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WATER CONNECTION ORI NANCE, POLICY AND DISCLOSURE FORM—DRAFT VERSION 08/13/18 <br /> C. A connection fee has not been paid for the above services. <br /> 3. A connection to the municipal water supply is available. <br /> 4. A connection to the municipal water supply is not available. <br /> a. An escrow agreement must be established and attached. <br /> b. Or, the transfer fits into one of the exemptions requiring connection to public water or <br /> sewer. <br /> Exemptions <br /> Yes <br /> No <br /> 1. Is the tract of land vacant (without buildings) or contains no structures with plumbing fixtures? <br /> 2. Is the transfer exempt from the requirement of filing a Certificate of Real Estate Value with the <br /> County Auditor, as described in Minnesota Statutes, section 272.115? <br /> 3. Is the transfer a foreclosure or tax forfeiture?(This subsection applies only for the transfer from <br /> the original mortgagee, to the financial/lending institution or Local Unit of Government.The subsequent <br /> transfer shall meet the requirements of this Chapter.) <br /> 4. Is the transfer a refinance of the property? <br /> 5. Is the sale or transfer to the seller's spouse or ex-spouse? (The sale or transfer may be by deed, <br /> through a joint tenancy, of a testamentary nature, or by trust document.) <br /> 6. Does the sale or transfer complete a contract for deed or purchase agreement entered into <br /> prior to [DATE ORDINANCE IS ENACTED IN] 2018? (This subsection applies only to the original vendor <br /> and vendee on such a contract.) <br /> Signatures (Required by all parties in all cases.) <br /> Date: Seller(s): <br /> Date: Buyer(s): <br /> Date: Closer(s): <br /> Closing Agent's Name Printed, Signature, and Company Name <br /> 77 <br />