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2. IMPORTANT - PLEASE READ

   FOR RENTERS ONLY:

   If there is a deposit on your account, it will be applied to any outstanding balance after the account closes. The credit balance, if any, will be issued to the account holders’ names after the final bill is processed.

   FOR OWNERS ONLY:

   We must verify with county records that the sale of the property has been recorded before we can create an account in the new owner(s)’ name.

   If an escrow check is received from a title company, it will be applied to any outstanding balance after the account closes. The credit balance, if any, will be issued to the name(s) of the seller on the escrow check after the final bill is processed.

4. Are you the owner or renter of the property?*
   -- Select One --Owner Renter
6. If selling, date of closing?
   If selling, date of closing?
7. If renting, move out date?
   If renting, move out date?
9. Full Legal First Name: *
10. Middle Name or Initial
11. Full Legal Last Name:*
13. Driver License or Identification Number:*
14. State Issued:*
15. Issued on:*
    Issued on:
17. Expires on:*
    Expires on:
18. Date of Birth:*
    Date of Birth:
20. Service Address:*
22. Forwarding Mailing Address:*
24. City*
25. State*
26. Zip*
28. Primary Phone Number: *
29. Secondary Phone Number:
31. Email Address:
33. Additional Comments:
35. PLEASE NOTE

    Your e-mail and any e-mail responses from the City are considered a public record and will be subject to disclosure under Washington’s Public Records Disclosure Act.

Leave This Blank:


37. Submit

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