D.M. Rothwell, Inc. Real Estate Brokerage

Application and Instructions

Request An Application

Request a copy of the application and instructions by entering your email below. This is not an "online" application. You will need to print and complete the full form or use a PDF filler. You can make an appointment to come by the office and pick up an application in person or request that it be faxed. Detailed instructions are included. Please call 434-977-7676 or email with questions.


 

Application and Instructions

First Name: 
Last Name: 
Email: 
Phone: 
Comments: 
 
* * Maximum of 2000 characters


Utility Contact Information

All utilities must be transferred prior to keys being issued.  

Electricity:

Dominion VA Power  888-667-3000

https://www.dom.com

Rappahannock Electric (Greene County) 540-825-8373

Water/Sewer:

City of Charlottesville 434-970-3211

http://www.charlottesville.org/Index.aspx?page=38

County of Albemarle 434-977-4511

http://acsanet.com

Rapidan Service Authority (Greene County) 434-985-7811

City of Waynesboro 540-942-2831

Gas:

City of Charlottesville 434-970-3211

Columbia Gas  800-543-8911

https://www.columbiagasva.com/

It is each residents responsibility to have utilities connected or transfered prior to their move in. Keys will not be issued until all utilities are connected in compliance with the lease agreement.

 

 

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