UTILITY INFORMATION FORM – ELITE Rental Properties Inc.

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UTILITY INFORMATION FORM

Today's Date:

Property Address:

Address Line 1

Address Line 2

City

State

Zip Code

Name:

their the Please

Cell Phone Number:

Email Address:

Please enter the name of the your ELECTRIC company, their phone number and your account number?:

Please enter the name of the your GAS company, their phone number and your account number?:

Please enter the name of the your OIL company, their phone number and your account number?:

Please enter the name of the your WATER company, their phone number and your account number?:

Please call us with any questions at 858-535-4832 x3

Electronic Signature:

Please answer.