DATE
[INSERT NAME OF WATER AND SEWER SERVICES PROVIDER AND ADDRESS]
RE: [INSERT FULL TENANT NAME AND ADDRESS]
To Whom It May Concern:
[INSERT TENANT NAME] has entered into a lease for the property located at [INSERT ADDRESS] and is authorized to obtain services at this address as a tenant of [INSERT PROPERTY OWNER NAME].
Signed:
PROPERTY OWNER
Va. Code § 15.2-2119.4