Fillable FINAL BILL APPLICATION

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FINAL BILL APPLICATION

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FINAL BILL APPLICATION
A Final Bill Application form must be filled out and returned to us within seven to ten (7-10)
working days prior to the closing date upon the sale of a property.
If you have any questions regarding this matter, please contact Customer Service at 412-255-
2423 (Press 5).
PLEASE NOTE THE FOLLOWING:
1. Final bills are only necessary when there is a sale of a property or when there is a
change of deed/ownership. They should not be requested when a tenant is vacating a
property or when an owner is refinancing.
2. Please note that any active Zipcheck accounts associated with the property in question
will be closed upon receipt of a completed application.
3. Incomplete or incorrect forms will be returned for completion or correction.
4. Final bills will be issued within seven to ten (7-10) working days of the receipt of the
completed application, unless the installation of an automated meter reading device is
necessary.
5. Final Bill Applications will not be taken over the telephone. All requests must be
submitted in writing via a completed form, and only one application per account will be
accepted. (This one application rule does not apply to commercial accounts with more
than one domestic, or domestic and fire line, services.)
6. Please provide the current owner’s account number on the application. If the account
number is not available, please provide the ward, block and lot number.
7. Please provide a meter reading from the internal or crock water meter (black plastic or
copper base); do not read the gas meter.
8. A $20.30 service fee will be assessed to each final bill and is payable at the time of
the closing. Please do not send payment with the Final Bill Application.
9. Please indicate whether you would like the final bill to be faxed, mailed, or picked-up at
PWSA’s 1200 Penn Avenue location.
FINAL BILL APPLICATION
This Application MUST be received seven to ten (7-10 days) prior to closing.
Account Number: _____________________ Ward, Block & Lot: ________________________
Property Address: ____________________________________________________________
City, State, and Zip Code: ______________________________________________________
Final Reading Date: ____ /____ /________ Property Closing Date: ____ /____ /________
Seller’s Real Estate Agent:
______________________________________________________
Agency Address: ______________________________________________________________
Agency Phone Number: ________________________
Current Owner’s Name (Seller): __________________ Phone Number (Seller): ____________
New Owner’s Name (Buyer): ____________________ Phone Number (Buyer): ____________
New Owner’s Billing Address:
___________________________________________________
Complete only if future billing address differs from property address.
Telephone Number for New Owner at the above address (if available): ____________________
Mail or fax final bill to:
_______________________________________________
Hold for pick-up.
*A $20.30 service fee will be assessed to each final water bill.
FINAL WATER METER READING ____ ____ ____ ____ ____ ____ ____
Check if property is/has been vacant. If checked, how long _________________
Requestor’s Signature:________________________________ Date: ____ /____ /_______
Mail or e-mail completed form to:
PWSA
ATTN: FINAL BILLS
1200 Penn Avenue
Pittsburgh, PA 15222
finalbills@pgh2o.com
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FINAL BILL APPLICATION

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Completed 26 October 2020

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