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1100 37th Street
Evans,
CO
80620
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Utility Account Change Form
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Utility Account Change Form
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Last Name
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*
Postal Code
*
Mailing Address
*
Phone
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Property Management Name and Contact info
Enter Mailing Address, Phone #, Email
Add tenant to account
Enter Mailing Address, Phone #, Email
Remove tenant from account
WARNING: Any unpaid balance will be transferred to the owner account and be the owner's responsibility to pay
Additional Name to Receive Copy of Utility Invoice
Additional Full Address to Receive Copy of Utility Invoice
Effective Date
TERMS OF ACCEPTANCE and SIGNATURE
I agree that I am the current Property Owner of Record of this property and am authorizing this change.
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Signature
Full Legal Name
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Acknowledgement - I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms of acceptance.
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