DC Litter Lien Form 1

Date: _____________________________ VIA FAX: (202) 727-3768

District of Columbia

Public Space Adjudication

Attn: Ms. Short

RE: Square ___________, Lot ________

_______________________________

_______________________________

File No: _______________________

Dear Ms. Short:

Please provide us with the amounts of any charges due or pending for the above captioned property at your earliest convenience in connection with settlement on the sale of the property scheduled for ________________________________.

Please call me at _________________________ or fax to ________________________. If you have any questions regarding this request, please contact me at the above number. Thank you for your prompt attention to this matter.

Sincerely,

___________________________

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