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2. Homeowners
   Submit this form online if you are selling your home, to stop receiving bills for City-provided utilities including water and sewer.
4. Service Information
6. Service Address*
8. Account Number
   If known
9. Effective Date/Date of Closing*
   Effective Date/Date of Closing
11. Renter Information (if you are renting)
13. Name*
14. Move-out Date
    Move-out Date
16. New Owner Information (if you are selling)
18. Buyer's Name*
19. Buyer's Name
21. Seller's First Name*
22. Seller's Last Name*
24. Forwarding Address for Closing Bill
    Auto-pay not available for closing bill
26. Address*
28. City*
29. State*
30. Zip Code*
32. Country
    If other than USA
34. Seller's or Renter's Email Address*
35. Seller's or Renter's Phone Number*
37. Form Submission Confirmation

    If you would like to receive an email confirmation of your form submission, enter your email address for a second time in the field below.

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field