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2. Type of Property*

   1. Residential
   2. Commercial*

   *Commercial customers, please contact the Utility Billing office at 214-987-5322 for deposit information.

4. Do you own or lease the property?

   1. Own
   2. Lease
6. Current Customer Account Name*
7. Account Number
9. Service Address*
11. Mailing Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
20. Drivers License Number and State*
22. Does the home have an alarm system?

    1. Yes
    2. No
24. New Customer*
25. Phone Number*
27. Electronic Signature*

    This is to authorize the City of University Park to transfer the security deposit on my account. I also realize that any claim to this deposit will be null and void upon signing this document. 

28. Today's Date*
    Today's Date
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field