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2. 
4. Note:

   Please complete this form if you are an owner who has sold their property or if you are a renter who has moved out.

6. Name of Person Submitting Form*
8. Account Number*
12. Name(s) on Account
14. First & Last Name or Business Name*
16. Additional Name
20. Service Address
22. Street Address*
23. Postal Code*
25. Renter or Owner?*
    -- Select One --RenterOwner
26. Sold Property?*
    -- Select One --YesNoNot Applicable
28. Date of Final Service (Renter)/Possession (Owner)*
    Date of Final Service (Renter)/Possession (Owner)
30. Law Office (if property not sold, enter not applicable)*
31. Law Office Phone Number (if property not sold, enter not applicable)*
35. Forwarding Mailing Address
37. Street Address or P.O. Box*
39. City*
40. Province*
41. Postal Code*
45. Phone Number*
46. Alternate Phone Number
48. Email Address*
52. Law Office the Purchaser is Using (if known)
54. Additional Comments
56. Final Bill Information
    • Final bill will be for the period up to and including the date of final service/possession above
    • Can expect to receive the bill according to this schedule: brooks.ca/432/Utility-Accounts-Billing
    • If the bill is not received, please contact our office
    • The due date for payment will be as per what is listed on the bill
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field