Property Closing Statement Request

Property Closing Statement Request

Thank you for submitting your request electronically. This form must be completed and submitted to the Regional Water Authority (RWA) at least 10 days prior to a property closing. We will not provide balance information unless a completed real estate closing form is received. Customers who have had the RWA's Advanced Metering Infrastructure (AMI) device installed will receive an updated reading. Final meter readings will be estimated for all other customers unless an actual reading is provided or the last two or more consecutive bills have been estimated. Upon receiving your completed form, the RWA will prepare and fax the final water bill for the seller to the attorney's fax number. The bottom portion of the final bill should be returned with the seller's payment. In the event that the closing date is changed or cancelled, please notify the RWA immediately to avoid any billing errors. If you have any questions or difficulty completing the form, please contact us at 203-562-4020.

PLEASE NOTE: Buyer contact information is required to ensure appropriate water services.

Beginning May 1, 2023, Buyer phone number will be required on this Property Closing Statement Request.

ATTORNEY INFORMATION

Last Name*

First Name*

Phone*

Fax*

(We will never disclose your email address)

Which party do you represent?*

Seller

Buyer

REQUEST DETAILS

Type of Request

New Request

HUD / TRID / Short Sale

Date Change

Cancellation

Date of Closing*

Time of Closing*

Select or enter value

SELLER'S INFORMATION

RWA 9-digit Account Number for Property Being Sold*

Providing the seller's account number will expedite processing.

Seller's Last Name*

Seller's First Name*

PROPERTY INFORMATION

Property Address*

City*

State*

Zip Code*

Please include Zip+4

Please indicate if property is:*

Single-Family

Multi-Family

Commercial

Is property currently occupied?*

Yes, by Owner

Yes, by Tenant

If not occupied, what was the last date of occupancy?

BUYER'S INFORMATION

Establishing service with the correct property owner information is critical to ensure appropriate water services.

Please be sure to include full legal name(s) of new property owners to match with records filed with the town.

Has the buyer ever been a customer of the RWA?*

Yes

Unknown

Will the buyer reside at the property?*

Yes

Unknown

Is the Buyer a business/LLC or similar entity?*

Yes

New Owner Last Name*

New Owner First Name*

Co-Owner Last Name

Co-Owner First Name

New Owner(s) Full Mailing Address

Address*

City*

State*

Zip*

Please use Zip+4

Phone Number*

Contact information for the new homeowner(s), including a phone number and email, is necessary to ensure appropriate communications about the new water services account.

Please provide a valid Phone Number and Email address for the new property owner(s).

The RWA will not sell phone numbers or utilize contact information for anything other than official RWA business, such as CodeRED alerts in the event of water outages or other emergencies.

Phone

What type of number is this?*

Home

Cell

Other

Email*

ADDITIONAL INFORMATION

Comments, Special Instructions or Paralegal Information

File Attachments (Optional)

Please attach any relevant files below. If the request is for a foreclosure, please attach a copy of the foreclosure certificate.

Drag and drop files here or

PLEASE NOTE:

All contact information provided will only be used to conduct official RWA business activities.

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