Utilities Utilities Service Form This form is used by home sellers to document the utilities providers for a given property address. Please mark N/A in fields that are not applicable. Property Address (House # and Street Name Only) Electric Service Provider*Please select one:Duke EnergyPiedmont Electric CoopTown of ApexTown of ClaytonTown of Wake ForestWake Electric CoopOtherElectric Other Please input your electric provider company and phone numberGas Service ProviderNoneDominion Energy - Natural GasAmerigasFerrell GasSuburban PropaneOtherPlease select your gas service provider.Gas Other Gas Tank Status Yes, I lease my tank. No, I own my tank. Not sure No tank present Is your gas tank leased?Gas Appliances Fireplace Furnace (Heat) Water Heater Cooking Which appliances are gas-fired?Trash Service*Please Choose One...City/MunicipalWaste Industries/GFLWaste ManagementOtherPlease identify your trash removal service provider.Trash Other Please expand on your response...Trash DayIf your trash is regularly scheduled, on what day is it picked up? Monday Tuesday Wednesday Thursday Friday Other Telephone ServiceAT&TSpectrum CableCenturylinkOtherNonePlease identify your current telephone provider.Telephone Other Your selection is Other. Please identify your provider.Cable TV (Enter n/a if none)* Please input your Cable TV provider and phone numberInternet Service Provider (Enter n/a if none)* Please input your internet provider company and phone numberLawn Service Please provide your lawn service provider company and phone numberTree Service Please provide your tree service provider company and phone numberPest Service Please provide your pest service provider company and phone numberDoes your development use Community/Centralized Mailboxes?If so, please provide your mailbox number and location Your Name & Number (Should we have any questions)* Δ
