(a) Date of issuance:
(b) Name(s) of the parcel owner(s) as reflected in the books and records of the association:
(c) Parcel designation and address:
(d) Parking or garage space number, as reflected in the books and records of the association:
(e) Attorney’s name and contact information if the account is delinquent and has been turned over to an attorney for collection. No fee may be charged for this information.
(f) Fee for the preparation and delivery of the estoppel certificate:
(g) Name of the requestor:
(h) Assessment information and other information:
1. The regular periodic assessment levied against the parcel is $  per   (insert frequency of payment)  .
2. The regular periodic assessment is paid through   (insert date paid through)  .
3. The next installment of the regular periodic assessment is due   (insert due date)   in the amount of $ .
4. An itemized list of all assessments, special assessments, and other moneys owed on the date of issuance to the association by the parcel owner for a specific parcel is provided.
5. An itemized list of any additional assessments, special assessments, and other moneys that are scheduled to become due for each day after the date of issuance for the effective period of the estoppel certificate is provided. In calculating the amounts that are scheduled to become due, the association may assume that any delinquent amounts will remain delinquent during the effective period of the estoppel certificate.
6. Is there a capital contribution fee, resale fee, transfer fee, or other fee due?   (Yes)    (No)  . If yes, specify the type and amount of the fee.
7. Is there any open violation of rule or regulation noticed to the parcel owner in the association official records?   (Yes)    (No)  .
8. Do the rules and regulations of the association applicable to the parcel require approval by the board of directors of the association for the transfer of the parcel?   (Yes)    (No)  . If yes, has the board approved the transfer of the parcel?   (Yes)    (No)  .
9. Is there a right of first refusal provided to the members or the association?   (Yes)    (No)  . If yes, have the members or the association exercised that right of first refusal?   (Yes)    (No)  .
10. Provide a list of, and contact information for, all other associations of which the parcel is a member.
11. Provide contact information for all insurance maintained by the association.
12. Provide the signature of an officer or authorized agent of the association.
The association, at its option, may include additional information in the estoppel certificate.
Terms Used In Florida Statutes 720.30851
- association: means a Florida corporation responsible for the operation of a community or a mobile home subdivision in which the voting membership is made up of parcel owners or their agents, or a combination thereof, and in which membership is a mandatory condition of parcel ownership, and which is authorized to impose assessments that, if unpaid, may become a lien on the parcel. See N.Y. Public Health Law 2954 - Limitation On Liability of Network Participants
- Department: means the Department of Business and Professional Regulation. See N.Y. Public Health Law 2954 - Limitation On Liability of Network Participants
- Member: means a member of an association, and may include, but is not limited to, a parcel owner or an association representing parcel owners or a combination thereof, and includes any person or entity obligated by the governing documents to pay an assessment or amenity fee. See N.Y. Public Health Law 2954 - Limitation On Liability of Network Participants
- Parcel: means a platted or unplatted lot, tract, unit, or other subdivision of real property within a community, as described in the declaration:(a) Which is capable of separate conveyance; and(b) Of which the parcel owner, or an association in which the parcel owner must be a member, is obligated:1. See N.Y. Public Health Law 2954 - Limitation On Liability of Network Participants
- Parcel owner: means the record owner of legal title to a parcel. See N.Y. Public Health Law 2954 - Limitation On Liability of Network Participants
- person: includes individuals, children, firms, associations, joint adventures, partnerships, estates, trusts, business trusts, syndicates, fiduciaries, corporations, and all other groups or combinations. See N.Y. Education Law 661 - Eligibility requirements and conditions governing awards and loans(b) For 26 to 50 parcels, $1,000.(c) For 51 to 100 parcels, $1,500.(d) For more than 100 parcels, $2,500.(8) The authority to charge a fee for the preparation and delivery of the estoppel certificate must be established by a written resolution adopted by the board or provided by a written management, bookkeeping, or maintenance contract and is payable upon the preparation of the certificate. If the certificate is requested in conjunction with the sale or mortgage of a parcel but the closing does not occur and no later than 30 days after the closing date for which the certificate was sought the preparer receives a written request, accompanied by reasonable documentation, that the sale did not occur from a payor that is not the parcel owner, the fee shall be refunded to that payor within 30 days after receipt of the request. The refund is the obligation of the parcel owner, and the association may collect it from that owner in the same manner as an assessment as provided in this section. The right to reimbursement may not be waived or modified by any contract or agreement. The prevailing party in any action brought to enforce a right of reimbursement shall be awarded damages and all applicable attorney fees and costs.(9) The fees specified in this section shall be adjusted every 5 years in an amount equal to the total of the annual increases for that 5-year period in the Consumer Price Index for All Urban Consumers, U.S. City Average, All Items. The Department of Business and Professional Regulation shall periodically calculate the fees, rounded to the nearest dollar, and publish the amounts, as adjusted, on its website.