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2. Use this form only if a tenant is moving out of a property.

   If you are an Escrow company, please use the Request for Estimate form.

   If you are changing your mailing address, please use the Update Account Information form.

   If you will be leasing your home and would like to have the tenants billed directly, complete the Request to Bill Tenant form.

4. Redmond Service Address*
   Note: the address must be in the Redmond Washington service area.
6. City
7. State of WA
8. ZIP Code*
10. Tenant's Name*
12. Last Day of Service/End of Lease*
    Last Day of Service/End of Lease
14. Account Number
16. Phone*
17. Alternate Phone
19. Forwarding Address*
21. City*
22. State*
23. ZIP Code*
25. Requestor's Name*
26. Requestor's Phone*
28. Email Address*
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit

* indicates a required field