Water / Wastewater

2. Final Meter Read
4. Account Service Address
6. Address*
8. City*
9. State*
10. Zip Code*
12. Closing Date*
    Closing Date
14. Seller Information
16. Name*
17. Phone Number*
19. Seller's Attorney *
20. Attorney's Email Address*
22. Attorney's Phone Number*
24. Acknowledgement*

    The seller is responsible for a $50 closing fee that will be included with the current amount due from the seller at the time of closing.  The fee will be included on the next water bill mailed to the buyer. 

    1. Acknowledge
    2. Decline
26. Buyer's Information
29. Buyer's Name*
31. Buyer's Mailing Address AFTER the Closing*
33. Buyer's Phone Number*
35. Buyer's ATTORNEY Name*
36. Buyer's ATTORNEY Email Address*
38. Buyer's ATTORNEY Phone Number*
40. Form Submitted By:
42. First Name*
43. Last Name*
45. Phone Number*
47. Email Address*
49. Acknowledgement*

    Please call our office to schedule a closing read at least two days PRIOR to the closing date. One of our Inspectors will meet you at the property , at the scheduled time, to read the meter. Our office phone is 518-456-6474. Hours of operation are Monday through Friday, 7:00am - 3:30pm. 

    1. Acknowledge
    2. Decline
51. Suggestions
Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field