Lien Letter Request

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Lien Letter Request

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Water Service Lien Letter Request Form

Complete the form and mail the check to: West Kittanning Municipal Authority 219 Harrison St Kittanning PA 16201

Lien Letter fee is $25 and payable to West Kittanning Municipal Authority

Today's Date

Name of Company Requesting Water Lien Letter *

Name of Person Requesting Lien Letter

Requestor / Company Address *

Email Address *

Phone Number *

Closing Date *

Reason for Lien

Seller / Current Owner (if refinance): First & Last Name *

Buyer: First & Last Name

Service Address: House Number and Street Name *

Service Address: City, State, and Zip *