Affiliated Business Arrangement Disclosure Statement



Affiliated Business Arrangement Disclosure Statement

(Required by RESPA)

Property Address: _____________________________________

When you finance and/or close on the purchase or sale of your new home, you will probably need to obtain the services of a title company. Keller Williams of Grand Rapids (“Keller Williams”) suggests that you consider arranging for title services through Grand Rapids Title Company, LLC (“Grand Rapids Title Company”). We believe that you will be well served by this company, as have many of our clients and customers in the past. The Federal Real Estate Settlement Procedures Act requires the disclosure that some Keller Williams principals and licensed real estate agents have a partnership interest in that title company. Their involvement with Grand Rapids Title Company may provide those Keller Williams principals and licensed real estate agents with financial or other benefits.

Here is a list of charges for Grand Rapids Title Company based on a $100,000 title policy:

SERVICES CHARGES

Title Insurance ($100,000 owner’s policy) $635.00

Simultaneous issue ($80,000 mortgage policy) $254.00

The charges stated above will vary depending on the amount of the policy.

YOU ARE NOT REQUIRED TO USE THE SERVICE PROVIDER DESCRIBED IN THIS DISCLOSURE AS A CONDITION FOR THE PURCHASE OR SALE OF THE PROPERTY DESCRIBED ABOVE. We do, however, encourage you to consider the use of Grand Rapids Title Company, LLC

ACKNOWLEDGEMENT

I/we have read this disclosure form and understand that Keller Williams is referring me/us to Grand Rapids Title Company, provider of the above-described settlement services, and that some of Keller Williams’ principals and officers may receive a financial or other benefit as the result of the referral.

__________________________________ ______________________________

Signature Signature

_________________ ___________________

Date Date

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download