Lithopolis, OH · Fairfield County
Tenant Discontinue Service Notice
Tenants use this notice to provide their name, service address, last day of service, forwarding address, and signature.
What this form is
This notice lets a tenant provide information related to discontinuing service at a service address. It asks for the tenant’s name, service and mailing addresses, last day of service, landlord or landowner’s name, forwarding address, phone number, signature, and date. The notice does not state when it must be filed or provide submission instructions.
Who needs it
A tenant discontinuing service at a Lithopolis service address can use this notice to provide the listed account and forwarding information.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This notice is signed without a notary; the tenant signs and dates the notice itself.
How to submit this form
- 1
Download The Notice
Download the Tenant Discontinue Service Notice PDF.
- 2
Complete The Tenant Details
Fill in the requested tenant, service, landlord or landowner, forwarding address, and phone information.
- 3
Sign And Date
Enter the tenant signature and date on the notice.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Tenant Discontinue Service Notice request?
- It requests the tenant’s name, service address, current mailing address, last day of service, landlord or landowner’s name, forwarding address, phone number, signature, and date.
- Who uses this notice?
- A tenant can use the notice to provide information about discontinuing service at a service address. The form includes fields for the tenant’s forwarding details and signature.
- Do I need a notary for the Tenant Discontinue Service Notice?
- No. The notice has a tenant signature and date field but no notary block; the tenant signs and dates the notice.
- How do I submit the Tenant Discontinue Service Notice?
- The notice does not list submission instructions. Submit it to the city department named on the form; check the city website for current contact details.