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POA Disclosure Packet Request Form

  1. Website Fillable Form Header
  2. Disclosure Packet Agreement*
    As required by the Virginia Property Owners' Association Act, I hereby request that LRPRA furnish the Association Disclosure Packet for the property indicated above. I understand fees will be collected at settlement. If settlement does not occur within 60 days of delivery of the disclosure packet, the fees become the personal obligation of the property owner and are due immediately. I acknowledge that an inspection of the exterior of the property (except for Condos or East Lake Ridge properties) will be performed and photos of the property will be taken in the preparation of the packet.
  3. Persons on Deed
  4. Format & Delivery
  5. Optional Additional Services
  6. Fee Collection
    Fees will be collected at settlement. If settlement does not occur within 60 days of delivery of the disclosure packet, the fees become the personal obligation of the property owner and are due immediately.
  7. Duplicate / Replacement Packets
    Once the disclosure packet is sent out, duplicate or replacement copies will not be provided. If a duplicate or replacement packet is needed, another POA Disclosure Packet or Update will need to be requested.
  8. Exterior Inspection Agreement*
    I acknowledge that an inspection of the exterior of the property (except for Condos or East Lake Ridge properties) will be performed and photos of the property will be taken in the preparation of the packet.
  9. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. Signature of Seller or Seller's Authorized Agent
  11. Leave This Blank:

  12. This field is not part of the form submission.