Please specify which part of your home the issue is occurring and a brief explanation.

 If your issue is an emergency related to the following systems please contact the corresponding phone number for immediate assistance. Refer to page 10 in your warranty manual for other important numbers.

Affiliated Business Arrangement Disclosure Statement Notice

This is to give you notice that Scott Felder Homes, L.L.C ("Builder") has a business relationship with and a 75% ownership interest in Southern Lending Services, Ltd. This referral may provide Scott Felder Homes with a financial or other benefit.

Section [A]

Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT required to use the listed service provider(s) as a condition for your purchase of the subject property. 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 Settlement Service Charge or Range of Charges
Southern Lending Administration Fee $300 - $700
Southern Lending Underwriting Fee $215 - $700
*down payment assistant loans may require an origination fee up to 1% of the loan amount

Acknowledgment

I/We have read this disclosure form, and understand that Builder is referring me/us to purchase the above-described settlement services and may receive a financial or other benefit as the result of this referral.