ADDITIONAL NEW YORK DISCLOSURE STATEMENT FOR AFFILIATED RELATIONSHIP

WITH TITLE INSURANCE COMPANY

To: (Buyer)
From:
Coldwell Banker Residential Brokerage
Property:
If this form is being provided to you as the seller then this form refers to the property being sold.
If this form is being provided to you as a buyer or prospective buyer then this form refers to any
property that you may consider purchasing with the assistance of Coldwell Banker Residential
Brokerage.
Date:
This is to give you notice that Coldwell Banker Residential Brokerage. (Broker) has a business relationship with Title
Resource Group Settlement Services, LLC d/b/a Skyline TRG Title Agency (Skyline). Realogy Group LLC
(Realogy) indirectly owns both Broker and Skyline. Specifically, Realogy owns 100% of Realogy Services Group
LLC, which owns 100% of NRT LLC, which owns 100% of Coldwell Banker Residential Brokerage. Realogy Services
Group LLC also owns 100% of Title Resource Group LLC (TRG). Skyline is owned 100% by TRG Settlement
Services, LLP which is owned 99% by Title Resource Group Services LLC and 1% by Title Resource Group LLC.
Because of these relationships, Broker, Skyline, Realogy, Realogy Services Group, LLC, NRT LLC and TRG and/or their
employees or affiliates are likely to receive a financial or other benefit as a result of this referral to Skyline. Any money
or other thing of value received will be based on the recipients financial or other beneficial interest in Skyline, will not
be related to the amount of title insurance business the recipient refers to Skyline, and will not violate New York
Insurance Law sections 2324 or 6409 or the Federal Real Estate Settlement Procedures Act (RESPA). Broker is not
required to refer any specific amount of title insurance business to Skyline, Broker is not the sole source of business for
Skyline, and Skyline has significant and multiple sources of business. TRG will receive 100% of Skylines profit
distributions, Realogy Services Group LLC will receive 100% of TRGs profit distributions, and Realogy will receive
100% of Realogy Services Group LLCs profit distributions. Broker, however, will not receive any compensation or
other thing of value from Skyline.
YOU ARE NOT REQUIRED TO USE THE SERVICES OF SKYLINE AS A CONDITION OF THE PURCHASE OR
SALE OF YOUR 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 TITLE SERVICES AND THE BEST RATE FOR THE TITLE SERVICES.
Set forth below is the estimated charge or range of charges for the settlement services listed:
COMPANY
Title Resource Group
Settlement Services, LLC
d/b/a Skyline TRG Title
Agency

SETTLEMENT SERVICES

ESTIMATE OR RANGE OF CHARGES

Title insurance premium

$7.29 to $3.21 per

thousand dollars of policy coverage.*
*This range of charges covers, as an example, policies from
$100,000.00 to $5,000,000.00, however the cost to you will differ
depending on the policy amount

Acknowledgment of Receipt of Disclosure

I/we have read this disclosure form, and understand that Broker is referring me/us to use the above-described settlement
service provider and that Broker, Skyline, Realogy, Realogy Services Group, LLC, NRT LLC, TRG, and/or their
employees or affiliates are likely to receive a financial or other benefit as a result of this referral.
Buyers Signature

Date

Buyers Signature

Date

L:\A-f\Affiliated Business Disclosure\ADDITIONAL NEW YORK DISCLOSURE 112014.docx

CBRB - Ronkonkoma, 2395 Ocean Ave. Suite 1 Ronkonkoma, NY 11779

Phone: (631)542-5345
Fax: (631)236-1839
Phillip King
Produced with zipForm by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

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