The Safest Place In Real Estate 5210 Auth Road, Suite 202 Suitland, MD 20746 Office: 240-253-1255 Fax: 301-423-0973
AFFILIATED BUSINESS DISCLOSURE TO: ______________________________ PROPERTY: _______________________________ DATE: ____________________________________
FROM: Haven Realty Centers, LLC.
This is to give you notice that Haven Realty Centers, LLC, has a relationship with the company described below. The below company is either commonly owned by, the owner of or has a business relationship with Haven Realty Centers, LLC. Because of the relationship, this referral may provide Haven Realty Centers, LLC, and/or its owners or the company below with a financial or other benefit. Set forth below is the company related to Haven Realty Centers, LLC, in this area, a brief description of the services provided: Milestone Title, LLC, a full service title company with licenses in Maryland, Virginia and the District of Columbia. Milestone Title and its agents/employees may offer other products and services by other companies not related to Haven Realty Centers, LLC, for which Milestone Title, LLC, may receive a fee from the ultimate funding source. The estimated costs of the settlement service and title insurance associated with your transaction are: Settlement Fee: Title Search: Title Insurance Binder Title Insurance $250.00 - $400.00 $250.00 - $400.00 $ 75.00 Rates for the owner’s title insurance (which may include lender’s coverage) typically are set per $1000.00 of purchase price, and vary with each property.
You are not required to use the above mentioned company as a condition of the purchase, sale or refinancing of the subject property. There are frequently other settlement service providers available with similar services; you are free to research those to determine that you are receiving the best services and the best price for these services. Acknowledgement/Consent I/We have read this disclosure form and understand that Haven Realty Centers, LLC, is referring me/us to purchase the above-describe settlement services from the company above, and that Haven Realty Centers, LLC, and/or its owner(s) and/or Milestone Title, LLC, may receive a financial or other benefit as a result of this referral. ____________________________ Signature - Seller ____________________________ Signature – Seller ____________________________ Signature – Listing Agent Authorized Representative ____________________________ Signature – Buyer _____________________________ Signature – Buyer ______________________________ Signature – Buyer’s Agent or Authorized Representative
9/17/08