This section for BLB Resources, Inc. use only
BLB Resources Processed by: ________________________ Date:______________
Approved Denied
3P Rev 10-12-16 All previous versions are obsolete. © BLB Resources, Inc. 2016 All rights reserved.
3P: CT, ME, MA, NH, NJ, NY, RI, VT
Property Condition Information
Receipt Addendum
Completed form must be submitted with original contract package upon bid acceptance. Form may also be
required after contract ratification if additional property condition information becomes available. If form is
submitted separately from original contract package, please fax to (248) 301-6647 or email to
3Paddenda@blbresources.com.
FHA Case Number __________________________________
Property Address (include city, state, zip)
______________________________________________________________________________________________________________
Purchaser(s) ______________________________________________________________________________
Selling Broker _____________________________________________________________________________
Selling Agent __________________________________ Agent Phone ________________________________
BLB Resources has provided all available property condition information on this property to the Selling Broker.
Purchaser(s) must initial to indicate receipt of this information, which includes the following:
_____ Property Condition Report (PCR)
_____ Listing Disclosures and Repairs Statement
Acknowledgement and Agreement
By signing below, Selling Broker acknowledges that BLB Resources has provided the property condition
information on this property to Selling Broker, and that Selling Broker has provided this information to the
purchaser(s).
By signing below, Purchaser(s) acknowledge that Selling Broker has provided this information to purchaser(s) and
that Purchaser(s) have reviewed the available property condition information.
________________________________________________________ __________________
Purchaser Signature (Required) Date
________________________________________________________ __________________
Purchaser Signature (Required) Date
________________________________________________________ __________________
Selling Broker Signature (Required) Date