Property Transfers – Pennichuck

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Property Transfer Form

Please use the form below to transfer your service either to a new location or to another owner/tenant.
Today’s Date*
Date of Closing*
Property Location*
City*
Current Owner (transferring from) of Record*
New Mailing Address*
Street Address Address Line 2 City State ZIP Code
Daytime Contact #*
Email*
User Type*
Name*
Property Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address (if different)
Street Address Address Line 2 City State ZIP Code
Comments:
If final bill required for closing please provide the following information:
Closing Agency
Contact Name
Contact Telephone
Fax or Email for final bill to be sent
Date Required by
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