Estimated Final

2. Property Address*

4. Seller*

5. Date*
   Date

6. Final Read Date
   Final Read Date

8. Title Company

10. Address

12. E-Mail

13. Phone

15. Final Invoice

    Should ACWWA send the final invoice to this email address

    1. Yes - send via e-mail

    1. No - send via mail
19. Buyer Information*

    1. Will Occupy

    1. Will Not Occupy

21. Buyer's Name

23. Billing Address

    (if not occupying)

25. Buyer's Phone

26. Buyer's E-Mail

28. Final Payment
    If final payment has not been received within 30 days of the final bill date, the responsibility of the account will be turned over to the new property owner(s). To expedite transfer, please email or fax a copy of the warranty deed at the time of closing. Please complete an Account Authorization Form for owners with Property Managers and/or Tenants.

    If final payment has not been received within 30 days of the final bill date, the responsibility of the account will be turned over to the new property owner(s). To expedite transfer, please email or fax a copy of the warranty deed at the time of closing. Please complete an Account Authorization Form for owners with Property Managers and/or Tenants.

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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field