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 OtherPlease input your electric provider company and phone number Gas Service ProviderPlease select your gas service provider.NoneDominion Energy - Natural GasAmerigasFerrell GasSuburban PropaneOtherGas Other Gas Tank StatusIs your gas tank leased? Yes, I lease my tank. No, I own my tank. Not sure No tank present Gas AppliancesWhich appliances are gas-fired? Fireplace Furnace (Heat) Water Heater Cooking Pool/Spa Trash Service*Please identify your trash removal service provider.Please Choose One...City/MunicipalWaste Industries/GFLWaste ManagementOtherTrash OtherPlease expand on your response... Trash DayIf your trash is regularly scheduled, on what day is it picked up? Monday Tuesday Wednesday Thursday Friday Enter Notes (Field will appear) Trash NotesPlease expand on your response... Telephone ServicePlease identify your current telephone provider.AT&TSpectrum CableCenturylinkOtherNoneTelephone OtherYour selection is Other. Please identify your provider. Cable TV (Enter n/a if none)*Please input your Cable TV provider and phone number Internet Service Provider (Enter n/a if none)*Please input your internet provider company and phone number Lawn ServicePlease provide your lawn service provider company and phone number Tree ServicePlease provide your tree service provider company and phone number Pest ServicePlease provide your pest service provider company and phone number Does your development use Community/Centralized Mailboxes (Kiosk)?If so, please provide your mailbox number and location Your Name & Number (Should we have any questions)* Δ
