Port Ewen Water/Sewer District
131 River Rd
Ulster Park, NY 12487
845-331-5900
FAX 845-331-5981

FINAL BILL WORKSHEET

This form must be filled out completely and submitted to the Port Ewen Water/Sewer District before a final bill can be issued

Current Owner
Address
Suite/Apt
City
State
ZIP
Phone
Service Address
Property SBL #
New Owner
Address
Suite/Apt
City
State
ZIP
Phone
Requestor
Address
Suite/Apt
City
State
ZIP
Phone
Affiliation
Current Owner   Attorney   Realtor   Title Co.   Other
Date Bill Required
FAX to:
Mail to:
Address
Suite/Apt
City
State
ZIP