FORM FOR DISCONTINUATION OF SERVICE CHARGES by JaymesChapman

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									            South Tipperary County Council

   FORM FOR DISCONTINUATION OF SERVICE CHARGES


Name:        _________________________________________________

Address:     _________________________________________________

             _________________________________________________

             _________________________________________________


Telephone No: _______________________________


Customer I.D. _________________________________


If the property is rented please submit Landlord’s Full Name & Postal
Address ____________________________________________________


Please state last date the bin was collected:_________________________


If you are with a private Contractor please state the name of the
Contractor and when you commenced the service with them:

___________________________________________________________

I confirm that I do not wish to avail of the refuse collection service of
South Tipperary County Council.

Signed:__________________________________

Date:   __________________________________

								
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