Fillable Work WATER ACCOUNT CLOSE-OUT FORM *required information (City of Rollingwood)

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Work WATER ACCOUNT CLOSE-OUT FORM *required information (City of Rollingwood)

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The Work WATER ACCOUNT CLOSE-OUT FORM *required information (City of Rollingwood) form is 1 page long and contains:

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  • 12 other fields

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File type: PDF

U.S.A. forms for City of Rollingwood

BROWSE CITY OF ROLLINGWOOD (TX) FORMS

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WATER ACCOUNT CLOSE-OUT FORM
Account Number:
*required information
Service Address*:
Owner or
Renter
Final bill and/or deposit refund should be sent to the following address*:
Address
City State Zip Code
Date to close account*:
________________________________
(Close-out Date Cannot be on a Weekend or City Holiday)
Telephone Number*: ( )_____-___________
E-mail Address:
________________________________________ ______________________________
Signature Date
Please email this close out form to:
eacosta@rollingwoodtx.gov
Work
Order:__________
Name on Account*:
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Work WATER ACCOUNT CLOSE-OUT FORM *required information (City of Rollingwood)

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Completed 16 July 2020

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