6D Form - Refinance Request | Crowninshield Corporation

(Part 2)

** Upon completion of the form below, your request will be processed. **

Date Requested *

Property Name *

Closing Date

Property Address *

Property Address

City

State/Province

Zip/Postal

Please check off which document you are requesting: (Charges) *

6(d) Certificate - $75.00

Mortgage Questionnaire - $75.00

Condominium Documents - $75.00

RUSH SERVICE - $100.00

RE-ISSUE FEE FOR EXPIRED 6D - $50.00

Meeting Minutes From Prior Three Months - $100.00

Meeting Minutes From Prior Six Months - $150.00

Bundled Package (Mortgage Questionnaire, Minutes, & Current Budget) - $175.00

Total Price

Unit Owner's Information:

Unit Owner Name(s) *

Unit Owner's Tel # *

New Mortgage Information:

Bank Name *

Bank Address

Bank Tel #

Completed Documents should be sent to: (most documents can be emailed) *

Will pick-up when ready?

Yes

Name for pick-up *

Phone number for pick-up *

The undersigned owner(s) hereby authorizes Crowninshield Management Corporation (CMC) to release information in all matters concerning the unit and the association, including pending litigation (if any). Information in reference to this transaction is being provided by CMC, in its capacity as Agent for the Association or Trust to the best of its knowledge and belief. Information is gathered from sources deemed to be reliable, however, CMC does not warrant or guarantee the accuracy of the information and you are urged to verify this information through other sources. All documents requested will take 6 to 10 business days from the date of receipt to be issued unless rush service has been paid.

Signature of Unit Owner *

Print Name *

Date *

Payment

First Name *

Last Name *

Email

Billing Address

City

State/Province

Zip/Postal

Credit Card *

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