Fill and Sign the Sample Group B Water System Management Agreement Water Form

RETURN ADDRESS _______________________________ _______________________________ _______________________________ Please print neatly or type information Document Title(s) ____________________________________ ___________________________ Reference Number(s) of related documents: ____________________________________ ____________________________ Additional Reference #’s on page ____ Grantor(s) (Last name, First name and Middle Initial) _____________________________________ ___________________________ Additional grantors on page ____ Grantee(s) (Last name, First name and Middle Initial) _____________________________________ ___________________________ Additional grantees on page ____ Legal Description: (abbreviated form: i.e. lot, block, plat or section township, range, quarter/quarter) _____________________________________ ___________________________ Additional legal is on page ___ Assessor’s Property Tax Parcel/Account Number ____________________ _________________________ ___________________ Additional parcel #’s on page ___ The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document to verify the accuracy or completeness of the indexing information provided herein. I am requesting an emergency nonstandard recording for an additional fee as provided in RCW 36.18.010. I understand that the recording process may cover up or otherwise obscure some part of the text of the original document. ________________________________________ Signature of Requesting Party