Disclosure Statement Request Form

Applicant

Lot #
CTS #
Owners Name^*
Property Name
Property Address
Phone
Mobile
Fax
Email^*
Disclosure Faxed to:
Disclosure Posted to:

Information for Disclosure Statement including current Community Management Statement

$220.00 FOR 72 HOUR SERVICE, AFTER RECEIPT OF PAYMENT

Please note proof of payment is required prior to Capitol processing your Disclosure Statement request. Proof of payment can be emailed to the Capitol accounts team via team@capitolbca.com.au.

Payment Method

Bank Transfer MACQUARIE BANK LIMITED, BSB: 184-446, A/C: 2237 71528
Pay by Credit Card or PayPal You will be directed to a PayPal payment once completing form
** Please note that when paying by PayPal an additional charge of 2.4% and 43 cents per transaction will be incurred. These rates are subject to change by the Financial Insitution.

I UNDERSTAND THAT THE STATEMENT WILL BE PROVIDED WITHIN 72 HOURS AFTER RECEIPT OF PAYMENT AND THAT ADDITIONAL CHARGES APPLY WHEN PAYING BY CREDIT CARD.
Notes

Enter Answer:^*