CITY OF BREMERTON
Public Works and Utilities - Billing
345 6th Street, Suite 100
Bremerton, WA 98337-1891
Office (360) 473-5316 | Fax (360) 473-2330
Email: billing@ci.bremerton.wa.us
Account No.
* * * PLEASE COMPLETE, SIGN & RETURN * * *
Service Address
Escrow
Closing Date
OWNER CHANGE FORM
I,
, as owner of the above listed property, I am informing you that I have:
Quit Claimed the property to another party.
Inherited property from someone else.
Been informed by the bank that they are foreclosing.
Plans to sell the property. Escrow Company will contact for estimated Final Bill per RCW 60.80.
The Escrow Company is:
Other
The Revised Code of Washington provides that water and sewer charges are charges against the property served. Consequently, you as the new owner may
become liable for unpaid charges not paid by the prior owner. The City will bill the prior owner in an attempt to collect. If after sixty (60) days these charges
have not been paid, the City will transfer the outstanding final charges to the account of the new owner and it will become their responsibility.
If you are adding a tenant or property manager a "Tenant Change" form will be required (separate form).
Fees will be applied for closing and opening of accounts.
Signature
* * * REQUIRED CONTACT INFORMATION * * *
Name:
Last First MI
Date
Rev 12/18
NOTE:
Last First MI
Co-Name:
Mailing Address:
Number/Street/Apt. No. City State Zip
Email:
E-Bill Only
*
Select "Both" to receive a paper and electronic bill
Both*
Cell
Home
Phone:
Cell
Home
Phone:
Changed contact information (mailing address, phone, email).
Purchased the property. Contact information provided below.
The Escrow Company is:
Sold the property. Close account. Prepare and send final bill to me. Forwarding information provided below.
(Print Name)
