Cascade Metropolitan District No. 1

Cascade Metropolitan District No. 1

Residential Transfer of Service
c/o WSDM Managers, LLC.

3204 N. Academy Blvd. Ste. 100, Colorado Springs, CO 80917

719-447-1777
Instructions: Please complete this application in its entirety and it will be forwarded to our administrative team. Your Social Security Number (SSN) will be used for identification purposes only. You may also apply for service by calling 719-447-1777 during regular business hours. If you do not wish to provide your SSN, you may bring your application to our office location at 3204 N. Academy Blvd. Ste. 100, Colorado Springs, CO 80917. We require all accounts to be set up under the property owners. If this form is not completed and sent to Cascade Metropolitan District for billing purposes the District will utilize El Paso County to obtain Owner information and bills will be sent to the property owner.
Check one of the following*

Commercial PropertyOwner Occupied
Property/ Owner(s) Information
Name*

First NameLegal Last Name
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Would you like to receive email billing?

YesNo
Email*
example@example.com
Closing/ Transfer Date

MonthDayYear
Date
Social Security Number (last four digits)*
Date of Birth*

MonthDayYear
Date
Mailing Address (if different from service address)*
Is your mailing address different from your Property Address?

YesNo
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (residing in the United States, over the age of 18)
Name*
Typically second home owner
Phone Number*
Transfer of Ownership Account $100*

Transfer of Ownership Account - $100Other ( Please Explain)
I hereby certify that I have read the information on this form and understand its contents, ar I have made are accurate to the best of my knowledge.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
Office to Complete below
Account Number
Approved Date

MonthDayYear
Date
Should be Empty:

Cascade Metropolitan District No. 1

Office to Complete below