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2. Please complete the following form to cancel or transfer City services. A 3-day notice is required for online requests.
4. Section A
6. Discontinue Service At*
8. Name on Account*
10. Reason for Discontinuing Service*
    -- Select One --Not Selling, Will Be VacantRental, Moving OutSelling
12. Rental Properties - Name of Landlord
14. Date Leaving*
    Date Leaving
    Please indicate date lease on rental ends or closing (sale) date.
15. Auto Pay Final? (If Applicable)

    1. Yes
    2. No
17. Forwarding Address*
18. City*
19. State*
20. Zip Code*
22. Phone Number
23. Email Address*
25. Transfer Within City Limits?*

    1. Yes
    2. No

    If Yes, please complete Section B
27. Section B
29. Start Date for New Property
    Start Date for New Property
31. Are Buying or Renting the New Property?

    1. Buying
    2. Renting
33. Additional Notes
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field