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Hisega Meadows Water, Inc

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Deposit Refund Request Request Form

Water service address(Required)
Date of sale / closing(Required)
The refund of a deposit is subject to the following conditions: 1. The customer must submit this form (electronically or by mail). 2. The customer has sold the property listed as the service address. 3. The customer has no outstanding balance on their account.
Refund method(Required)
Mailing address for refund check(Required)
Typed name acts as legal signature
Today's date(Required)

Form can also be printed and mailed to:

Hisega Meadows Water, Inc
C/O 5310 Ebony Place
Piedmont, SD 57769