REAL ESTATE CLOSING Form

Selling Your Property?

To assist you with compliance with the federal Consumer Financial Protection Bureau’s Closing Disclosure, this form must be completed and received by Aquarion Water Company (AWC) at least ten (10) business days prior to a property closing. AWC will not provide balance information unless a completed request for closing form is received.

For Connecticut customers the final meter reading will be estimated unless an actual reading is provided or unless there have been two or more estimates.

Upon receipt of this form, AWC will prepare and fax the final water bill for the seller to the attorney's fax number. (Note: the seller's account number is located in the upper right corner of the final bill and should be placed on all checks & correspondence.) The bottom portion of the final bill should be returned with the seller's payment. In the event that the closing date is changed or cancelled, please notify AWC immediately in order to avoid billing errors.

Note: If you prefer to download and fax the form back to us rather than complete it online, please use fax number 203-445-7308. For clarity purposes, please type the downloaded form rather than handwrite it.

If you have any questions or difficulty completing the form, please contact us at 203-445-7310 or 1-800-732-9678.

 Seller's Account Number:
 
(Providing the seller's account
number will expedite processing.)
*Date of Closing:
 /   /     (MM/DD/YYYY)  
 
Property Information:
 
    *Property Address 
    *City
    *State
    *Zip
 -   
*Please indicate if property is:
Residential   Multi-family   
Commercial
   
* A $300.00 security deposit will be charged to multi-family accounts and will
   
  appear on the first bill.
Meter Reading
 /   /     (MM/DD/YYYY)  
 
     Current Reading
   
 Note: The final meter reading will be estimated unless an actual read is obtained.
     Please click here for instructions on how to obtain an actual meter reading.
 
               
Seller's Attorney Information
 
    *Last Name
    *First Name
    *Phone
 -   -   Ext.   
    *Fax
 -   -   
     Email:
(We will never disclose your email address)
*Seller's Name:
*Is Property tenant occupied:
Yes   No
*Is the tenant responsible for
the water bill:
Yes   No
*Will the tenant remain in the
property:
Yes   No
Seller's Forwarding Address
     Address
     
     City
     State
     Zip
 -   
     Phone
 -   -   Ext.   
     Tenant Move Out Date:
 /   /     (MM/DD/YYYY)  
 
Buyer's Attorney Information  
    *Last Name
    *First Name
    *Phone
 -   -   Ext.   
    *Fax
 -   -   
    *Email:
(We will never disclose your email address)
Buyer's Mailing Address for Billing  
    *Last Name
    *First Name
     Additional Last / First Name
 
     Last Name (Optional)
     First Name (Optional)
    *Address
     
    *City
    *State
    *Zip
 -   
    *Home Phone or Cell Phone
 -   -   Ext.   
(A valid phone number must be entered. We do not sell or utilitize your number
  for anything other than official Aquarion business, such as a “Code Red” in the
  event of water outages or other emergencies. If you would prefer to not receive
  these calls, please call our call center or email us at CS@aquarionwater.com.
)
     Email:
(We will never disclose your email address)
*Has the buyer ever been an
AWC customer
Yes   No
     Account No.
       or
 
     Property Address
*Is the buyer a business/LLC?
Yes   No
    *Contact Name for LLC:
Mailing Address for LLC:
 Same as Buyer's Mailing Address
    *Address
     
    *City
    *State
    *Zip
 -   
    *Phone
 -   -   Ext.   
     Cell Phone
 -   -   
     Email:
(We will never disclose your email address)
 
 Attachments (Optional):
 
 
 Comments (Optional):
 
Note: * Indicates required fields
 
If property is a foreclosure, please attach a copy of the certificate of
foreclosure or fax to 203-445-7308.  You could also email us at
closings@aquarionwater.com.