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2. Owner's Name*
3. Owner's Address*
5. Phone Number
6. Email
8. Address To Be Abated*
9. Number of Units To Be Abated*
11. Account Number*
12. Bill Number*
14. NAED Bill or Usage History

    Attach a copy of the NAED bill or usage history for the period for which you are requesting the vacancy abatement. The average use per day must be 5.00 or less.

16. Letter or Documentation If Usage Is Over 5.00

    Letter of explanation or other documentation showing vacancy if usage is over 5.00.

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field