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LANDLORD ROLLOVER FORM

Landlord Rollover Form

  • Date Format: MM slash DD slash YYYY
  • Transferring Rental Accounts

    Billing Department: You have my permission to transfer the electric service into my name on any rental properties that I own when tenants move out and request that the service be disconnected. I will inform the office if property/properties are sold to cancel the agreement.
  • The property/properties of account # are located at:
  • Please send bills to:
  • Via Email address:
  • At Phone number:
  • Please Note

    This Agreement does not prevent disconnect for non-payment of account(s). Adding or removing properties will not automatically start/stop service. A request must be made separate to this agreement. Witch each addition of a service a minimal fee is required. The sale of the property will not remove the property from the agreement. Dixie Power must be notified to cancel the agreement.
  • This field is for validation purposes and should be left unchanged.