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2. New Owner Information Form
6. Date Home/Property is Due to Close:*
   Date Home/Property is Due to Close: Start Date

   —

   Date Home/Property is Due to Close: End Date
8. New Service Address:*
12. Name(s) of New Owner(s):*
13. Email Address
15. New Owner's Billing Address:*
16. City*
18. State*
19. Zip Code*
20. Phone Number*
24. Organics Service (optional):

    1. Yes, I would like organics
    2. No, I am not in need of organics
25. Refuse Service (mandatory):

    1. 21 gallon tote
    2. 32 gallon tote
    3. 2-32 gallon totes
    4. 3-32 gallon totes
26. Recycle Service (mandatory):

    1. 32 gallon tote
    2. 64 gallon tote
    3. 96 gallon tote (standard sent)
28. Inside City Limits:
    Homes that are located inside city limits pay for: water, storm, sewer, refuse, recycling, and state refuse tax. These are all mandatory fees regardless of whether the home is occupied or not. Organics and Fiber are optional services that can be added or removed from the Utility Bill.
30. Outside City Limits:
    Homes that are outside city limits and have City water service may contact Waste Management regarding garbage, recycling, and organics as we do not bill for these items, when outside city limits. Please let them know you are outside city limits. These homes/properties are billed for water at 150% of the rate of our inside city customers.
32. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature*
Leave This Blank:


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

    This field is not part of the form submission.

38. Submit

* indicates a required field