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Taxpayer Identification

Enter your Taxpayer Identification Number (TIN) in the box below. For individuals, this is your Social Security Number (SSN). However, for the resident alien, sole proprietor, or disregarded entity, see the Part 1 instructions found on page 3 of the W-9 instructions found at irs.gov . For other entities, it is your employer identification number (EIN). Do not include dashes in the SSN or EIN. Note: If the account is in more than one name, see the chart on page 4 of the W-9 instructions at irs.gov for guidelines on the whose number to enter:

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Billing History

PLEASE LIST OUT THE MOST CURRENT AND PRIOR (12-MONTHS) ELECTRICITY USAGE AND MONTHLY PAYMENTS:

Ex. 1214 - $158 (NOTE: If a new home, provides what's available)

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