Transcription of 3 PROPERTY INFORMATION/SERVICE ADDRESS
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3 PROPERTY INFORMATION/SERVICE ADDRESS
REGISTRATION FOR WATER & SEWER BILLING Please use this form for newly purchased PROPERTY or mailing ADDRESS updates. Submit it to:DEP-BCS Attn: Registration Unit59-17 Junction Blvd, 7th FloorFlushing, NY 11373 PROPERTY INFORMATION/SERVICE ADDRESS :ACCOUNT NUMBER: __ __ __ __ __ - __ __ __ __ __ - __ __ __ Borough: _____STREET ADDRESS : _____ Block: _____ Lot: _____CITY: _____ STATE: NEW YORK ZIP: _____ Purchase Date: _____OWNER S CONTACT information :------------Please print clearly------------OWNER NAME: _____First LastSECOND NAME or BUSINESS NAME: _____ First LastCONTACT information : (Email) _____MOBILE PHONE: _____ EVENING/HOME PHONE: _____CHECK THE CORRECT BOX(ES) BELOW AND SIGN:communications to the Service ( PROPERTY ) ADDRESS shown above.
REGISTRATION FOR WATER & SEWER BILLING Please use this form for newly purchased property or mailing address updates. Submit it …
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