Please note Private Utilities vary from County to County. This is something that is separate from the water bill. This form must be completed by the seller and returned along with the Seller Information Form and Lender Payoff Authorization. The seller will be fully responsible for any private front foot benefit associated with their property.


Re: Property Address:
Our Case #:

Homeowner's/condominium association
Is this Propert subject to a homeowner’s/condominium association?
The fee is:  
    
The management company is:
Name:
Address:
City:
State: Zip:
Phone:

Water/Sewer charges  (This is for the water/sewer hookup, and not for water/sewer usage)
Is this Propert subject to water/sewer charges?
 
The company that collects payment for this is:
Name:
Address:
City:
State: Zip:
Phone:

Private Assessments
Private Front Foot Benefit:  
If Yes:  Name:  Phone:
   
City Taxes:  
If Yes:  City:  Phone:
   
Ground Rent:
If Yes:  Paid To:  Phone:
   
Other Private Assements:
If Yes:  Name:  Phone:
   
Please review your submission. If all the information is correct, press the "Generate Form" button.
 
 

Blank Utilities/HOA Information Request Form (PDF)