Resale Certificate Application

Resale Certificate Application

Please call the Accounting Department with any questions. (570)-646-1771 Option 3
If you have any questions about the Resale Certificate Application, click HERE for Frequently Asked Questions.

Member Information
First Name*
Last Name*
Business Name (If Applicable)
Phone Number*
Email Address*
Closing Date*

MonthDayYear
Date
*Please be advised we do take closing date into consideration when processing requests.*

ALCA Property Information
ALCA Address*
Lot, Block, Section*
Are there additional ALCA properties included in this sale? (ie. Greenbelts)*

YesNo
Lot, Block, Section (List all properties, if applicable) *
*Please note, there may be additional resale certificate fees associated with additional lots being sold.*
Property Type*

House with Septic $225.00House with Sewer $300.00Lot $225.00Lot with Sewer $225.00
Crawl Space/Basement Access Information for ASC Sewer Inspection
Please include any pertinent information regarding how ASC can access crawl space/basement to inspect the sewer. This can include codes to padlocks.
In the last 12 months, was this property ever used as a Short-Term Rental?*
In the last 12 months, did this property have a boat rack permit?*

Total Payment Amount*

USDResale Certificate

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country