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Town of Burg aw Application for Utilities RESIDENTIAL APPLICATION First Name: MI: Date of Birth: Last Name: *Race: *SS #: Drivers LIC #: State: Name as it appears on SS Card: Service Address: Mailing
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How to fill out residential utilityapp revised 101315:

01
Begin by opening the residential utilityapp revised 101315 form.
02
Fill in your personal information, including your name, address, and contact information.
03
Provide details about your utilities, such as the type of utility services you receive (electricity, water, gas, etc.) and the utility provider's name.
04
Indicate your billing information, including the account number and any specific instructions for billing.
05
If requested, provide information about any additional occupants in your residence.
06
Check the boxes or provide the necessary information related to your utility usage and any special circumstances.
07
Review the completed form to ensure all information is accurate and complete.
08
Sign and date the form before submitting it to the appropriate authority or utility company.

Who needs residential utilityapp revised 101315:

01
Individuals who are applying for utility services in a residential property.
02
Property owners or tenants who need to update their existing utility information.
03
Utility providers who require customers to fill out this form for record-keeping and billing purposes.
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Residential utilityapp revised 101315 is a revised version of the residential utility application.
Individuals applying for residential utility services are required to file residential utilityapp revised 101315.
Residential utilityapp revised 101315 can be filled out by providing accurate information about the applicant and their utility needs.
The purpose of residential utilityapp revised 101315 is to collect data on residential utility usage and needs.
Information such as personal details, address, utility usage, and other relevant details must be reported on residential utilityapp revised 101315.
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