Lynchburg, OH · Highland County
Request for Termination of Service by Non-Account Holder
Property owners use this request to seek termination of utility service at an address where they are not the account holder.
What this form is
This request is for property owners seeking termination of utility service at a property where someone else is the account holder. The undersigned owners certify that terminating service will not affect tenancy rights. The request asks for the service address, account holder, owner names, signatures, and date; the document does not state when the city requires it.
Who needs it
Property owners who are not the utility account holder and are requesting termination of service at the subject property may use this form.
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 document is signed without a notary; the property owners certify the statement and sign and date the request.
How to submit this form
- 1
Download The Request
Download the Request for Termination of Service by Non-Account Holder.
- 2
Complete The Form
Enter the service address, account holder, and owner names.
- 3
Sign And Date
The property owners certify that termination will not affect tenancy rights, then sign and date the request.
- 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 does the Request for Termination of Service by Non-Account Holder do?
- It lets property owners request termination of utility service at a property where they are not the account holder and certify that no tenancy rights will be affected.
- What information does the request ask for?
- The form asks for the service address, account holder, owner names, signatures, and date.
- Do I need a notary for the Request for Termination of Service by Non-Account Holder?
- No. This document is signed without a notary; the property owners certify the statement and sign and date the request.
- How do I submit the Request for Termination of Service by Non-Account Holder?
- Submit it to the city department named on the form; check the city website for current contact details.