Request for charges

A conveyancing certificate lists the current balance of the water and sewerage account. Solicitors or conveyancers can request information on the outstanding charges relating to a property or properties. To complete this form you will need details of the property including suburb, section, block and unit numbers.

Fax Number

Email address

Name of applicant

First name

Surname

Address

Suburb

State

Postcode

Solicitor's number

I certify that

I represent the lessee(s) of the land below and/or
The information provided will be used for conveyancing purposes only.

Signature of applicant

Date

Note: The details of individual accounts are confidential. Unsigned applications will not be processed.

SUBURB

SECTION

BLOCK

UNIT

VENDORS NAME

SOLICITOR REF

OFFICE USE ONLY

Account number

Request for charges

Solicitors number

Amount received

CHEQUES MUST BE PAYABLE TO Icon Water

CHEQUES ACCEPTED SUBJECT TO CLEARANCE

My Home

Request for charges

I certify that