MANAGEMENT STAGE

STAGE 2 YELLOW

EVERY OTHER DAY, BASED ON ODD/EVEN DIGITS OF ADDRESS/CALENDAR DAYS.

Request For Service Discontinuance

Request For Service Discontinuance

  • CROSS TIMBERS WATER SUPPLY CORPORATION

    2032 East Hickory Hill Road Argyle, Texas 76226 (940) 584-0780 Fax: (940) 584-0781 www.crosstimberswater.com

    RENTER'S REQUEST FOR SERVICE DISCONTINUANCE

  • I,
  • hereby request that my water meter (serial #)
  • Account #
  • located at
  • be disconnected from Cross Timbers Water Supply Corporation service. I understand that if I should ever want my service reinstated, I may have to reapply for service as a new Member, and I may have to pay all costs as indicated in a then current copy of the Cross Timbers Water Supply Corporation Tariff. Future ability to provide service will be dependent upon system capacity, which I understand may be limited and may require capital improvements to deliver adequate service. I also understand that these improvements will be at my cost. I further represent to the Corporation that my spouse joins me in this request, and I am authorized to execute this Request for Service Discontinuance on behalf of my spouse.
  • I request that Cross Timbers Water Supply Corporation send my final bill to the following address:
  • Effective Date
  • New Member
  • NOTE: Charges for service will terminate when this signed statement is received by the Cross Timbers Water Supply Corporation office.