Upon submission you will receive a confirmation email to the notification email address that you designate below.
Please check your spam settings to ensure that you receive the submission confirmation. Allow 72 hours for processing, unless you are submitting by mail. Please do not submit your request prior to the full execution of your contract.

Purchaser Testing for:

HUD Case Number: Date: 12/18/2018
Property Address: City: State:
Buyer: Buyer Phone: Buyer Email:
Broker / Agent: Broker / Agent Phone: Broker / Agent Email:
(Please read the following page. This will inform you about the winterization schedule. Furthermore, it will provide answers to FAQ’s). HUD homes are sold "AS IS". It is STRONGLY advised that the purchaser have a professional home inspection performed on the home to be aware of any and all property conditions prior to closing as NO Property Condition is guaranteed.

1. Please Review Policies, Fill Out, Sign & Send with Contract. When you receive written permission (you have an executed sales contract), contact the local utility companies to set up future dates between them and your home inspector. As per HUD, the buyer is not to activate any utilities without the FSM’s prior approval. Please keep in mind that it does take up to 3 business days to review and receive approval from the FSM.

STRATEGIC ALLIANCE MANAGEMENT JV, LLC. (SAMJV) will solely approve/disapprove inspections for water and electrical systems. If the property is equipped with Gas service that the purchaser wants to have inspected, then they must hire a licensed inspector qualified to inspect residential gas systems and contact the appropriate gas supplier to schedule this. If it interferes with your 10-15 day inspection period and/or appraisal period, SAMJV will not be held liable for any contract extensions that may occur.

PLEASE NOTE: The city and/or county where the property is located may require that an inspection of the separate utilities be performed by the city and/or county to determine if the utilities are cleared for activation and/or that all system components meet code compliance.

The undersigned purchaser and the agent for the same hereby holds STRATEGIC ALLIANCE MANAGEMENT JV, LLC. (SAMJV) , and its subcontractors and the U.S. Department of Housing and Urban Development (HUD) harmless and assumes full responsibility for any and all related deposits, connection and usage fees associated with this activation. The undersigned further assumes full financial responsibility for any damages, which may occur as a result of the above action and shall save and hold harmless SAMJV, its Subcontractors and HUD from any and all liability .

In the case utilities are not already on at the property, you must provide a date the utilities are to be turned on & off below. It is the buyer’s responsibility to pay for the actual costs to activate and deactivate the utilities at the property as well as usage. (Remember that the plumbing lines may have to be De-Winterized PRIOR to activating the water). A professional plumber shall perform these services, at your expense, prior to the Water service activation. The utilities are to be activated in the purchaser’s name and at the purchaser’s expense. Please give SAMJV 3 business days to review your request and process your approval prior to having the utilities turned on. You have a maximum of 3 business days to keep the utilities on in the Buyer's Name. (Buyer/Selling Agent must call the utility company to schedule the turn on/off dates.) If it interferes with your 10-15 day inspection period and/or appraisal period. SAMJV will not be held liable for any contract extensions that may occur. A licensed real estate broker/agent must be present during inspections.
Please note the the first available date of activation is Tuesday 12/25/2018
WATER PROVIDER NAME: WATER PROVIDER PHONE:
UTILITY TURN ON DATE: UTILITY TURN OFF DATE: (MAXIMUM 3 BUSINESS DAYS)
ELECTRIC PROVIDER NAME: ELECTRIC PROVIDER PHONE:
UTILITY TURN ON DATE: UTILITY TURN OFF DATE: (MAXIMUM 3 BUSINESS DAYS)
I authorize and allow STRATEGIC ALLIANCE MANAGEMENT JV, LLC. (SAMJV) to re-winterize the property within 24 hours of the turn off date listed above. Please send an email to: Utilitytesting@samjv.net when inspections have been completed to request SAMJV to re-winterize property.

IMPORTANT: Please remember that all water valves are left open during winterization. YOU shall make sure that all of the faucets and water valves, including water heaters and washing machines, are in the
OFF position before having the water activated. Failure to do so may result in the flooding of the property.

I, and agree to the terms of this agreement.

PLEASE NOTE: By typing your name on the signature line you acknowledge that you are submitting this as an electric signature on your own behalf and that of the Broker/Agent. Your signature states that you accept the terms of the agreement for the parties selected above.

Accept Signature
FAQ's:

If you are paying the required fee by Certified funds, you will have the option to submit this form by mail with the payment.

Why can’t we just activate the utilities ourselves and skip this process? This process is a HUD policy. You are required to receive approval from your Field Service Manager (FSM) prior to activating any utilities.

Can we leave utilities activated until closing? No, you cannot. You need to have utilities deactivated within 72hrs. This is a HUD policy.

We need to schedule our inspection and appraisal at the same time. How do we go about this? You need to speak to your lender and request an estimated date in which your appraiser will be at the property. If they cannot go out during your inspection period, then you will need to deactivate utilities. Once you receive word that your appraiser may be going to the property, you will have to request approval once again and await our response.

Do you require original signatures? No, your signature(s) above constitute your lawful signature.

How long does it generally take to receive approval for activation? It usually takes 2-3 business days to receive approval.

How do we know if the property is winterized? Your agent should have provided you the PCR (Property Condition Report) which was available when placing a bid. This report does state whether or not the property is winterized. Furthermore, your agent may visit the property to verify if the property is currently winterized as well.

Does the FSM activate utilities or does the buyer/agent activate utilities? It is the buyer’s responsibility to activate utilities upon receiving our signed approval.





SAMJV-Purchaser Utility Testing (EFF 10/01/2016)