Form Center

2. Read Request Date:*
3. Requested By:*
4. Contact Number of Requestor:*
6. Email of Requestor:*
7. A $50.00 Final Read Will Be Included on the Final Bill
9. Account #:*

   Please include the account number in its entirety, including all the numbers after the dash (-)

10. Reason for Read
    -- Select One --Sale ClosingRefinanceNew Tenant
12. Block
13. Lot
14. Qualifier or Apartment Number
16. Property Owner(s) First and Last Name:*
18. Property Location:*

    Street Address

19. Apt #/Trailer #/Store Unit#:

    Please include if applicable. 

23. Please Select Where the Final Bill Should be Sent:*

    1. Mail
    2. Fax
    3. Email
24. Fax Number for Final Bill
25. Email for Final Bill:
27. Address
28. City
29. State
30. Zip code
32. Signature*
33. Date*
37. For Next Billing

    Tenant names are no longer allowed for residential properties

38. Please Check the Applicable Box

    1. Buyer
    2. New Tenant
40. First Name
41. Last Name
42. Phone Number of Tenant or Buyer
44. Billing Address

    Please Note:  Bills from the Township of Wall will be mailed to the address on the recorded deed unless changed in writing at the Assessor's Office.  

    *New Deeds can take up to 3 months to be recorded and new information transferred to the Township.

45. Additional Information
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field