TO BE FILLED BY A CLOSING AGENT, TITLE COMPANY OR LENDERS

Type of Certificate you are requesting*Estoppel CertificateCondo Questionnaire

CERTIFICATE FEE (SELECT ONE)*Estoppel: $250 (Regular*)Estoppel: $350 (Expedited*)Condo Quest.: $300 (Regular*)Condo Quest.: $350 (Expedited*)

0 + 3 = ? Please prove that you are human by solving the equation *