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Account Balance Refund Form

Please complete the online form below to request a refund on your CLOSED account.
Account Name:*
Person Requesting Refund:*
Utility Account Number:*
Property Address:*
Today's Date:*
Address where refund should be sent:*
City/State/Zip:*
Contact number:*

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1. Receive an email copy of this form.
Email address

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Account Balance Refund Form

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