Required fields are marked with asterisks (*)

Water Ownership Change Form

For Purchase/Sale of Property Only

Note: Water Accounts Cannot be Set Up in Tenant Names

Closing Date

Water/Wastewater Account Number

Property Address

Current Owner

Forwarding Address

Applicant Phone Number

Applicant Email Address

New Owner

Mailing Address

I/we accept full responsibility for payment of all charges associated with water and wastewater services supplied to the above property

Date

Name of Signer

Owner Signature

Clear

Privacy Statement: Personal information collected on this form is collected pursuant to the Municipal Act, 2001 and will be used for the water ownership change form. Questions about the collection of this information should be directed to the Supervisor of Revenue, and can be reached at 519-969-7770 ext 1228.