Please complete all fields below. Required fields are denoted with an asterisk (*).
NOTE: THIS SERVES AS A REQUEST FOR A STATEMENT OF OUTSTANDING WATER/SEWER CHARGES, LATE FEES, PENALTIES AND INTEREST (AS APPLICABLE) ASSOCIATED WITH THE PROPERTY LISTED ABOVE. PAYMENT IN FULL OF THE TOTAL PAY-OFF AMOUNT IS REQUIRED TO EXTINGUISH LIENS ON THE PROPERTY FOR OUTSTANDING WATER/SEWER CHARGES. PAYMENT MAY ALSO BE REQUIRED AS A CONDITION OF ESTABLISHING NEW SERVICE TO THE PROPERTY. THE PAY-OFF AMOUNT IS ONLY VALID FOR 30 DAYS FROM THE DATE OF THE STATEMENT OF CHARGES. THE CITY OF ATLANTA WILL NOT BE RESPONSBLE FOR INCORRECT OR INCOMPLETE PAY-OFF AMOUNTS DUE TO THE FAILURE OF A REQUESTING PARTY TO PROVIDE CORRECT OR INCOMPLETE PROPERTY INFORMATION. A $10.00 CHECK OR MONEY ORDER PAYABLE TO THE CITY OF ATLANTA MUST BE SUBMITTED WITH THIS FORM TO PROCESS REQUEST AND MAILED TO ATT: FINANCE DEPARTMENT 9TH FLOOR, 72 MARIETTA STREET, ATLANTA GA 30303
You are aware that there is a FIFA on this property, please submit your request.
Click for more information.
*
*