Seller's Utilities Information Form

If you are selling your home and you are working with Maine Real Estate Choice, please fill out this form and submit it to us. This will greatly help smooth the transition to the new owners.

*Your Name:

*Your Email:

*Property Address:

Central Maine Power electric (1-800-750-4000) name & acct#:

Association Name:

Association President Name:

Association President Phone:

Property has own dock on Association Waterfront?       Yes       No

If yes, Dock #:

Property shares a dock on Association Waterfront?       Yes       No

If yes, Dock #:

Property will be on a waiting list for one of the above:       Yes       No

Property has no dock privileges:       True       False

Property currently has a mooring:       Yes       No

Mooring or ability to put mooring is not available:       True       False

Do you have Flood Insurance?       Yes       No

Can you provide a copy of Flood Certificate?       Yes       No

Are you a non-resident of Maine & will claim a gain on the property being sold?
      Yes       No

Have you granted access to the property for snowmobiles, ATV's, horses, or any egress to cross your property and are there any cemeteries on the property?
      Yes       No

If yes, please explain:

Telephone service is supplied by:

Tel #:

Propane gas is supplied by:

Tel #:

Oil is currently supplied by:

Tel #:

Cable service is supplied by:

Tel #:

Trash service is supplied by:

Tel #:

Water service is supplied by:

Tel #:

Sewer dept. for the town is:

Tel #:

Snow plowing is done by:

Tel #:

Lawn care is done by:

Tel #:

Current insurance provider is:

Tel #:

Additional useful information: