Lien Payoff Request

Business information

Legal business name

Requestor first name

Requestor last name

Phone

Ext.

Confirm email

Service address

Parcel number

Attach documents
Please attach copies (PDF only) of any related documents.

By checking this box, you are electronically signing this request to the Las Vegas Valley Water District. By signing this document, you certify that you are the legal owner or designee of the property identified in the attached documentation. You acknowledge and agree to the Las Vegas Valley Water District's Service Rules. You warrant that the information furnished in the attached documentation to be true and accurate to the best of your knowledge. You agree your electronic signature is the legal equivalent of your handwritten signature. You also agree that no certification authority or other third-party verification is necessary to validate your electronic signature and that the lack of such certification or third-party verification will not in any way affect the enforceability of your electronic signature.

Please verify: