§ 4528 – Escrow Disclosure Form

The form for billing disclosures required by Section 4530 shall be in at least 10-point type and substantially the following form:

Charges for Documents Provided
as Required by Section 4525*

The seller may, in accordance with Section 4530 of the Civil Code, provide to the prospective purchaser, at no cost, current copies of any documents specified by Section 4525 that are in the possession of the seller.

A seller may request to purchase some or all of these documents, but shall not be required to purchase ALL of the documents listed on this form.

Property Address: __________________________________________________

Owner of Property: __________________________________________________

Owner’s Mailing Address (if known or different from property address): __________________________________________________

Provider of the Section 4525 Items:

Print Name: _______________________ Position or Title: _____________________ Association or Agent: ________________Date Form Completed: ________________
Check or Complete Applicable Column or Columns Below:

Civil Code Section

Fee For Document

Not Available (N/A) or Not Applicable (N/App), or Directly Provided by Seller and confirmed in writing by Seller as a current document (DP)
Articles of Incorporation or statement that not incorporatedSection 4525(a)(1)
CC&RsSection 4525(a)(1)$
BylawsSection 4525(a)(1)$
Operating RulesSection 4525(a)(1)$
Age restrictions, if anySection 4525(a)(2)$
Rental restrictions, if anySection 4525(a)(9)$
Annual budget report or summary, including reserve studySections 5300 and 4525(a)(3)$
Assessment and reserve funding disclosure summarySections 5300 and 4525(a)(4)$
Financial statement reviewSections 5305 and 4525(a)(3)$
Assessment enforcement policySections 5310 and 4525(a)(4)$
Insurance summarySections 5300 and 4525(a)(3)$
Regular assessmentSection 4525(a)(4)$
Special assessmentSection 4525(a)(4)$
Emergency assessmentSection 4525(a)(4)$
Other unpaid obligations of sellerSections 5675 and 4525(a)(4)$
Approved changes to assessmentsSections 5300 and 4525(a)(4), (8)$
Settlement notice regarding common area defectsSections 4525(a)(6), (7), and 6100$
Preliminary list of defectsSections 4525(a)(6), 6000, and 6100$
Notice(s) of violationSections 5855 and 4525(a)(5)$
Required statement of feesSection 4525$
Minutes of regular board meetings conducted over the previous 12 months, if requestedSection 4525(a)(10)$

Total fees for these documents: $__________________________________________________

* The information provided by this form may not include all fees that may be imposed before the close of escrow. Additional fees that are not related to the requirements of Section 4525 shall be charged separately.

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