HomeMy WebLinkAboutRESNET Disclosure Form - 6 Smith's Point Rd. YarmouthRESNET HOME ENERGY RATING Standard
Disclosure
For home(s) located at: ________________________________________________________
City:_____________________________________ State:__________________________
Check the applicable disclosure(s) in accordance with the instructions on the reverse of this page:
1 [ ] The Rater or the Rater’s employer is receiving a fee for providing the rating on this home.
2. [ ] In addition to the rating, the Rater or Rater’s employer has also provided the following
consulting services for this home:
[ ] A. Mechanical system design
[ ] B. Moisture control or indoor air quality consulting
[ ] C. Performance testing and/or commissioning other than required for the rating itself
[ ] D. Training for sales or construction personnel
[ ] E. Other (specify)
3. [ ] The Rater or Rater’s employer is:
[ ] A. The seller of this home or their agent
[ ] B. The mortgagor for some portion of the financed payments on this home
[ ] C. An employee, contractor or consultant of the electric and/or natural gas utility serving this
home
4 [ ] The Rater or Rater’s employer is a supplier or installer of products, which may include:
Installed in this home by: OR Is in the business of:
HVAC systems......................................... [ ] Rater [ ] Employer [ ] Rater [ ] Employer
Thermal insulation systems ..................... [ ] Rater [ ] Employer [ ] Rater [ ] Employer
Air sealing of envelope or duct systems . [ ] Rater [ ] Employer [ ] Rater [ ] Employer
Windows or window shading systems..... [ ] Rater [ ] Employer [ ] Rater [ ] Employer
Energy efficient appliances...................... [ ] Rater [ ] Employer [ ] Rater [ ] Employer
Construction (builder, developer, [ ] Rater [ ] Employer [ ] Rater [ ] Employer
construction contractor, etc)
Other (specify):____________________ [ ] Rater [ ] Employer [ ] Rater [ ] Employer
5 [ } This home has been verified under the provisions of Chapter 6, Section 603 “Technical
Requirements for Sampling” of the Mortgage Industry National Home Energy Rating Standard as
set forth by the Residential Energy Services Network (RESNET).
“
________________________
Rater’s Printed Name Certification #
________________________
Rater’s Signature Date
I attest that the above information is true and correct to the best of my knowledge. As a Rater or
Rating Provider I abide by the rating quality control provisions of the Mortgage Industry National
Home Energy Rating Standard as set forth by the Residential Energy Services Network
(RESNET). The national rating quality control provisions of the rating standard are contained in
Chapter One 102.1.4.6 of the standard and are posted at
https://standards.resnet.us
The Home Energy Rating Standard Disclosure for this home is available from the rating
provider.
RESNET Form 03001-2 - Amended March 20, 2017
6 Smith's Point RdYarmouth MA
Chris Picariello
6397177
6/4/2019
RESNET HOME ENERGY RATING Standard
Disclosure Instructions
The “Home Energy Rating Standard Disclosure” form shall be completed for each home that
receives a Home Energy Rating and shall be provided to the rating client who is responsible to
provide a copy to the home owner/buyer.
In the case of “sampling”, sufficient copies shall be distributed to cover all homes in a batch.
Each form must include, at a minimum, the name of the community/subdivision and city and state
where the home is located.
Each form must accurately reflect the proper disclosure for the home that it is rated (i.e. it should
reflect the Rater’s involvement with the home at the time the final rating is issued).
For the purposes of completing this Disclosure, “Rater’s employer” is defined as including any
affiliate entities.
Disclosures:
1 Check this selection if you (the Rater) or your employer is receiving a fee for completing the
rating on this home, regardless of whether the fee is paid directly or by a third party (ie, a utility
program).
2 Check #2 and all that apply under this selection if you or your employer received a fee for
providing design and/or consulting services for this home, or training for the builder or
subcontractors who worked on the home. Specify any other “consulting” services not listed that
may also apply (i.e. services that do not involve the supply or installation of products, as covered
in #4).
3A. Check this selection if you work for a firm that will be the seller of the home (i.e. the
builder/contractor, real estate broker, or real estate agent).
3B. Check this selection if you work for a firm that will provide some portion of financing for the
home (including for upgrade measures and improvements where equipment is financed)
regardless whether it is secured financing or unsecured financing.
3C. Check this selection if you are performing this rating or providing other services for or on
behalf of the electric and/or natural gas utility serving this home, including but not limited to an
investor owned utility or local municipality.
4. Check #4 and all that apply under “installed in this home” if you and/or your employer is
supplying or installing products in this home. Check all that apply under “is in the
business of” if you or your employer is in the business of supplying or installing products
in homes in the general marketplace, but not for the home covered by this disclosure.
Specify any other product category not listed which may also apply.
5. Check # 5 if performing this verification under Chapter 6 of the HERS Standards.