Form Center • Snoqualmie, WA • CivicEngage

Stop Service - Tenant/Landlord

1. Instructions This section is complete This section is incomplete
2. Closing Information This section is complete This section is incomplete
3. Landlord Information This section is complete This section is incomplete
4. Signature and Forwarding Address This section is complete This section is incomplete

Please use this form if you are a tenant or landlord in the City of Snoqualmie who wishes to stop utility service. Once closed, the account will revert to the owner's name and a new account # will be issued.
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Account Closing Date*
1. I understand that the City of Snoqualmie does not prorate tenant accounts and must therefore close tenant accounts on the last day of the month in which they are vacating the property.
I would like the City of Snoqualmie to close my account on the last day of the following month:*
Please type the month we are closing your account. In most cases, we can close it the last day of the previous month or the current month.
Service Address*
First Name on the Tenant's Account*
Last Name on the Tenant's Account*
Tenant's Forwarding Address
Please provide a forwarding address for final bill and/or refund due to over payment.
City
State
Zip Code
Phone number
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Landlord's First Name*
Landlord's Last Name
Address
If you are the landlord and the account is reverting to you, please provide a current mailing address so the bill reaches you.
City
State
Zip Code
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The person filling out this form is the owner or the tenant? *
Please provide an email address for questions about your form:*
Signature*
By typing your name below, you certify that all of the information contained herein is true to the best of your knowledge.
The final bill will be mailed to the forwarding address you provided above. If you have questions, please email Tami Wood: twood@ci.snoqualmie.wa.us

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