Vacancy Exemption Request for the Transportation User Fee (Commercial Property Only)

Account Owner Name*

First Name

Last Name

Phone*

Property Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Utility Bill Account No.*

Note: Customer Name above must be listed on the Utility Account to be eligible for exemption

Email*

I understand that once the City of Austin receives and processes this Vacancy Exemption Request, this property will be exempted from billing the Transportation User Fee until the property is no longer vacant, or 3 months, whichever occurs first. *

I agree

If the property remains vacant after 3 months, the account owner must submit a new signed Vacancy Exemption Request, otherwise this property will begin billing the Transportation User Fee. *

I agree

No refunds or credits will be granted for fees paid in months not covered by a current Vacancy Exemption Request. *

I agree

I understand that at any time the City of Austin may visit this property and verify the information I have provided. If it is determined the information is incorrect, the City shall have the right to recover all monies owed by me to the City as a result of this information and shall initiate billing of this fee immediately. The reimbursement to the City shall date back to the date I initially requested for the exemption. *

I agree

I understand that I am to notify the City of Austin should the property become occupied and the utility bill remains in my name. *

I agree