LAW OFFICE SERVICE REQUEST – MOVING Please fill in the appropriate fields for your client, and as much information about the other party as you can. Note: Fields that are bold and italicized are mandatory. WHAT IS YOUR REQUEST FOR? MOVE OUT _______ MOVE IN _______ SERVICE ADDRESS (Provide either the full 911 Address or Lot and Concession of premise. Meter number is extremely helpful in identifying the correct premise, if available) Street Address: City / Township: Lot: Concession: Legal Closing Date (MM/DD/YYYY): Unit/Suite: Province: Meter Number(s): Ontario SELLER INFORMATION Title: First Name: Last Name: Middle Name: Phone Number: Mailing Address: Province/State: City/Town: Country: Postal/ZIP Code: Account Number: Email Address: ** **NOTE: If an email address for your client is provided, we’ll email them when this request has been processed. BUYER INFORMATION Title: First Name: Last Name: Middle Name: Phone Number: Mailing Address: Province/State: City/Town: Country: Postal/ZIP Code: Date of Birth: Email Address: ** Account Number: **NOTE: If an email address for your client is provided, we’ll email them when this request has been processed and enroll them on Paperless Billing. IDENTIFICATION (one of Driver’s License, Canadian Passport, Canadian Permanent Resident Card, Canadian Citizenship Card or Secure Certificate of Indian Status Card) ID Type: Country Issued: ID Number: Region: SECONDARY CUSTOMER INFORMATION (If applicable – ie. Spouse) Title: First Name: Last Name: Middle Name: Phone Number: Date of Birth: IDENTIFICATION (one of Driver’s License, Canadian Passport, Canadian Permanent Resident Card, Canadian Citizenship Card, or Secure Certificate of Indian Status Card) ID Type: Country Issued: ID Number: Region: LAW OFFICE INFORMATION Name: Email address: Additional Information (if a rental property, provide tenant name): Phone Number: Fax Number: Hydro One Networks Inc. Email: [email protected] Fax: 1-888-625-4401 December 14, 2016
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