Seller’s Disclosure of Property Condition
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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 ? _______________
- 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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- 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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- 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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- 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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- 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