Disconnect/Suspend Electric Service
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Full Name:
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Tanner Account Number:
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Last 4 Digits of SSN:
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Disconnect on:
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Service Address:
Apt #:
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Current City:
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Current State:
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Current Zip:
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Own or Rent?:
Own
Rent
If the address you wish to disconnect is a rental, please provide the Landlord's name and phone number.
Landlord Name:
Landlord phone number:
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Forwarding Address:
Forwarding Apt #:
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Forwarding City:
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Forwarding State:
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Forwarding Zip:
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Primary Phone Number:
Mobile Phone Number:
Work Phone Number:
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Email Address:
Enter the email address again for accuracy.
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Email Address:
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Preferred Contact Method:
Phone
Email
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Reason for disconnect/suspension:
Moving out of rental property
Sold the property
Bank foreclosure
Member/owner deceased
Property for sale
Temporarily suspend service for construction*
Temporarily suspend service until further notice*
Comments - Enter any additional information you want us to know. If selling the property, please list the Escrow company and contact phone number:
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