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Lakehaven Ownership Change Form

Steps

1. Step One This section is complete This section is incomplete
2. Seller's Information This section is complete This section is incomplete
3. Buyer/New Owner Information This section is complete This section is incomplete
4. Digital Signature This section is complete This section is incomplete

Step One

Lakehaven Water and Sewer District
31627 1st Avenue S
P.O. Box 4249
Federal Way, WA 98063-4249
Federal Way: 253-941-1516
Tacoma: 253-927-2922
Fax: 253-839-9738
www.lakehaven.org
Today's Date:
Today's Date:
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Seller's Information

Account Number
Service Address
City
State
Zip Code
Seller's First Name
Seller's Last Name
Seller's Forwarding Address
City
State
Zip Code
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Buyer/New Owner Information

Buyer’s First Name
Buyer’s Last Name
Mailing Address (if different than the property address)
City
State
Zip Code
Home Phone Number
Cell Phone Number
Work Phone Number
Email Address
Please provide your email address if you would like us to respond via email.

(If you would like a copy of this form emailed to you, you must enter your email again in the submission section of this form.)
Date of Closing
Date of Closing
Name of Title/Escrow Company
Title/Escrow Phone Number
Note: If you are signed up for auto-pay please call Customer Service 253-941-1516 to avoid excess charges.
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Digital Signature

Signature*
By checking the box below you are agreeing that all the information you provided on the form is correct.
1. I Agree
Date
Date
Print Option
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1. Receive an email copy of this form.
Email address

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253-941-1516