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Request For Service Discontinuance

  1. Must be a future date and not a weekend or holiday.

  2. I, the undersigned customer, hereby request that my water assigned to the above noted account and address to be disconnected from Mustang SUD (the "District") service and that my deposit be refunded to me if not done previously. If I should ever want my service reinstated at this address, I acknowledge that I may have to reapply for service as a new member and pay all fees required by the District's Rate Order in effect at the time. I understand that the District ability to provide service in the future will be dependent upon system capacity, which may be limited, and that capital improvements will be constructed at my cost. I further represent to the District that my spouse joins me in this request and I am authorized to execute this request for service discontinuation on behalf of my spouse. If your account has a deposit, it will automatically be applied to your next bill. It can take up to 45 days for final billing. If there is any credit due to you, a check will be mailed to the forwarding address provided. Check processing times may very.

  3. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  5. This field is not part of the form submission.