Allegan County ‐ Office of the Drain Commissioner 113 Chestnut Street Allegan, MI 49010 (269) 673‐0440 (269) 673‐0396 Fax Date: ______________________ Attention: Payoff requests WILL NOT BE GIVEN OVER THE PHONE . All requests must be in writing. DRAIN ASSESSMENT PAYOFF REQUEST Company Name: Address: City, State, ZIP Code Contact Name Contact Phone # E‐mail address Fax # PARCEL NUMBER PROPERTY ADDRESS REQUESTED PAYOFF DATE (if known) DRAIN NAME (if known) DRAIN NUMBER (Drain Office Use Only) PAYOFF AMOUNT DUE: Years Paid: THRU: Years Remaining Total Years: PARCEL NUMBER PROPERTY ADDRESS REQUESTED PAYOFF DATE (if known) DRAIN NAME (if known) DRAIN NUMBER (Drain Office Use Only) PAYOFF AMOUNT DUE: Years Paid: THRU: Years Remaining Total Years: PARCEL NUMBER PROPERTY ADDRESS REQUESTED PAYOFF DATE (if known) DRAIN NAME (if known) DRAIN NUMBER (Drain Office Use Only) PAYOFF AMOUNT DUE: Years Paid: THRU: Years Remaining Total Years: ATTENTION: Payoff requests WILL NOT BE GIVEN OVER THE PHONE. Methods to submit form: drain@allegancounty.org OR Fax (269) 673‐0396 Requests must be received 48 hours in advance and will be answered on Monday ‐ Wednesday ‐ Friday The Annual Assessment Summary report is available on the County's website on the Drain Office webpage. The report will display all drains assessed in that specific year and if the drain is a multi‐year assessment. (www.allegancounty.org)