HOA Authorization and Release

HOA Authorization and Release
Association*
Property Address*
From/Owner*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Expiration of Authorization*

MonthDayYear
Date
You are hereby authorized and directed to furnish and provide any information available, related to the above referenced property. The information may be provided to: (Check one)

any requesting persons, to include but not limited to lenders, attorneys and/or real estate agentsonly the following specific persons:
Transaction Point of Contact (Name and Ph #)*
Most often this Closing Attorney's office
Specific Persons (Name, Ph #, and email)*
This authorization may include, but is not limited to the following:

·         Owner Account Balances/Amount Due

·         Violation History

·         HOA Documents (Available to the members of the association)

·         HOA Dues and Frequency
I acknowledge there is a fee associated for this service. The initial fee is $175. The fee may be higher depending on the complexities and or time needed to fufill the requst. I understand I am responsible for this fee, and request the fee be added to my account. I uderstand the fee must be paid upon receipt and may incur late fees if the balanace is not paid in full.
I understand I am responsible for this expense. I understand the fee must be paid upon receipt and may incur late fees if the balance is not paid in full.

Expedited Processing - Additional $25 processing fee will be added. Form will be processed once submitted. (Total fee of $200 due no later than 60 days after submission, typically paid at closing.)I request to pay the initial $175 fee prior to processing. (Form will be processed once payment has been made.)
Confirmation of payment MUST be sent via email to Admin@1sourcepm.com or by calling our office at 803-250-1062 prior to this form being processed.
Your Name
(Must be the owner of record or authorized agent)
Signature

Clear
THIS FORM MUST BE NOTARIZED IF NOT SIGNED ELECTRONICALLY
Date*

MonthDayYear
Date
Should be Empty:

HOA Authorization and Release

THIS FORM MUST BE NOTARIZED IF NOT SIGNED ELECTRONICALLY