Full Text
Ver. 2021 City of Gilbert Utility Service Application – Move OUT Move Out Date: Current Date: Account Number: Street Address: NEW/Forwarding Mailing Address: Primary Contact Name: Phone: Email: COMPLETE IF RENTING: Landlord Name: Landlord Address: Landlord Phone: Deposits are applied to final billing. Any remaining balance will be billed to you. If applying the deposit creates a credit to your account, you will receive a deposit refund check in the mail. Be aware; it is possible that a billing will be sent out after leaving the premises, to cover usage dates between the last billing cycle and the move out date. Payment Options - The City of Gilbert offers many convenient ways to pay your utility bill: • Pay by check or with cash at City Hall during normal business hours • Drop off check or cash at City Hall using the 24-hour drop box • Sign up for automatic payments from your bank every month by completing the ACH form at City Hall • Online payments (see details at CityofGilbertIowa.org) Please note that these forms of payment are the fastest ways to ensure your bill payment is received on time! If mailing your payment, please give ample time for your payment to travel through the mail. If you choose to pay your utility bill through an online bank pay system or an electronic check, please address your payments to: City of Gilbert P.O. Box 29 Gilbert, IA 50105 Personal information is kept confidential and used for the sole purpose of collecting payments on services provided. Office Use Only Meter Reading: Date Read: Processed: