Water & Sewer New Customer - Owner Form

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Water and Sewer New Customer - Owner

UTILITIES OF A RENTAL AND/OR A LEASE WILL STAY IN THE OWNERS NAME AND ADDRESS. VALID PHOTO ID WILL BE REQUIRED FOR SERVICES. ALL OUTSTANDING BALANCES MUST BE PAID BEFORE SERVICES WILL BE TRANSFERRED TO THE NEW OWNER.

Property Location

Street address:*

Subdivision and lot number:

Owner Information

Account number:

Name:*

Phone Number:*

Mailing Address:*

City:*

State:*

Zip Code:*

E-Mail:*

Employer:*

Employer Address:*

City:*

State:*

Zip Code:*

Last payment by previous owner:*

Property is (check all that apply):*

New constructionCommercialResidential

Title company:*

Closing date on property:*

Copy of valid photo ID:*

Signature:

I acknowledge by my signature that the records sought by this request will not be used for a mailing list or telephone lists and will be follow the regulations as set forth in Idaho Code §74-120.

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Water & Sewer New Customer - Owner Form

Departments

Water and Sewer New Customer - Owner

Property Location

Owner Information