BCWSA Refinance Request

Any person(s) refinancing or mortgaging a property, located within the Authority’s service territory, needs to fill out an application for a payoff on the form below (“refinance”), at least ten (10) days prior to the refinancing.

* Indicates a required field
Owner of Record*
Property Address (Service Address)*
Address Line One Address Line Two City State Zip Code
Date Request Needed*
MM slash DD slash YYYY
Tax Parcel Number
Title Company Representative*
(or party responsible for final payment)
Title Company Address*
Street Address Address Line 2 City State ZIP Code
Title Company Phone*
Title Company Email*
The cost of an account payoff for refinance is $35.00. Should settlement be cancelled or postponed,
contact our office immediately at 215-343-2538 option 3.
*
- I have read, understood and fully agree to the above terms and charges. Furthermore, the signature below indicates acceptance of full responsibility for the payment of same.
Signature*
Name
This field is for validation purposes and should be left unchanged.