Rev. 1/3/24
4880-6698-1502, v. 10
Affiliated Business Arrangement Disclosure Statement
To: ____________________________________________
Property: __________________________________________
From: ____________________________________________
Date: __________________________________________
This is to give you notice that CTRE, L.L.C. doing business as Berkshire Hathaway HomeServices Hudson Valley Properties
(“Berkshire Hathaway HomeServices Hudson Valley Properties”), HomeServices Relocation, LLC, Prosperity Home Mortgage, LLC,
Thoroughbred Title Services, LLC, HomeServices Insurance, Inc. doing business as HomeServices Insurance Agency (“HomeServices
Insurance Agency”), and Title Resources Guaranty Company (“TRG”) are part of a family of companies (the “Affiliated Companies”)
owned by HomeServices of America, Inc. (“HSoA”), and each may refer to you the services of another. Berkshire Hathaway
HomeServices Hudson Valley Properties, HomeServices Relocation, LLC, Prosperity Home Mortgage, LLC, Thoroughbred Title
Services, LLC and HomeServices Insurance Agency, are each wholly owned either directly or indirectly by HSoA. HomeServices Title
Holdings, LLC, a wholly-owned subsidiary of HSoA, indirectly owns 13.5% of TRG. Because of these relationships, the referral of a
customer (including you) by any of the Affiliated Companies to another may provide the referring company, its affiliates, and/or their
employees with a financial or other benefit.
Set forth below is the estimated charge or range of charges for each of the services listed. You are NOT required to use any of these
service providers as a condition of the sale of the subject property or to obtain access to any settlement service.
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.
Service Provider
Service Provided
Charge or Range of Charges
HomeServices Relocation, LLC
Relocation Services
Fees paid by real estate broker
Prosperity Home Mortgage, LLC
Loan Origination and Application
$0 - $1,665 (2% of loan amount on some bond products)
Appraisal
$450 - $2,100
Third Party Fees
$165 - $550 (credit report, tax service, flood cert, technology,
and/or MERS)
Thoroughbred Title Services
(NY only)
Owner’s Policy
(may be provided by TRG)
$342 - $19,148 for purchases between $35,000 and $5M;
For purchases over $5M add $2.48 - $3.25 per $1,000
Lender’s Policy
(may be provided by TRG)
$310 - $15,965 for loans between $35,000 and $5M;
For loans over $5M add $2.08 - $2.71 per $1,000.
Simultaneous issuance of a lender’s policy in an amount less than
or equal to the owner’s policy is calculated at 30% of that rate.
Policy Endorsements
$50 - $200
Recording Service Fees
$50 per document
Additional Searches
$200 - $600 per transaction (includes municipal, bankruptcy,
patriot, etc.)
Escrow Service Fee
$50 per escrow
Survey Fee
$0 - $200
HomeServices Insurance Agency*
Homeowner’s Insurance
$150 - $10,000 plus per year; charges may vary based on
coverage requested and other factors including multi-unit
properties. Flood Insurance is not included in this estimate but
may be available for an additional fee and may be lender required.
ACKNOWLEDGEMENT: I/we have read this disclosure form and understand that the Affiliated Companies may refer me/us to
purchase the above-described settlement service(s) from one another, and that any such referrals may provide the referring company,
its affiliates, and/or their employees with a financial or other benefit.
_________________________________________________ __________________________________________________
Signature (Date) Signature (Date)
* In rare cases, your insurance policy may instead be issued by Long & Foster Insurance Agency, Inc., an affiliate of HomeServices Insurance, Inc.,
or under another of its trade names. HomeServices Insurance, Inc.’s trade names include: Edina Realty Insurance Agency, HomeServices Insurance
Agency, InsuranceSouth, Long Insurance Group, ReeceNichols Insurance and Trident Insurance Agency.