Real Estate Closing Statement Template
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1
2REAL ESTATE CLOSING STATEMENT
Borough of High Bridge Utility Department - 71 Main Street, High Bridge, NJ 08829
Email: – Fax: (908) 638-9374 – Phone: (908) 638-6455 x4
PLEASE FILL OUT ONLY THE TOP SECTION above the line of stars and email/fax to the Borough
Office no later than two business days before the date of closing. It will be processed and returned to the
fax numbers you provide. Please make ONE check payable to “High Bridge Utilities” and submit with
forms to assure proper application of payment. Solid Waste Stickers: Seller must provide buyer with 2
stickers per week for remainder of the year OR $2.00 per sticker for the necessary number of stickers for the
remainder of the year. Note: Seller must provide a current Smoke Detector Certificate in compliance with NJ
State Law. The Seller must also provide a Continuing Certificate of Occupancy (CCO) Permit at closing (if
occupancy is changing).
Date of Closing: ______________________
NAME OF SELLER:___________________________________________________________________
NAME OF BUYER:____________________________________________________________________
PROPERTY ADDRESS:________________________________________________________________
M
A
(
): ________________________________________________________
AILING
DDRESS
IF DIFFERENT
S
A
: ___________________ A
: _____________________________________
ELLER
TTORNEY
TTENTION
T
#: _________________________ F
: ____________________________________
ELEPHONE
AX
B
A
: __________________________
A
: ____________________________
UYER
TTORNEY
TTENTION
T
#: _________________________ F
: ____________________________________
ELEPHONE
AX
*********************MUNICIPAL USE ONLY BELOW THIS LINE*************************
Utility Account # : ____________________ Property ID: Block_________ Lot ___________________
WATER UTILITY:
Final Reading Taken:____________
Reading: _______________
Prior Reading Taken: ____________
Reading: _______________
Usage (stated in units of 1,000 gallons)
_______________
= $ __________
Open Account Balance
$ __________
(minimum of $15.00 charged for 0 to 1000 gallons of usage to prorate between seller & buyer)
DUE FOR WATER UTILITY from seller……………………………………………….. $___________
SEWER UTILITY
Period of _______________ to ______________
Treatment Fee ($4.45 per unit) based on
water usage to date of reading
$ __________________
Quarterly Treatment Charge: (
$ 80.00
prorate between seller & buyer)
Open Account Balance
$ ____________________
DUE FOR SEWER UTILITY ……………………………………………………………$ ___________
SOLID WASTE UTILITY (Garbage Collection)
Period of _______________ to ______________
Quarterly Charge:
$ 60.00
(prorate between seller & buyer)
Open Account Balance
$ ____________________
DUE FOR SOLID WASTE UTILITY …………………………………………………...$ ___________
(form revised 12/2015) – DPW Fax: (908) 638-6772
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