Wisconsin > Statewide > Register Of Deeds
Stipulation Rental Unit Energy Efficiency Standards - Wisconsin
| Stipulation Rental Unit Energy Efficiency Standards Form. This is a Wisconsin form and can be used in Register Of Deeds Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
DSPS control number Type or print using black ink Personal information you provide may be used for secondary purposes [Privacy Law s. 15.04(1)(m)] STIPULATION Rental Unit Energy Efficiency Standards The Department of Safety and Professional Services does not discriminate on the basis of disability in the provision of services or in employment. If you need this printed material interpreted or in a different form or if you need assistance in using this service, please contact us, 608-266-1818, TTY through Relay. Sellers Name(s): Rental Building Location - Street Address: Seller's Street address: City: County: City: State Zip Code: Number of rental buildings on this property: Number of rental units in building: Sellers Telephone Number (including area code): Legal Description of Rental Unit Property. (You may attach a separate sheet): Return To: PARCEL IDENTIFICATION NUMBER:(PIN) PIN: Instructions: Information concerning the seller and the property should be filled in above. Information concerning the buyer and the buyer's signature should be filled in below. The Stipulation must then be submitted to the Department of Safety and Professional Services or to a DSPS agent for validation. A list of these agents is available on the WebSite http://dsps.wi.gov/sb/SB-RentalWeatherizationAuthorizations.html. General questions should be directed to 608-266-1818. If there is not a DSPS agent in your area, send the stipulation to the address listed below. The validated stipulation will be returned to the buyer as noted below, or to another party as designated in the "Return to" block above. This document is valid only if no previous stipulation or waiver is currently on file for this property. STIPULATION AGREEMENT Buyers Signatures: Buyers City, State, and Zip Code: Date Validated: Date Signed: Buyer Telephone Number (inc.area code): DSPS Transfer Authorization Number: I (we) agree to bring the above described property into compliance with SPS 367 energy standards no later that one year from date of validation. Print Buyers Names: Buyers Street Address: Validated by: Department of Safety and Professional Services DSPS Agent Official's Signature: Auth or Tax Rev #: _______________ Expiration Date (one year from date validated): Official Title: S-___ ___ ___ ___ ___ ___ Place DSPS Transfer Authorization Number Stamp here Print Officials Name: Municipality and County: TRANSFER OF STIPULATION (Use original or certified copy) If the residential property described above is transferred within one year of the validation date of this stipulation and before the building(s) has been certified in compliance with SPS 367, the new buyer must sign below and forward a copy or fax of this document to DSPS at the address listed below.* By signing below the new buyer accepts responsibility to comply with this stipulation by the expiration date listed above. Transfer of the property after the expiration date is not valid without conformance to the energy standards. This transfer may be recorded using the transferred stipulation. Print New Buyers Name: New Buyers Signature: Date Signed: New Buyers Street Address: New Buyers City, State and Zip Code: New Buyers Telephone Number (including area code): TRANSFER OF STIPULATION (Use original or certified copy) If the residential property described above is transferred within one year of the validation date of this stipulation and before the building(s) has been certified in compliance with DSPS 367, the new buyer must sign below and forward a copy or fax of this document to DSPS at the address listed below.* By signing below the new buyer accepts responsibility to comply with this stipulation by the expiration date listed above. Transfer of the property after the expiration date is not valid without conformance to the energy standards. This transfer may be recorded using the transferred stipulation. Print New Buyers Name: New Buyers Signature: Date Signed: New Buyers Street Address: New Buyers City, State and Zip Code: New Buyers Telephone Number (including area code): *This instrument was drafted by: DSPS Rental Weatherization, PO Box 7302, Madison, WI 53707-7302 Telephone: 608-266-1818 SBD-7115 (R11/11) American LegalNet, Inc. www.FormsWorkFlow.com Copy Distribution: Recording (original with stamp); Agent; DSPS Purpose: Section 101.122(4) and (6), Wis. Stats, requires that a properly authorized Certificate of Compliance, Stipulation, or Waiver accompany the transfer documents at the time of recording. This process is further explained in SPS 367, Wis. Admin Code. Receipt of the Certificate of Compliance indicates conformance with energy conservation standards of SPS 367.05. In lieu of the Certificate of Compliance, the purchaser may accept responsibility for future conformance with either a Stipulation or a Waiver under SPS 367.08(2). Stipulation: The buyer of a residential rental building shall present a properly validated stipulation to the Register of Deeds at the time the property transfer is recorded (see instructions below). This indicates the building is subject to the rental weatherization rules, and that the buyer will bring the building into compliance with the energy standards within one year. Building with existing lease: The buyer of a building with four units or less who intends to owner-occupy, but is unable to do so within 60 days of transfer due to an existing lease, is required to prepare a stipulation. DSPS will cancel the stipulation after confirmation that the owner has occupied a unit. A written notice and proof of owner-occupancy is required to be sent to DSPS. Required documentation for proof of owner-occupancy is two or more of the following: copy of driver's license, with current address; W-2 Wage Statement; income tax returns from two years; or telephone bills from two or more consecutive months. NOTE: Utility bills are not acceptable. DSPS will confirm cancellation by issuing a Satisfaction, which needs to be recorded with the Register of Deeds by the owner of the property. Please note you may find Parcel Identification Number (PIN) information on tax assessment rolls, rolls from county property lister, or county tax rolls. You may find all Rental Weatherization Forms and a list of unsatisfied stipulations and waivers on our web page: http://dsps.wi.gov/SB/SB-RentalWeatherizationProgram.html 1. HOW TO SATISFY A STIPULATION: Hire a state-certified Rental Weatherization Inspector to inspect the property and determine what requirements are
|
|||||||
