Certificate of Good Standing Request

To ensure that you get the correct certificate, please tell us why you are requesting this.*

For the Condominium Review Board processFor a license or permit applicationOther reason

Do you have a paid final water bill no older than 30 days?

YesNo

All applications for the Condominium Review Board need a paid final water bill no older than 30 days.

To find out how to request a final water bill, please visit https://www.somervillema.gov/departments/dpw/water-and-sewer/final-water-bill

All Certificate of Good Standing requests made for the purposes of obtaining a license or permit must be made through our CitizenServe portal.

Name of Person Requesting Certificate*

First NameLast Name

Email Address of Person Requesting Certificate*

(So that we may contact you regarding this request. We will not sell your email or send you spam.)

Business Location*

Condominium Location*

Location of the condo to be converted

Taxpayer's Home Address*

Taxpayer/Applicant Phone: Day

Taxpayer/Applicant Phone: Evening

Business Name*

Business ID Number

Business Phone*

I (print name) Name* , the undersigned Taxpayer, do hereby certify that all the information contained herein is true and correct and all taxes and fees due to the City of Somerville have been paid or that the Taxpayer has entered into an agreement to pay all taxes and fees and is current on said agreement.

SIGNED UNDER THE PAINS AND PENALTIES OF PERJURY, this Date # (DD)* day of , 20Year # (YY)* .

Signature