Harwich Water Department

Account Transfer Information

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* - required SELLER'S INFORMATION *Name: *Property: *Agent: *Agency: *Telephone #: - - Fax #: - - BUYER'S INFORMATION *Closing Date: Jan Feb March April May June July Aug Sep Oct Nov Dec / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2007 2008 2009 *Name: *Billing Address: *City/Town: *State: [Select] Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Zip/Postal Code: *Telephone #: - -