Loading
Form preview picture

Get Transfer Application Form For Health Department

SJCHD-03-700B St. Joseph County Health Department Promoting physical and mental health and facilitating the prevention of disease injury and disability for all St. Joseph County residents Property Transfer Application Accurate and Complete Address of Property Transferred Street Address City State Indiana Zip Code Township Type of Property Being Transferred-Check the one that applies Residential Commercial Inspection/Testing Information Provided with this Application-Check those that apply Wastewater Disposal System Septic Inspection Report City Sewer Bill Letter from City Utility Office Water Supply System Water Laboratory report City Water Bill Date transfer closed OR Payment Enclosed 35 -Check the one that applies Business Check Cash Preaddressed and Stamped Envelope Enclosed Yes Cashier s Check No 9th floor County/City Building 227 W. Jefferson Blvd. South Bend IN 46601 574-235-9721 Fax 574-235-9497 Preparer Signature of Preparer Company Represented Date residential and commercial property transfers must be submitted to the buyer at least three 3 days prior to closing and to the Health Department along with this application within five 5 days after closing* Penalties for failing to comply with this Ordinance may be up to 1500 per violation per day. Please contact the Health Department at 574-235-9721 with any questions or unusual situations. Once complete information is received the Health Department will issue a Statement of Compliance within a few working days if a preaddressed and stamped envelope is provided* If no is checked a copy of the Statement of Compliance will not be sent to the applicant but a copy will be kept FOR OFFICE USE ONLY Transaction Certification Date Paid Department Employee. South Bend IN 46601 574-235-9721 Fax 574-235-9497 Preparer Signature of Preparer Company Represented Date residential and commercial property transfers must be submitted to the buyer at least three 3 days prior to closing and to the Health Department along with this application within five 5 days after closing* Penalties for failing to comply with this Ordinance may be up to 1500 per violation per day. Please contact the Health Department at 574-235-9721 with any questions or unusual situations. Once complete information is received the Health Department will issue a Statement of Compliance within a few working days if a preaddressed and stamped envelope is provided* If no is checked a copy of the Statement of Compliance will not be sent to the applicant but a copy will be kept FOR OFFICE USE ONLY Transaction Certification Date Paid Department Employee.

How It Works

online application for transfer in health department rating
4.8Satisfied
58 votes

Tips on how to fill out, edit and sign Compliance online

How to fill out and sign Enclosed online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Legal, tax, business along with other documents require a high level of protection and compliance with the law. Our documents are regularly updated according to the latest legislative changes. Plus, with us, all of the information you include in your Transfer Application Form For Health Department is well-protected from leakage or damage by means of top-notch encryption.

The tips below will help you fill in Transfer Application Form For Health Department easily and quickly:

  1. Open the template in our full-fledged online editor by hitting Get form.
  2. Fill in the requested fields that are marked in yellow.
  3. Hit the arrow with the inscription Next to jump from box to box.
  4. Go to the e-autograph solution to e-sign the form.
  5. Add the relevant date.
  6. Look through the entire template to make sure you have not skipped anything important.
  7. Click Done and download the resulting document.

Our service allows you to take the entire process of submitting legal papers online. For that reason, you save hours (if not days or weeks) and eliminate additional costs. From now on, fill in Transfer Application Form For Health Department from home, office, or even while on the go.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Health department transfer application FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to Transfer Application Form For Health Department

  • facilitating
  • Certification
  • township
  • inspections
  • blvd
  • Applicant
  • prevention
  • Penalties
  • compliance
  • transfers
  • Septic
  • enclosed
  • stamped
  • Documented
  • ordinance
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.