Affiliated Business Arrangement Disclosure Statement

Provided in accordance with the Real Estate Settlement Procedures Act (RESPA) 12 CFR Part 1024 Appendix D.

To (Consumer):

Clients and Prospective Clients of Babylon Realty

From (Referring Party):

Qureshi Real Estate Agency LLC dba Babylon Realty

This is to give you notice that Qureshi Real Estate Agency LLC (dba Babylon Realty) has a business relationship with Qureshi Insurance Agency LLC and Sam Qureshi (legal name: Sajjad Qureshi), an authorized independent contractor agent representing Farmers Insurance.

Specifically, Sam Qureshi is the Managing Broker and owner of Qureshi Real Estate Agency LLC and also the owner and appointed agent of Qureshi Insurance Agency LLC. Because of this relationship, a referral of a consumer to Qureshi Insurance Agency LLC or Farmers Insurance by Babylon Realty may provide Sam Qureshi and/or Qureshi Insurance Agency LLC a financial or other benefit.

Estimated Charges for Settlement Services

Set forth below is the estimated charge or range of charges for the settlement services listed. You are NOT required to use the listed provider as a condition for settlement of your loan on or purchase, sale, or refinance of the subject property.

Provider: Qureshi Insurance Agency LLC (Farmers Insurance)

Homeowners/Hazard Insurance: Standard market premiums determined strictly by Farmers Insurance underwriting based on coverage limits, property rating factors, and deductibles selected. Typically $800 - $3,500+ annually.
Flood Insurance (if applicable): Standard NFIP or private market rates.

Notice of Freedom of Choice

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 SERVICES AND THE BEST RATE FOR THESE SERVICES.

Acknowledgment: By utilizing the services of Babylon Realty or requesting an insurance quote via this website, you acknowledge that you have read this disclosure form, and understand that Babylon Realty is referring you to purchase the above-described settlement service(s) and may receive a financial or other benefit as the result of this referral.