HOA Authorization and Release

HOA Authorization and Release
Association*
Property Address*
From/Owner*
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/orreal estate agentsonly the following specific persons:
Transaction Point of Contact (Name and Ph #)*
Most often this Closing Attorney's office
Specific Persons (Name and Ph #)*
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 balnace 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.

I request to pay the initial fee be added to my account. (Form will be processed once payment has been made.)I will pay the fee now using link below. (Form will processed once complete.)I request to pay the fee at closing (additional $25 will be charged to pay at a later date)