Use this form to transfer natural gas service to the new homeowner.
Builder/Developer name*
Federal ID
Phone number* - -
Property address*
City*
State*AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip code*
E-mail Address
Last date you are responsible for utilities* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2009 2010 2011
C/O address (if different from above)
City
StateAL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip code
Please provide the following:
Realtor's name
Realtor's phone number - -
or
Buyer's name
Buyer's phone number - -
Additional comments