BCWSA Final Sale Request

Final Sale Request Form

Any person(s) selling a property, located within the Authority’s service territory, needs to fill out this application for a final water and/or sewer reading (“certification”), at least ten (10) days prior to the sale of the property.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Owner of Record*

Property Address (Service Address)*

Address Line One Address Line Two City State Zip Code

Tax Parcel Number

The mailing address is the same as the service address*

Seller's Forwarding Address

Address Line One Address Line Two City State Zip Code

Buyer's Name*

Buyer's Phone*

Buyer's Email*

Is the buyer's address the same as the service address?*

Buyer's Address

Street Address Address Line 2 City State ZIP Code

Settlement Date*

Title Company or Representative*

(or party responsible for final payment)

Title Company Address*

Street Address Address Line 2 City State ZIP Code

Title Company Phone Number*

Title Company Email Address*

Seller's Realty Company or Representative*

Realty Company Address*

Street Address Address Line 2 City State ZIP Code

Realty Company Phone Number*

Realty Company Email Address*

Aqua Pennsylvania Service*

If this property is serviced by Aqua Pennsylvania, please email a water meter reading to certifications@favorable-shrike-4a12f8.instawp.xyz the day before settlement.
If you are unable to provide a reading, contact our office for an escrow amount.

Yes

The cost of a final certification is $50.00. This charge applies when you are selling a property.
Should settlement be cancelled or postponed,
contact our office immediately at 215-343-2538 option 3.

I have read, understood, and fully agree to the above terms and charges. Furthermore, the signature below indicates acceptance of full responsibility for the payment of same.

Signature*

Please type your name here to serve as a digital signature: