44025 Courtland Dr., Ashburn VA 20147  |  Phone: 703-723-7910  |  Fax: 703-723-4674  |  www.ashburnvillage.org
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DISCLOSURE PACKAGE REQUEST FORM

This form is used to order the appropriate Homeowners Documents for selling your home.  After you complete the form, please foward your payment to the Association Office unless you have chosen to defer payment to settlement.
 
Once the Disclosure Request is received, staff will complete an exterior inspection of your property.  Ashburn Village Community Association will inspect the property as required by the Virginia Property Owner's Association Act, Section 55-509.6.
 
Note to Condominium Owners & Regency Owners:
 
Disclosure packages for condominiums and Regency single-family/townhome/condos must be requested through both Ashburn Village Community Association and your Condo/HOA Management company.

DISCLOSURE PACKAGE OPTIONS

Do you live in Lakeshore Condos, Four Seasons Condos or The Regency? *
Please indicate Disclosure Package option below: *
Please indicate Disclosure Package option below: *
* Electronic and CD copies require reader such as Adobe Reader
** Additional fee for documents delivered within 5 business days of receipt and payment.
Homeowners may request additional copies of the Disclosure Package. Would you like to request additional copies? *
Please select the option for your additional copies of the Disclosure Package. NOTE: There is a $29 fee for each additional PAPER copy of the Disclosure: *

DELIVERY OPTIONS

DELIVERY OPTIONS (Select one): *
Homeowners may request Disclosure Package to be emailed to up to three (3) different email addresses at no additional cost.
Click the CALCULATE button for the Total Amount Due for the Disclosure Package:
$0.00

PAYMENT INFORMATION

PAYMENT (Check one): *
Any additional inspection fees will be posted to the seller's account prior to settlement.
 
By signing below, I understand that under the requirements of the Property Owners Act of Virginia, the Ashburn Village Community Association has fourteen (14) days from the date of receipt of this request to provide such Disclosure Package. If the requested Disclosure Package is not provided within the fourteen (14) day period, a full refund will be provided along with the requested Disclosure Package.
I agree and understand *