Completed Request for Account Final City of Littleton Sewer & Storm

Date of Request

mm/dd/yyyy

Title Company Name

Title Company Attention

Title Company Address

Title Company Phone

Title Company Email

Service Address

Closing Date

Buyer Name

Will Owner Occupy

Mailing Address of New Owner

Forwarding Address for Seller

Other Information Requested

Account Number

Sewer Date to

Sewer Amount

Storm Drain Date from

Storm Drain Date to

Storm Drain Amount

Transfer Fee

Subtotal

Late Fees Amount

15% of Total Due (excluding Transfer Fee)

TOTAL PAID

County Amount

(Payable to the County property resides in)

Comments to Title Company

Collection of Unpaid Sewer and/or Storm Drain

The county treasurer will enforce any delinquent amount by placing a lien on the property and a special assessment in the amount of the balance due plus a county-imposed collection fee will be added to the property taxes. The total amount must be paid to the county before the lien may be removed.

City of Littleton * Finance Department * 2255 W Berry Avenue, Littleton, CO 80120 * 303-795-3772

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