the lawful possessor, and that you currently still occupy and reside at said address.

This notice was hand delivered to the following persons located at said premises:

_____________________________________________________________________________

_____________________________________________________________________________
(list above all adult persons who are occupants of the premises who received a copy of this notice)

on the __________ day of ________________________ , 20______________ .

_____________________________        ___________________________________________
Date notice delivered to occupants            Signature of person who delivered the shutoff notice

                   ________________________________________
(Ord. No. 2022-718; 02-28-22)                 Print name