Richton Park, IL - Official Website

Move Out

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This form is to be used by any resident that is moving out of their current place of occupancy. Please fill out form completely and print a copy and bring to the Village Hall with a copy of your photo ID. Please Note: An appointment will be made to have a final reading and to turn water off. Please indicated that as your move out date.

Move Out/Close Date: *

First Name: *		Last Name: *

Richton Park Service Address:

Forwarding Address:
Address:

City:		State:
Zip:

Phone #:		SS#:
	Provide at least last 4 digits
If Sold or Tenant:
First Name: *		Last Name: *

Address:

City:		State:
Zip:

Phone #:

Signature: Must present photo ID in person

* indicates required fields.

Village of Richton Park, Illinois • 4455 Sauk Trail • Richton Park, Il. 60471 • (708) 481-8950

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