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Landlord Amendment Agreement
I,
, on behalf of
request that the following
First and Last Name
Customer of Record/Responsible Party
address(es), be added to my current Landlord Automatic Transfer of Service Agreement.
Address(es):
Effective date(s):
Mail or fax form to:
APS Landlord Services
PO Box 53933 Mail Sta. 2265
Phoenix, AZ 85072-3933
Fax: (602) 371-6165
Customer signature ________________________________
Date
Customer's phone number
-
-
For APS Use Only: Reference #
