Modena, PA · Chester County

No notary required

Request for Sewer and Refuse Certification

Property owners or requestors use this form to ask the Borough of Modena for sewer and refuse fee certification information.

What this form is

Use this request to ask the Borough of Modena to certify whether sewer or refuse fees are due for a property. The form asks for owner and parcel details, the property address, requestor contact information, delivery preference, and which certification is requested. The form states a $50 certificate cost per request and provides borough certification fields for fees due, past-due registration, or collection accounts.

Who needs it

A property owner or other requestor seeking sewer or refuse certification information from the Borough of Modena should complete this form.

How to submit it

Submit the application to [email protected], mail it, or drop it at the office at 5 Woodland Ave, Coatesville, PA 19320. The form states a $50 certificate cost per request, payable by check or credit card, with a 3% credit-card transaction fee.

About notarization

This document has no notary block; the borough certifier signs and dates the certification, and the requestor has no signature field.

How to submit this form

  1. 1

    Download The Form

    Download the Borough of Modena Request for Sewer and Refuse Certification.

  2. 2

    Complete The Request

    Enter the property, parcel, and requestor details, choose how to receive the information, and select sewer or refuse certification.

  3. 3

    Review The Form

    The form lists no required attachments; check that your information and selected certification are complete.

  4. 4

    Submit To The Borough

    Email, mail, or drop off the request using the contact details printed on the form, and pay the stated certificate cost.

Frequently asked questions

Do I need a notary for the Request for Sewer and Refuse Certification?
No. This form has no notary block or requestor signature field; the borough certifier signs and dates the certification.
How do I submit the sewer and refuse certification request?
Email it to [email protected], mail it, or drop it at the office at 5 Woodland Ave, Coatesville, PA 19320.
What information does the request form ask for?
It asks for property owner and parcel information, the property address, requestor name and phone number, delivery preference, email or mailing address, and whether sewer or refuse information is requested.
What is the certificate cost?
The form states a $50 certificate cost per request, payable by check or credit card. A 3% fee applies per credit-card transaction.

Need something notarized?

This Request for Sewer and Refuse Certification doesn’t need a notary — but if you have another Modena form that does, a commissioned online notary can help.