Builder Transfer Form | loudounwater.org

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Once your meter is set, the account will reside in the Builders name until the lot is sold and passes a meter crock inspection. Automatically generated pass/fail notifications are sent to the email address provided below after the meter crock inspection. A failed meter crock inspection will result in a Failed Meter Install fee and must be reinspected with a passed status within 30 days of submission. It is the Builders responsibility to submit this form to our Customer Relations to request a transfer of the account into the new owner’s name.

Request Type

Subdivision

Builder Name

Builder Email

Builder Phone Number

If you would like an additional party to receive a confirmation of the Builder Transfer form submittal, please enter their email address:

New Owner First and Last Name

Second Owner First and Last Name

New Owner Email Address

New Owner Phone Number

Lot Number

Service Address

Address 1

City

State

ZIP code

New Mailing Address

Address 1

Address 2

New city

New state

New ZIP code

First Name (#2)

Last Name (#2)

Daytime Phone

Home Phone

Cell Phone

Service Start Date

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