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MOVING FORM

If you are moving please fill out this form to get reimbursed for the remaining oil in your tank!

At your closing, you are eligible for reimbursement for the value of the remaining oil in your storage tank. At this time your account will be closed and auto delivery suspended. An office estimate will be provided. Your account will be closed once this form is submitted.

Your Name:  
Property Address:    
Property City & Zip:     Zip:        
Your Phone Number:    
Your E-mail:    
Date of Closing:    
Name of Closing Attorney:    
Closing Attorney's Fax #:    
Choose One:    
Your New Address:    
Your New City & Zip:    Zip:        
Do you use oil there?  
     

To insure no interruption of coverage on this property,
please provide us with the new owner’s information.

We will send you $50.00 if the new homeowner
signs with C. Hoffberger/Eastern Energy for automatic delivery.

New Owner's Name:  
New Owner's Phone Number:  
     

 
 
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