6-D Request Form

There is a $99 fee and please allow 5 Business days for processing.

For Expedited processing in 2 business days, additional $99 fee.

*Required

Please check one *  Sale Refinance

Requested processing time *  5 Business Days Expedited ($99 additional fee)

Date of Request*

Date Required*

Condominium Association Name*

Unit Owner's Name *

Unit Number*

Phone*

E-mail*

Estimated Closing Date*

 The undersigned unit owner hereby authorizes RGR Property Management 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 RGR, in it’s capacity as Agent for the Association or Trust, to the best of it’s knowledge and belief. Information gathered fro sources seemed to be reliable. However, RGR does not warrant or guarantee the accuracy of the information and you are urged to verify this information through other sources. I agree to pay RGR the total amount due for the items requested. I further agree to pay a minimum of $250 in collection costs should RGR be required to pursue collection actions for payment of ordered information.

Type your name for Authorization *