Disclosure Form - Escrow Charges

CHARGES FOR DOCUMENTS PROVIDED AS REQUIRED BY SECTION 4525*

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

Document

Civil Code

Section

Included

Not Available (N/A) or

Not Applicable (N/App)

Articles of Inc. or statement that not incorporated

4525(a)(1)

CC&Rs

4525(a)(1)

Bylaws

4525(a)(1)

Operating Rules

4525(a)(1)

Age restrictions, if any

4525(a)(2)

Rental restrictions, if any

4525(a)(9)

Annual budget report or summary, including reserve study

5300 and 4525(a)(3)

Assessment and reserve funding disclosure summary

5300 and 4525(a)(4)

Financial statement review

5305 and 4525(a)(3)

Assessment enforcement policy

5310 and 4525(a)(4)

Insurance summary

5300 and 4525(a)(3)

Regular assessment

4525(a)(4)

Special assessment

4525(a)(4)

Emergency assessment

4525(a)(4)

Other unpaid obligations of seller

5675 and 4525(a)(4)

Approved changes to assessments

5300 and 4525(a)(4), (8)

Settlement notice regarding common area defects

4525(a)(6), (7), and 6100

Preliminary list of defects

4525(a)(6), 6000, and 6100

Notice(s) of violation

5855 and 4525(a)(5)

Required statement of fees

4525

Minutes of regular board meetings conducted over the previous 12 months, if requested

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 may be charged separately.

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