Form Rec 4.22 - Residential Property And Owners' Association Disclosure Statement Page 4

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Yes

Representation

33. Are any fees charged by the association or by the association’s management company in connection with the

conveyance or transfer of the lot or property to a new owner? If your answer is “yes,” please state the amount

of the fees:___________________________________________________________________________

___________________________________________________________________________________

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34. As of the date this Disclosure Statement is signed, are there any dues, fees, or special assessments which have

been duly approved as required by the applicable declaration or bylaws, and that are payable to an association

to which the lot is subject? If your answer is “yes,” please state the nature and amount of the dues, fees, or

special assessments to which the property is subject: ____________________________________________

___________________________________________________________________________________

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35. As of the date this Disclosure Statement is signed, are there any unsatisfied judgments against, or pending

lawsuits involving the property or lot to be conveyed? If your answer is “yes,” please state the nature of each

pending lawsuit, and the amount of each unsatisfied judgment:___________________________________

___________________________________________________________________________________

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___________________________________________________________________________________

36. As of the date this Disclosure Statement is signed, are there any unsatisfied judgments against, or pending

lawsuits involving the planned community or the association to which the property and lot are subject, with the

exception of any action filed by the association for the collection of delinquent assessments on lots other than

the property and lot to be conveyed? If your answer is “yes,” please state the nature of each pending lawsuit,

and the amount of each unsatisfied judgment:________________________________________________

___________________________________________________________________________________

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___________________________________________________________________________________

37. Which of the following services and amenities are paid for by the owners’ association(s) identified above

out of the association’s regular assessments (“dues”)? (Check all that apply).

Yes

Representation

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Management Fees..........................................................................................................................................

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Exterior Building Maintenance of Property to be Conveyed........................................................................

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Exterior Yard/Landscaping Maintenance of Lot to be Conveyed.................................................................

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Common Areas Maintenance........................................................................................................................

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Trash Removal..............................................................................................................................................

Recreational Amenity Maintenance (specify amenities covered)___________________________________

___________________________________________________________________________________

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Pest Treatment/Extermination.......................................................................................................................

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Street Lights..................................................................................................................................................

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Water.............................................................................................................................................................

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Sewer............................................................................................................................................................

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Storm water Management/Drainage/Ponds..................................................................................................

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Internet Service.............................................................................................................................................

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Cable.............................................................................................................................................................

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Private Road Maintenance............................................................................................................................

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Parking Area Maintenance............................................................................................................................

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Gate and/or Security......................................................................................................................................

Other: (specify) ______________________________________________________________________________________

___________________________________________________________________________________________________

Owner Initials and Date______________________________

Purchaser Initials and Date____________________________

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