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If I fail to revoke this form I may remain liable for service provided to that property even after my sale of the property. Service Address Owner Name Account Number Signature Mailing Address Phone Number Date FOR OFFICE USE ONLY Date Received Received By Received Signature. Accordingly for each such property I authorize EPCOR Water to transfer into my name the public utility water service for that property upon termination of that service to any third party. Public utility water service at the ...

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