Form Center • Snoqualmie, WA • CivicEngage

Instructions

Instructions
Use this form to stop utility service if you are the seller of the property. If you are a landlord or tenant and want to stop service, please fill out the Stop Service - Tenant form. For questions, email Heather Florida: hflorida@snoqualmiewa.gov or call 425.766.3700
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Stop Utility Service

Escrow Closing Date (not move-out date)*
Escrow Closing Date (not move-out date)
If you are renting back from the buyer, we still must close your account on the date escrow closes. You can work with the buyer if you owe them money for utilities. We cannot prorate for rent-back situations.
Service Address*
First Name
Seller's Name
Last Name
Company Name
Please fill out this section if the account is in your business' name.
Forwarding Address
Please enter your forwarding address where we can send the final bill.
City
State
Zip Code
Phone number
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Signature Page

Please check:*
1. I certify that I am the seller of the property at the service address named above.
Please check*
Per WA State Law, we are required to close water accounts on the date escrow closes. If you are renting back from the buyer, please work with them to pay the utilities if the account is in their name while you are living there.
1. Check here to certify that you have provided the escrow closing date and not the move-out date
Please check*
If a relocation company is managing your account while your house sells, you must fill out the Property Management Authorization form also found on the Water Services page, if you want them to manage your account.
1. By checking here, you certify that you understand these terms and conditions.
Final Payment*
Your final bill will be mailed to the forwarding address you provided above. If you are not sure if escrow will pay your final bill, please contact them; we do not have this information. If there is a credit on your account due to over-payment, a refund check will be mailed to your forwarding address the month following escrow closing.
1. Please check here to acknowledge you have read these instructions.
Please check:*
1. I will notify Heather Florida by email or phone if closing date provided above changes. hflorida@snoqualmiewa.gov; 425.766.3700
Signature*
Your typed name here is your signature, which certifies that all of the information contained herein is accurate, to the best of your knowledge.
Please provide an email address for questions on your form.*
Today's Date*
Today's Date
**You will receive a confirmation that your form was submitted after clicking submit at the end. There is nothing else you need to do, except email Heather Florida at the address below if the closing date you provide changes. Your account will be closed on the day escrow closes.
For questions, email Heather Florida: hflorida@snoqualmiewa.gov

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

This field is not part of the form submission.
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