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Utility Information Request
Please ensure Utilities remain on until the Property is Transferred to Buyers
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1
Property Address
*
This field is required.
Please provide the property address of the transaction for which you would like to receive calendar invites for important dates.
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Please Select
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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2
Water
*
This field is required.
Does the property currently have running water?
YES
NO
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3
Water Company
Please provide all the information you have for this utility provider.
Provider Name
Phone
Company Website
Historical/Average Monthly Cost
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4
Electric
*
This field is required.
Is the power currently turned on at the property?
YES
NO
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5
Electric Company
Please provide all the information you have for this utility provider.
Provider Name
Phone
Company Website
Historical/Average Monthly Cost
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Enter
6
Natural Gas
*
This field is required.
Does the property have gas heat or a fireplace with gas heat?
YES
NO
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7
Natural Gas Company
Please provide all the information you have for this utility provider.
Provider Name
Phone
Company Website
Historical/Average Monthly Cost
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8
Trash Collection
*
This field is required.
Please select the applicable trash collection services.
Provided by City
Private Provider
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9
Trash Pick-Up
Please provide all the information you have for this utility provider.
Provider Name
Phone
Website
Trash Pick-up Day and Time
Historical/Average Monthly Cost
Please Select
Yes
No
Please Select
Please Select
Yes
No
Do You Have Recycling at the Property?
Recycling Company Provider (if other than Trash Provider)
Additional Notes (like serial number of trash bin if city pick-up)
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10
Internet
*
This field is required.
Does the property currently have or has ever had active Internet?
YES
NO
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Submit
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Enter
11
Internet Provider
Please provide all the information you have for this utility provider.
Provider Name
Phone
Website
Historical/Average Monthly Cost
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Enter
12
Cable or Satellite Television
*
This field is required.
Does the property currently have or has ever had Cable or Satellite Television?
No
Other
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13
Telephone - Landline
*
This field is required.
Does the property currently have an active telephone line?
No
Other
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14
Septic Tank/STEP System
*
This field is required.
Does the property have a Septic Tank or a STEP System?
Yes
No
Previous
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15
Septic Tank/STEP System Information
Please provide all the information you have available regarding the property's system.
Please Select
Septic Tank
STEP System
Please Select
Please Select
Septic Tank
STEP System
Specify Property System
Date of Last Cleaning (type unsure if not known)
Tank/System Information/ Additional Notes (for Septic tanks, if the size of the tank is known, please provide)
Please Select
Yes
No
Unsure, but I will find out and let you know.
Please Select
Please Select
Yes
No
Unsure, but I will find out and let you know.
Is there a current utility provider who cleans this system?
Historical/Average Cost (please include by year/3yrs, etc)
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16
Septic Tank & STEP System Cleaning Service
Please provide all the information you have for this utility provider.
Please Select
Septic Tank
STEP System
Please Select
Please Select
Septic Tank
STEP System
Specify Property System
Date of Last Cleaning (type unsure if not known)
Provider Name
Phone
Website, Email, and/or Additional Notes
Historical/Average Monthly Cost
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17
Services
*
This field is required.
Please select the service that you currently use at your Property
Lawn Care
Pest Control
Cleaning Services
Other
None
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18
Lawn Care Provider
Please provide all the information you have for this utility provider.
Provider/Main Contact Name
Phone
Website, Email, and/or Additional Notes
Historical/Average Monthly Cost
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Enter
19
Pest Control
Please provide all the information you have for this utility provider.
Provider Name
Phone
Website, Email, and/or Additional Notes
Historical/Average Monthly Cost
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Enter
20
Cleaning Services
Please provide all the information you have for this utility provider.
Provider/ Main Contact Name
Phone
Website, Email, and/or Additional Notes
Historical/Average Monthly Cost
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21
Other
Please provide all the information you have for this utility provider.
Service/Utility
Provider/ Main Contact Name
Phone
Website
Additional Notes (Email of provider if known)
Historical/Average Monthly Cost
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22
Additional Information to Pass Along
If you have a parking space number, mailbox number, garage keypad code, or any additional information that needs to be passed along to the Buyer(s), please let us know here.
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23
Your Name
*
This field is required.
Your Name
Please Select
Seller
Seller's Agent
Seller's Transaction Coordinator
Authorized Representative
Other
Please Select
Please Select
Seller
Seller's Agent
Seller's Transaction Coordinator
Authorized Representative
Other
Your Role
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