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2. This form is intended for those current residents or tenants who wish to terminate current utility services. In order to ensure correct and prompt delivery of any payment credits or deposit amounts, a forwarding address is required. If you have any questions, please contact the City at 801-766-9793. Thank you.
4. First Name*
5. Last Name*
7. Phone Number*
8. Email Address
10. Location of Service Termination Address*
11. Did you:*

    1. Own
    2. Rent
12. Termination Date*
    Termination Date
14. Forwarding Address*
16. City
17. State
18. Zip Code
20. Landlord's Name

    (If you rented this property)

22. Agreeance
    By typing your signature and submitting, you agree to have the City of Saratoga Springs, UT terminate your utility services beginning on the termination date. If you agree to this, please type your name and submit the form.
24. First & Last Name*
Leave This Blank:


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

    This field is not part of the form submission.

28. Submit

* indicates a required field