Weichert,

Weichert, Realtors

REALTOR®

GREATER CAPITAL AREA ASSOCIATION OF REALTORS®

Utility Cost and Usage History Form For use in Montgomery County, MD Address

606 Deerfield Ave. Silver Spring. MD

Month

Year Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total Usage: Total Cost: Total-Usage:

ee, i>ec

J

Seller/Owner (Indicate if scrte Owner) Seller/Owner

Electric

1!U

20910-5507

"? Heating Oil

Gas

KuiH

/

Hel-b 75

1.535 Kw

3

KvJH 51 15 1Tl, "H

KJH

4 Date

c; r

Date

v

©2009, The Greater Capital Area Association of REALTORS®, Inc. This Recommended Form is the property of the Greater Capital Area Association of REALTORS®, Inc. and is for use by REALTOR® members only. Previous editions of this Form should be destroyed. GCAAR # 932 - Utility Bills

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Weichert Realtors - Corporate 1 625 Route 1 0 East Morris Plains, NJ 07950 Phone: 30 1.5870534 Fax:973-397-3580 ArleneKoby Produced with ZipFocm® by zipLogix 1 8070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogixcom

1/2009 606 Deerfield Ave