Settlement Information Request- UAT Sewer

Settlement Information Request

One address per request, requests that include multiple addresses will be rejected. Allow for at least 3 business days for processing.
Person making request

First NameLast Name
Settlement company name
Email

Confirmation Email
Phone Number
Format: (000) 000-0000.
Date of settlement

MonthDayYear
Address of property

Street Address

Street Address Line 2

CityState

Zip Code
Parcel ID
Are you aware of a lien on this property?
Name of seller 1

First NameLast Name
Name of seller 2

First NameLast Name
Name of purchaser 1

First NameLast Name
Name of purchaser 2

First NameLast Name
Email of purchaser
Phone number of purchaser
Format: (000) 000-0000.
Will the purchaser be living at the address?
Please provide billing address

Street Address

Street Address Line 2

CityState

Zip Code
Submission Date

MonthDayYear
Date
Incomplete Request
This request cannot be completed for the following reason(s):

Other
Incomplete Request Comments:
Complete Request
Completed by:

Other
Q1 Sewer
Q2 Sewer
Q3 Sewer
Q4 Sewer
Q1 Sewer Penalty/Int
Q2 Sewer Penalty/Int
Q3 Sewer Penalty/Int
Q4 Sewer Penalty/Int
Q1 Storm
Q2 Storm
Q3 Storm
Q4 Storm
Q1 Storm Penalty/Int
Q2 Storm Penalty/Int
Q3 Storm Penalty/Int
Q4 Storm Penalty/Int
Total owed
This calculates on it's own
Description
Date

MonthDayYear
Date
Upper Allen Township
Status Active
Sewer Resource Email
Amount owed at settlement:
Should be Empty:

Settlement Information Request