Sewer Assessment Request Form Title Company NameStreet AddressPhoneFaxCloser/Processor:Today's DateClosing DateSeller/BuilderProperty Address(Street Address and Zip)Seller Forwarding Address(Street Address and Zip)SubdivisionPlat #Lot #BuyerCoBuyerBuyer Phone #Billing Address(if different from Property Address): Include Street Address, City, State and ZipDuckett Creek prorates the amount of money to be collected through the closing date. The assessment amount is to be collected from the Seller at closing. Please notify Duckett Creek of changes in the closing date or if the closing is cancelled. Please return a copy of the assessment with remittance to assure proper credit for the customer. Send Message
