Kingstowne Residential Owners Corporation

Disclosure/Resale Packet Request Form
	Selling Your Home? KROC is an integral part of the home sales process as required by the Virginia Property Owners Association Act.

Date Requested

Unit Type		*
	Single Family Townhouse Condominium

Property Address:

Property Owner(s):

Listing Agent:

Listing Agent Phone Number:

Listing Agent Email:

Purchaser:

Purchaser Phone Number:

Purchaser Email:

Sales Agent:

Sales Agent Phone Number:

Sales Agent Email:

Person/Company Requesting Packet:

Email:

Phone Number:

Settlement Company:

Settlement Company Address:

Agent Name:

Phone Number:

Email:

IN WHAT FORMAT WOULD YOU LIKE TO RECEIVE THE DISCLOSURE/RESALE PACKET?

1st Electronic Copy

Unit Price
$125.00

Qty.

Ext. Price
$*

2nd Electronic Copy

Unit Price
$.00

Qty.

Ext. Price
$*

3rd Electronic Copy

Unit Price
$.00

Qty.

Ext. Price
$*

Hardcopy

Unit Price
$150.00

Qty.

Ext. Price
$*

2nd Hardcopy

Unit Price
$.00

Qty.

Ext. Price
$*

3rd Hardcopy

Unit Price
$25.00

Qty.

Ext. Price
$*

Expedited Service provided withing (5) five business days.

Unit Price
$50.00

Qty.

Ext. Price
$*

Inspection fee for Single Family Homes and Town Homes (REQUIRED)

Unit Price
$100.00

Qty.

Ext. Price
$

Standard pricing applies for Overnight (UPS) mail or Standard mail (indicate preferred service).

HOW WOULD YOU LIKE TO RECEIVE THE DISCLOSURE/RESALE PACKET?		*
	Electronic Hardcopy - I/Someone will pick it up. Hardcopy - Mailed overnight or Standard.

If selecting the "Mailed" option, remember to add the cost of the mailing to your total.

If you selected "Electronic" please provide your email address.

Alternate email address:

If you selected "Mailed" please provide the mailing address:

Total: $

Payment Options

Invoice

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