Fredonia, AZ · Coconino County
TV Affidavit
Fredonia utility customers sign this affidavit to state that their household does not use television or radio reception or cable service, excluding satellite dish service.
What this form is
The TV Affidavit lets a Fredonia Utilities customer state that neither they nor anyone in their household uses television or radio reception, with or without an antenna, or cable service, excluding satellite dish service. The form says this statement allows the legal deduction of the charge from the utility bill. It asks for the customer’s signature, date, printed name, and account number.
Who needs it
A Fredonia Utilities customer whose household meets the stated conditions and wants the charge deducted from their utility bill should complete this affidavit.
How to submit it
The form identifies Fredonia Utilities and lists the Town address, fax number, office number, and email. It does not specify a submission method.
About notarization
This document is signed without a notary; the utility customer just signs and dates it.
How to submit this form
- 1
Download The Affidavit
Download the TV Affidavit PDF.
- 2
Complete The Form
State whether the household meets the form’s conditions, then enter the utility customer’s printed name and account number.
- 3
Review Attachments
The document does not list any required attachments.
- 4
Submit To Fredonia Utilities
Use the contact details printed on the form; it does not specify a submission method.
Frequently asked questions
- What is the TV Affidavit for?
- It lets a utility customer state that no one in their household uses television or radio reception or cable service, excluding satellite dish service, for a charge deduction from the utility bill.
- Who completes the TV Affidavit?
- A Fredonia Utilities customer completes it if the household meets the conditions stated on the form. The form requests the customer’s signature, date, printed name, and account number.
- Do I need a notary for the TV Affidavit?
- No. This document is signed without a notary; the utility customer just signs and dates it.
- How do I submit the TV Affidavit?
- The form lists Fredonia Utilities and the Town address, fax number, office number, and email, but does not specify a submission method. Check the city website for current contact details.