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2. RENTERS

   Due to Bluffdale City's Policy for Property to not be listed under a Renter's name, Renter's are NOT required to complete this form. 

   This will not stop your auto-pay on Xpress Bill Pay, please login and complete that separately. 

5. Information

   Please have documentation of your closing to proceed to the form.

7. Please note, that during the time of February 16th-February 25th we will not be processing Final Bills or Setting up New Accounts as the Technician will be out of town. 

9. Customer Name*
10. Customer Account Number (if known)
11. Closing Date*

    *Final Billing will happen on this date unless it is in a prior billing period it will only be backdated to the first of the month*

13. 
14. Closing Disclosure-Proof of Sale*

    Due to multiple cancelations not closing on the date listed, this is now required to Final Bill. 

    ****If it is missing the Address of the Property Sold, Date of Disbursement, Borrower/Seller information it will NOT be accepted. ***

16. Email Address*
17. Phone #*
19. Service Address*

    *City, State & Zip Code do NOT need to be listed*

20. Updated Forwarding Address*

    *Please provide your updated mailing address for your Final Bill to be sent. Make sure to include, City, State & Zip Code. If it's not in Bluffdale, we do not know based off of just the coordinates*

22. Please Print Full Name*

23. Governmental entities must obtain and process only the minimum amount of personal data reasonably necessary to efficiently achieve a specified purpose, retained for required period. Utah Code § 63A-19-401(2)(c)

24. Property Owner Signature*

    By signing electronically, you acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature. 

26. Comments:
Leave This Blank:


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

    This field is not part of the form submission.

29. Submit

* indicates a required field