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2. 
4. This form is to be used by new Tenants / Renters of the Village of Richton Park. Please fill out form completely and print a copy and bring to the Village Hall with the following documents: Settlement Statement, Copy of Photo ID, Occupancy Inspection, and $50 Water-Application Fee.

   Please Note: An appointment will need to be made in order to turn water on and someone must be present at the service address at the time of the appointment.                

6. Move In / Closing Date*
   Move In / Closing Date
7. Richton Park Service Address*
9. First Name*
10. Last Name*
11. Phone Number*
12. Date of Birth*
    Date of Birth
14. Employer Information
16. Employer's Name*
17. Work Number
19. Address
20. City, State
21. Zip
23. You may upload your Lease and Occupancy Inspection to help save time
25. Lease
26. Occupancy Inspection
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field