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2. This form is for property buyers only to request a special move-in or move-out water utility meter read.
   If this property will be used as a rental property, bills will automatically default back to the property owner. In order to put an account into a tenant’s name, please complete the landlord form or have your tenant submit a request.
4. Property Information
6. New Owner Name*
8. Service Address
10. Type*
    -- Select One --CommercialMulti-Unit ApartmentSingle Family Home
11. House, Building or Apartment Number*
13. Street Name*
14. Direction
16. City / State / Zip*
17. Rental*
    -- Select One --YesNo
19. Note this submission will be timestamped when it is submitted. Water readings that are back-dated will be rejected
21. Date of Reading*
    Date of Reading
23. Alternative Mailing Address
25. Name
26. Address
28. City
29. State
30. Zip
32. Contact Information
34. Requester Name*
35. Email*
    Valid email required.
37. Telephone*
39. Additional Comments
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field