Please
read all instructions and then complete the following
information and
Print, Sign, Date and Mail to: |
Incorporated
Village of Farmingdale
PO Box 220
361 Main Street
Farmingdale, NY 11735
(516) 249-0093
www.FarmingdaleVillage.org |
CHANGE OF
OWNERSHIP FOR WATER AND VILLAGE TAX BILLINGS |
Please be advised that on (Date:) |
|
| ownership of premises at
(Address:) |
|
| will be changed to (New Owners:) |
|
| Telephone No.: |
|
Please direct all WATER BILLS to:
|
| Name: |
|
| Address: |
|
Please direct all VILLAGE TAX BILLS
to:
|
| Bank: |
|
| Mortgage No.: |
|
| Other: |
|
______________________________ |
______________________________ |
| Signature |
Dated |
|
|