Sellers Disclosure

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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  1. 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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  1. 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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  1. 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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  1. 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