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T O W N O F S O UT H A M PT O NCP 8863 (12/2016)Department of Land Management Building and Zoning Division 116 HAMPTON ROAD SOUTHAMPTON, NY 11968 Phone: (631) 2875700 Fax: (631) 2875754KYLE P. COLLINS,

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What is gas disconnect affidavit pdf?

Gas disconnect affidavit pdf is a form used to report information regarding the disconnection of gas service.

Who is required to file gas disconnect affidavit pdf?

Any individual or entity that has disconnected gas service is required to file the gas disconnect affidavit pdf.

How to fill out gas disconnect affidavit pdf?

To fill out the gas disconnect affidavit pdf, you must include information such as the reason for disconnection, date of disconnection, and contact information.

What is the purpose of gas disconnect affidavit pdf?

The purpose of the gas disconnect affidavit pdf is to report the disconnection of gas service and provide necessary information.

What information must be reported on gas disconnect affidavit pdf?

Information such as reason for disconnection, date of disconnection, and contact information must be reported on the gas disconnect affidavit pdf.

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