HomeMy WebLinkAboutRequestForService-DiscontinueServiceSellerREQUEST FOR SERVICE – DISCONTINUE SERVICE-SELLER
City of Oshkosh Utilities ● 215 Church Ave, Oshkosh, WI 54901
Email: utilitybill@oshkoshwi.gov Office: (920) 232-5325
INSTRUCTIONS: This form MUST be COMPLETED in its entirety and returned to the Utility Accounting Department in
order for your request to be processed.
* Include your FINAL BILL mailing address.
* Include a telephone number where you can be reached during business hours.
* Service Requests are for Future Dates Only
Account Number:
(if known)
SERVICED PROPERTY INFORMATION (REQUIRED)
Address: City/ST/Zip:
Date of Closing:
BUYER/NEW PROPERTY OWNER INFORMATION
BUYERS NAME: Phone:
Landline: Cell Phone:
Name 2: Email:
Mailing Address (if different from Property Address):
City/ST/Zip:
SELLER/ FORMER OWNER FINAL BILL INFORMATION (REQUIRED)
Name: Phone:
Landline: Cell Phone:
Address for Final Bill:
City/ST/Zip:
Title Company Used:
Phone:
I understand that I am responsible for all utility charges incurred at this location until I provide notice that I have moved
and am no longer responsible for this utility bill.
Signature: Date:
Office Use Only
Signature: