Rush Notary

Stedman, NC · Cumberland County

No notary required

Lockbox Request Form

Property owners use this form to request that the Town of Stedman lock down a water tap at their property.

What this form is

The form lets a property owner request that a water tap be locked down and confirms the owner understands the account must be paid in full, including the final bill and a $25 disconnection fee. It asks for the owner’s name, the address to lock down, mailing address, reason, signature, and date. It also notes a $50 reconnection fee if the tap is later reconnected.

Who needs it

A property owner who wants the Town of Stedman to lock down a water tap should complete and sign this form.

How to submit it

The request can be emailed to [email protected]. The form lists the Town of Stedman at 5110 Front Street, PO Box 220, Stedman, NC 28391.

About notarization

This form is signed and dated without a notary; it lists no notarized or sworn attachment, so the property owner just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Town of Stedman Lockbox Request Form.

  2. 2

    Complete The Form

    Enter the owner’s name, tap address, mailing address, and reason for the lock-down.

  3. 3

    Sign And Date

    The property owner signs and dates the form.

  4. 4

    Send The Request

    Email the request to [email protected].

Frequently asked questions

What does the Lockbox Request Form do?
It lets a property owner request that the Town of Stedman lock down a water tap and confirms the owner understands the account and fee terms stated on the form.
Do I need a notary for the Lockbox Request Form?
No. The form is signed and dated without a notary. It lists no notarized or sworn attachment, so the property owner just signs and dates it.
How do I submit the Lockbox Request Form?
The form says the request can be emailed to [email protected]. It also lists the Town of Stedman’s street and mailing addresses.

Need something notarized?

This Lockbox Request Form doesn’t need a notary — but if you have another Stedman form that does, a commissioned online notary can help.