Fillable MOVE OUT & FINAL BILL REQUEST Excise Tax (City of Carson, California)

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MOVE OUT & FINAL BILL REQUEST Excise Tax (City of Carson, California)

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1
Excise Tax Billing
MOVE OUT & FINAL BILL
REQUEST
Please return completed form
to:
In Person: Apply Online:
City of Vacaville Complete form online by visiting
Accounts Receivable Division www.cityofvacaville.com
650 Merchant St
Vacaville, CA 95688 Email Form to: excisebilling@cityofvacaville.com
(PLEASE PRINT)
*Today’s
Date
*
Date
of
Move out
*Tenant
Address
Street Address City State Zip Code
*Name
First Middle Last
*Mailing
Address
for Final Bill
Street Address City State Zip Code
* Daytime
Phone
Number
Secondary Phone Number
* Email Address
If none, indicate “N/A”.
Signature _
Date
__
__________________________________________________________________
For City of Vacaville Staff Use Only
Received By: Date Received: Date Entered:
Tenant move out
Location
click to sign
signature
click to edit
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MOVE OUT & FINAL BILL REQUEST Excise Tax (City of Carson, California)

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Completed 28 July 2021

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