Fillable Tenant Cancel/ Transfer Form

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Tenant Cancel/ Transfer Form

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The Tenant Cancel/ Transfer Form form is 1 page long and contains:

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  • 4 check-boxes
  • 13 other fields

Country of origin: OTHERS
File type: PDF

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CITY OF EDGEWATER
FINANCE DEPARTMENT
104 North Riverside Drive
P.O. Box 100
Edgewater, Florida 32132
customerservice@cityofedgewater.org
Phone: (386) 424-2400 Fax: (386) 424-2409
TENANT
CANCEL OR TRANSFER SERVICE
Date
:
Accou
nt Number:
Request
or’s Name:
Owner Tenant
Ten
ant’s Name:
Pro
perty Address:
Pleas
e cancel service at the above address effective (Date):
The final statement and/or deposit refund should be mailed to (New Mailing Address) or
Transfer service to the new service address listed below effective (Date):
Note: Current account must paid in full before transfer can be completed.
Ne
w Mailing Address or New Service Address:
Telep
hone Number:
Sig
nature:
Driv
er’s License Number:
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Tenant Cancel Transfer Form

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Completed 14 July 2020

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