Property Closing Information

Complete Form Online:
In order for us to better serve you, please complete the online Property Closing Informationa Form and click "submit".

Download Form:
View as PDF

Mail Forms To:
GNHWPCA
260 East Street
New Haven, CT 06511
Attn: Customer Service

Fax Forms To:
Fax: 203-776-2196

Email Forms To:
Email: customerservice

Greater New Haven Water Pollution Control Authority 260 East St, New Haven, CT 06511-5839 Phone (203) 776-3570 Fax (203) 776-2196

Closed:					Updated:

Closing Statement (Sewer Use Charges)			Make Checks Payable to GNHWPCA
Town/City:			Reason:	Sale
Closing Date:		Date Inquired:		Account:

Service Address
Street Number/ Name:
City:		State:		Zip Code+4:
Billing Name:

Buyer's Attorney			Seller's Attorney
Name:			Name:
Phone:			Phone:
Fax:			Fax:

Buyer 1	Driver License #				State:
Name:
Address:
City:		State:		Zip Code+4:

Buyer 2	Driver License #				State:
Name:
Address:
City:		State:		Zip Code+4:

Billing Information
Type:	Status:		Elderly Credit:		Well Water:
If Status is "Finalled" Enter Date:
Account In Collection?			Coll. Agency:
Current Charges:			From:		To:
Previous Balance:			From:		To:
Payments/Credits:
Lien Fees:
Current Interest:			As of:
Legal Fees/Costs:

Total Due			Average Per Diem:
			From:		To:

Information Given To			Buyer/Seller:

Information Provided By

260 East Street, New Haven, CT 06511

Phone: 203.466.5280 l Fax: 203.466.5286