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2. New Owners Information (Buyer)
4. First Name*
5. Last Name*
7. Service Address*
9. Mailing Address*
11. City*
12. State*
13. Zip*
15. Phone*
16. Email Address*

18. The Town of Firestone will not transfer water service or stormwater service into the buyers' name without a completed residential water/stormwater application and the required water deposit is received by the Town of Firestone. Complete that form here.

22. Current Owners Information (Seller)
24. First Name*
25. Last Name*
27. Mailing Address*
29. City*
30. State*
31. Zip*
33. Phone*
37. Title Company Information
39. Title Company*
40. Contact*
42. Email Address:*
43. Copy of Final Water Bill*

    As the title company, please let us know how you would like to receive a copy of the final water bill.

    1. Mailed
    2. E-mailed
45. Mailing Address*
47. City*
48. State*
49. Zip*
51. Phone*
52. Fax*
56. Closing Date*
58. IMPORTANT NOTICE - PLEASE READ
    • Please wait for the bill to be mailed on the fourth of each month.
    • If this property is vacant, has been foreclosed on, or is in the process of being foreclosed on, please call Town Hall and get a verbal status of the account.
    • The Town of Firestone requires that all new residents fill out a residential water/stormwater application at Town Hall, 9950 Park Avenue, Firestone, CO. 80504. If the water/stormwater application is not completed and submitted with a water deposit, a water/stormwater account will not be set up for the new owner. Please understand that water/stormwater will not be transferred out of title company's or sellers' names until the application and deposit are received.
60. Check Here*

    1. I have read and understand the above information
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

* indicates a required field