P.O. Box 349, Gunter, TX 75058
Phone: 903.433.5185 Fax: 903.433.8039
Email: utilityclerk@ci.gunter.tx.us
Utility Disconnect Request
Name: _____________________________________ Account Number: ________________________
Address: _____________________________________________________________________________
Phone: ______________________________ Disconnect Request Date: ________________________
New Mailing Address: __________________________________________________________________
(By signing below I authorize the City of Gunter to disconnect water service and end waste service for
the above address. If a water deposit is on file, I understand it will be applied to the final water bill. A
bill for the remaining balance, or a refund of the remaining deposit amount, will be mailed to the new
mailing address listed above.)
Signature: _____________________________________________ Date: ________________________
------------------------------------- For Office Use Only -------------------------------------
Received By: ____________________ Final Reading: _______________ Date Processed: __________