SELLER’S DISCLOSURE OF PROPERTY CONDITION

CONCERNING THE PROPERTY AT __________________________________________________________________

                                                                                                                            (Street Address and City)

THIS NOTICE IS A DISCLOSURE OF SELLER’S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THE DATE SIGNED BY THE SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES. THE PURCHASER MAY WISH TO OBTAIN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER OR SELLER’S AGENT’S.

Seller __ is __ is not occupying the Property.  If unoccupied, how long since Seller has occupied the Property ? _______________

1. The Property has the items checked below [Write Yes (Y), No (N), or Unknown (U)]:

__ Range                                       __Oven                                                  __Microwave

__Dishwasher                              __Trash Compactor                             __Disposal

__Washer/Dryer Hookups         __Window Screens                             __Rain Gutters

__Security System                       __Fire Detection Equipment              __Intercom System

__TV Antenna                             __Cable TV Wiring                              __Satellite Dish

__Ceiling Fan (s)                          __Attic Fan(s)                                      __Exhaust Fan(s)

__Central A/C                              __Central Heating                                __Wall/Window Air Conditioning

__Plumbing System                     __Septic System                                  __Public Sewer System

__Patio/Decking                          __Outdoor Grill                                    __Fences

__Pool                                           __Sauna                                                                __Spa __Hot Tub               

__Pool Equipment                       __Pool Heater                                       __Automatic Lawn Sprinkler Sys.

__Fireplace(s)                               __Wood Burning Stove                     __Nat. Gas

__L.P. Gas                                     __Fuel Oil                                              __Garage Door Opener(s)

__Garage                                       __Car Port                                             __Out Buildings

Water Heater:   __Electric  __Gas                       Water Supply:  __City        __Well

Are you (Seller) aware of any of the above items that are not in working condition, that have known defects, or that are in need of repair? ___Yes  ___No  ___Unknown. If yes then describe. (Attach additional sheets if necessary): _______________________________________________________________________________

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2. Are you (Seller) aware of any known defects in any of the following? Write Yes (Y) if you are aware, write NO (N) if you are not aware.

__Interior Walls                           __Ceilings                                             __Floors

__Exterior Walls                           __Doors                                                                __Windows

__Roof                                           __Foundation/Slab(s)                         __Basement

__Walls/Fences                           __Driveways                                        __Sidewalks

__Plumbing/Sewers/Septic        __Electrical System                             __Lighting Fixtures

__Other Structural Components (Describe)____________________________________________

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3. Are you (Seller) aware of any of the following conditions? Write Yes (Y) if you are aware, write No (N) if you are not aware.

__Active Termites (includes wood destroying insects)       __Previous Termite Damage

__Termite or Wood Rot Damage Needing Repair                  __Previous Termite Treatment

__Previous Flooding                                                                   __Improper Drainage

__Water Penetration                                                                   __Located in 100-Year Floodplain

__Previous Structural or Roof Repair                                       __Hazardous or Toxic Waste

__Asbestos Components                                                          __Radon Gas

__Previous Fires                                                                          __Unplatted Easements
__Lead Based Paint                                                                     __Aluminum Wiring

__Subsurface Structures or Pits                                                               

If the answer to any of the above is yes, Explain. ____________________________________________

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4. Are you (Seller) aware of any item, equipment, or system in or on Property that is in need of repair?

__Yes (if you are aware)  __No (if you are not aware). If yes , explain. ____________________________

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4. Are you (Seller) aware of any of the following? Write Yes (Y) if you are aware, write No (N) if you are not aware.

___Room additions, structural modifications, or other alterations or repairs made without necessary permits or not in compliance with building codes in effect at that time.

___Home owners’ Association or maintenances fees or assessments.

___Any  “common area” (facilities such as pools, tennis courts, walkways, or other areas) co-owned in undivided interest with others.

___Any notices of violations of deed restrictions or governmental ordinances affecting the condition or use of the Property.

___Any lawsuits directly or indirectly affecting the Property.

___Any condition on the Property which materially affects the physical health or safety of an individual.

If answer to any of the above is yes, explain. _______________________________________________

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Date                                                                       Signature of Seller        Date                                       Signature of Seller      

 The undersigned purchaser hereby acknowledges receipt of the foregoing notice.

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Date                                                 Signature of Purchaser    Date                                                  Signature of Purchaser