Get the free Utility disconnect form11128 - Benton Charter Township
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BENTON CHARTER TOWNSHIP CERTIFICATE OF UTILITY DISCONNECT SUBMIT WITH DEMOLITION (BUILDING) PERMIT APPLICATION 1725 Territorial Rd Benton Harbor, MI 49022 Submit COMPLETED FORM at the Township Hall
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How to fill out utility disconnect form11128
How to fill out utility disconnect form11128:
01
Start by obtaining a copy of the utility disconnect form11128 from your utility provider or their website.
02
Fill in your personal information, including your name, address, and contact information. Make sure to double-check the accuracy of the information provided.
03
Indicate the type of utility you wish to disconnect by selecting the appropriate option on the form. This could include electricity, water, gas, or any other utility service.
04
Provide the specific date on which you want the utility service to be disconnected. Be clear and specific to avoid any confusion.
05
If required, provide any additional details or instructions regarding the disconnection. This could include special circumstances or any specific requests you may have.
06
Review the completed form carefully to ensure all the information is accurate and complete.
07
Sign and date the form, indicating your consent and agreement to the utility disconnection.
08
Submit the filled out utility disconnect form11128 to your utility provider as per their instructions or guidelines.
Who needs utility disconnect form11128:
01
Individuals or households who are moving out of their current residence and want to disconnect their utility services.
02
Tenants or homeowners who are transitioning to a new location and require the disconnection of their utilities from their current property.
03
Businesses or commercial establishments that are closing down or relocating and need to terminate their utility services at their current premises.
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What is utility disconnect form11128?
Utility disconnect form11128 is a form used to notify utility companies of a disconnect or termination of services.
Who is required to file utility disconnect form11128?
Anyone who is disconnecting or terminating utility services is required to file form11128.
How to fill out utility disconnect form11128?
Utility disconnect form11128 can be filled out by providing the necessary information such as account number, service address, disconnect date, and reason for disconnection.
What is the purpose of utility disconnect form11128?
The purpose of utility disconnect form11128 is to formally notify utility companies of the termination of services.
What information must be reported on utility disconnect form11128?
Information such as account number, service address, disconnect date, and reason for disconnection must be reported on form11128.
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