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2. This form is intended for those current residents or tenants who wish to terminate current utility services. In order to ensure correct and prompt delivery of any payment credits or deposit amounts, a forwarding address is required. If you have any questions, please contact the City at 801-766-9793. Thank you.
4. Name*
6. Phone Number*
7. Email Address
9. Location of Service Termination Address*
10. Termination Date*
    Termination Date

12. *If you will be renting out your home, the account will remain in your name as the homeowner.*

14. Did you sell this home?*

    1. YES
    2. NO
15. Will you be renting out this home?*

    1. YES
    2. NO
17. Forwarding Address*
19. City
20. State
21. Zip Code
23. Agreeance
    By typing your signature and submitting, you agree to have the City of Saratoga Springs, UT terminate your utility services beginning on the termination date. If you agree to this, please type your name and submit the form.
25. First & Last Name*
Leave This Blank:


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

    This field is not part of the form submission.

29. Submit

* indicates a required field