Tax Certification, Sewage Letter And/or Municipal Claim Letter Application Form - Ohio Township / Avonworth School District

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OHIO TOWNSHIP / AVONWORTH SCHOOL DISTRICT
TAX CERTIFICATION, SEWAGE LETTER AND/OR MUNICIPAL CLAIM LETTER APPLICATION
PLEASE ENCLOSE PROPER PAYMENT WITH REQUEST & ALLOW (10) BUSINESS DAYS TO PROCESS REQUEST. MUNICIPAL CLAIM,
SEWAGE LETTER, AND TAX CERTIFICATION REQUESTS WILL BE RETURNED IF ALL DATA IS NOT COMPLETED.
KRISTEN PONTELLO - TAX COLLECTOR (Total Fee $___________) - made payable to "Kristen Pontello Tax Collector"
Mail To: 1719 Roosevelt Road
Property Tax Certification: $30.00 Per 3 YRS. / Per Parcel
Pittsburgh, PA 15237
Phone: (412) 528-4858
OHIO TOWNSHIP
(Total Fee $______________) - made payable to: "Ohio Township Sanitary Authority"
SANITARY AUTHORITY
Mail To: 1719 Roosevelt Road
Sewage Letter: $30 Per Parcel
Pittsburgh, PA 15237
Phone: (412) 364-4549
OHIO TOWNSHIP (Total Fee $_________________) - made payable to: "Township of Ohio"
Mail To: 1719 Roosevelt Road
Municipal Claim Letter: $30.00 Per Parcel
Pittsburgh, PA 15237
Phone: (412) 364-6321
Smoke / Dye Test: $30.00 Per Parcel
Application Date:______________________ MUNICIPAL CLAIM LETTER REQUEST:
YES
NO
REFINANCE?
YES
NO
TAX CERTIFICATION LETTER REQUEST
YES
NO
SALE?
YES
NO
TAX CERTIFICATION - LIST YEARS:_____________________________
CLOSING DATE:____________ FILE #:___________ Property Tax Identification Number:______________________
OWNER / SELLER
_____________________________________________ Home Phone #:___________________
Seller's Address
_____________________________________________________________________________
Seller's Social Security #'s_________________________________________ Work Phone #:____________________
Seller's Forwarding Address:_______________________________________________________________________
Property Address:________________________________________________________________________________
Is a structure on this land? YES
NO
Rental Property:
YES
NO Commercial Property:
YES
NO #Units:___________
BUYER'S NAME:________________________________________________________________________________
Buyer's Soc. Sec. #'s:_____________________________________________ Move In Date:____________________
Seller's Agent:___________________________________________________ Phone #:_________________________
Requested By:___________________________________________________Phone #:_________________________
Closing Officer:___________________________________________________ Phone #:_________________________
Closing Company:________________________________________________Phone #:_________________________
Mailing Address:_________________________________________________ Fax #:___________________________
PLEASE ENCLOSE PROPER PAYMENT WITH THIS REQUEST & ALLOW TEN (10) BUSINESS DAYS TO
PROCESS THIS REQUEST. PLEASE NOTE: YOUR REQUEST FOR TAX CERTIFICATION / MUNICIPAL CLAIM
LETTER WILL BE RETURNED AND/OR NOT RELEASED IF ALL DATES AND SOCIAL SECURITY NUMBERS ARE
NOT INCLUDED AND FULLY COMPLETED ON THIS FORM.
PLEASE MAIL TAX CERTIFICATION, SEWAGE AND MUNICIPAL LIEN REQUESTS IN SEPARATE ENVELOPES.
PLEASE INCLUDE ONE (1) SELF-ADDRESSED STAMPED ENVELOPE FOR EACH ENTITY REPLY REQUEST.
NO VERBALS OR FAXED INFORMATION WILL BE ISSUED FROM THIS OFFICE ON ANY REQUEST.
1/4/2016
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