Change of Account Ownership Form

If you would like to request a change of account ownership follow the steps below.

1. Download and complete the Change of Account Ownership Form.

2. The originating customer must fill in the required fields on the upper half of the form identifying the account number and the transferee of the account. The form must include dates and signatures.

3. The indented account holder must complete the lower half of the form, acknowledging their responsibility for the account along with their name,signature and date.

4. The completed form should be faxed to Attn: Tier 2 Billing at 585-419-3727


The account must be in good standing and any outstanding balance must be paid prior to changing ownership.