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2. New Owners Information (Buyer)
4. First Name*
5. Last Name*
7. Service Address*
9. Mailing Address*
11. City*
12. State*
13. Zip*
15. Phone*
16. Email Address*
18. The Town of Firestone will not transfer water service or stormwater service into the buyers name without a completed residential water/stormwater application and the required water deposit being received by the Town of Firestone.
22. Current Owners Information (Seller)
24. First Name*
25. Last Name*
27. Mailing Address*
29. City*
30. State*
31. Zip*
33. Phone*
37. Title Company Information
39. Title Company*
41. Contact*
43. Mailing Address*
45. City*
46. State*
47. Zip*
49. Phone*
50. Fax*
54. Closing Date*
56. IMPORTANT NOTICE - PLEASE READ

    
    

    
    

    Please wait for the bill mailed on the fourth of each month.

    
    

    The Utility Department asks that a $100 escrow be held for the address above during the winter months and a $200 escrow be held for the address above during the summer months. If $100 or $200 is not sufficient escrow the Utility Department will contact you by fax with a specific amount listed after receipt of this form.

    
    

    The Utility Department will not contact you further unless a higher escrow amount is needed.

    
    

    If this property is vacant, been foreclosed on, or is in the process of being foreclosed on please call town hall and get a verbal status of the account.

    
    

    The Town of Firestone requires that all new residents fill out a residential water/stormwater application at Town Hall, 9950 Park Avenue  Firestone, CO. 80504. If the water/stormwater application is not completed and submitted with a water deposit a water/stormwater account will not be set up for the new owner. Please understand that water/stormwater will not be transferred out of title companies or sellers' names until the application and deposit are received.

58. Check Here*

    1. I have read and understand the above information
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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit Submit and Print

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