Affiliated business arrangement disclosure
Required disclosure under RESPA.
This is the disclosure required by the Real Estate Settlement Procedures Act of 1974 (RESPA). Read it carefully before choosing a settlement service provider for your transaction.
You are not required to use Allegiance Title as a condition of your transaction.
To
Customer (Buyer, Seller, or Borrower)
From
Allegiance Title Agency, LLC
REALTEAM Real Estate
Property
[Subject property address]
Date of Disclosure
[Date provided at referral]
This is to give you notice that REALTEAM Real Estate (“Referring Party”) has a business relationship with Allegiance Title Agency, LLC (“Provider”). Because of this relationship, this referral may provide the Referring Party a financial or other benefit.
Important notice to customers
Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT REQUIRED to use Allegiance Title Agency, LLC as a condition of the purchase, sale, or refinance of the subject property. THERE ARE FREQUENTLY OTHER SETTLEMENT SERVICE PROVIDERS AVAILABLE WITH SIMILAR SERVICES. YOU ARE FREE TO SHOP AROUND TO DETERMINE THAT YOU ARE RECEIVING THE BEST SERVICES AND THE BEST RATE FOR THESE SERVICES.
Estimated service charges
| Service | Estimated range |
|---|---|
| Title commitment and Owner's title insurance policy | $500 to $4,500+ depending on sale price |
| Closing / Settlement fee | $300 to $500 |
| Document preparation | $75 to $200 |
| Outgoing wire fee | $25 to $50 |
| Recording service fee | $50 to $100 |
| County recording fees | Varies by county and number of pages |
| Title courier / delivery fee | $25 to $75 |
Exact figures for title insurance are filed with the Michigan Department of Insurance and Financial Services and are provided in the title commitment issued for your transaction. Recording fees are set by the county and are subject to change.
Customer acknowledgment
I/we have read this disclosure form and understand that REALTEAM Real Estate is referring me/us to purchase the above-described settlement services and may receive a financial or other benefit as a result of this referral.
Customer signature
Date
Customer signature (co-buyer / co-borrower)
Date
PDF disclosure
Print, sign, and bring to closing.
Your real estate agent at REALTEAM Real Estate will provide a signed copy of this disclosure at the time of the referral. If you need an additional copy before closing, download it below.
PDF opens in a new tab. Print and sign before closing day.
Questions about this disclosure? Contact Allegiance Title