Final Water Bill Request Form
City of Somerville, MA
Account #
*
Property Type
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Select One:
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Sale of Property
Condo Conversion
Date of Request
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/
Month
/
Day
Year
Date
Property Address
*
Seller(s) Name
*
Seller(s) Email
*
Forwarding Mailing Address
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Street Address, City, State ZIP
Buyer(s) Name
*
Buyer(s) Mailing Address
*
Street Address, City, State ZIP
Buyer(s) Telephone
*
Buyer(s) Email
*
example@example.com
Closing Date
*
/
Month
/
Day
Year
Date
PLEASE NOTE: Requests sent three days (3) prior to closing will be charged a $25 fee. Requests sent after this window will be charged $50. Final bills will be emailed to the email addresses provided. Final bills must be paid at the Treasurer's Office at City Hall (93 Highland Ave.)
Realtor Information
Realtor's Name
*
Realtor's Company
*
Realtor's Phone
*
Realtor's Email
*
example@example.com
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