Resale Certificate / Disclosure Form – Pleasant Pointe

Real Estate Agents and Brokers, in order to request a Resale Certificate:

Resale Certificate Request Form

PLEASANT POINTE

To request a Resale Certificate, complete and submit this form with the required payment, in accordance with Va. Code 55.1-2310.

PROPERTY ADDRESS:

City:

State:

Zip

PROPERTY LOT #:

CURRENT OWNER:
Address:

City:

State:

Zip:

REQUESTOR, if other than PURCHASER:

REQUESTOR, if other than PURCHASER:

First Name

First Name

Last Name

Last Name

Requestor Email

Address:

City:

State:

Zip:

CLOSING ATTORNEY or SETTLEMENT AGENT:

CLOSING ATTORNEY or SETTLEMENT AGENT:

First Name

First Name

Last Name

Last Name

Closing Attorney or Settlement Agent Email

Address:

City:

State:

Zip:

DELIVERY OF RESALE CERTIFICATE:
Select:

Delivery by Email $100

Delivery by Hardcopy (mailed) $100

Additional fees may apply for other requests, including but limited to, expedited delivery, multiple distribution destinations, etc.

Within fourteen (14) calendar days of receiving a request, PPPOA will deliver a Resale Certificate.

Make check payable to “PPPOA” and mail to:
PPPOA, Post Office Box 65, Heathsville, Virginia 22473.

I understand the payment of the required fees must be received in advance of the Resale Certificate being provided.

Signature:

If you are human, leave this field blank.

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