Transfer of Membership

If both the transfer form and User's Agreement are received in the office before the 15th of the month, the name will change to the new owner for the next billing. If all the paperwork is received after the 15th we will not change the name until after the billing for the current month. We do not hold transfers. We go by the date received in the office when changing the name.

Account Number *

Physical Address

Buyer's Name*

Buyer's Mailing Address*

Buyer's Phone Number*

Seller agrees and directs that the membership of account number listed above be transferred on the books of the district as of date listed below

INITIALS of Seller

Signature of Seller Please print full name*

Seller's Phone number

Upload a Copy of Signers Drivers License*

Browse Files

Seller's Final Mailing Address

Seller understands that if the transfer form and user agreement are both not received in the district's office by the 15th of the month, the seller will receive the next bill. *

YesNo

Initial's of Seller that they understand the above statement*

Signature