§4528 – Billing Disclosure Form

The form for billing disclosures required by Section 4530 shall be in 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 §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 Incorporation, 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)    
Pro Forma Operating Budget 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 meetings of the board of directors conducted over 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 §4525 may be charged separately.