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2. Account Information
4. Utility Account Number
6. Service Address
8. City
9. State
10. Zip Code
12. Tenant Information
14. First Name
15. Last Name
17. Daytime Phone Number
18. Alternate Phone Number
20. Email Address
22. Date tenant will vacate the property
    Date tenant will vacate the property
24. Agreement and Signature
    City of Anacortes does not forward utility bills between tenants/owners. It is the responsibility of the owner and tenant to come to an agreement and understanding of what is owed between move-in and move-out dates. We do not pro-rate bills or issue closing bills for tenants, we simply remove the tenant name for issuing future bills.
26. E-Signature*
27. Date
    Date
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

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