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2. Please submit this form online if you are moving in order to stop receiving bills for City-provided utilities, including water, sewer, and storm drainage.
4. Service Address*
6. Account Number (if known)
7. Effective Date*
   Effective Date
9. Forwarding Address for Closing Bill
11. Last Name*
12. First Name*
14. Forwarding Address*
16. Forwarding City*
17. Forwarding State*
18. Forwarding Zip*
20. Email Address*
21. Phone Number*
23. New Owner Information (if known)
25. Buyer's First Name (if known)
26. Buyer's Last Name (if known)
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