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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 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
AGENTS.
Seller [choose
one:]
_____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
____
Fireplace(s)/Chimney (Wood)
____
Fireplace(s)/Chimney
(Mock)
____
Gas Lines
(Nat./LP)
____
Gas
Fixtures Garage:
___Attached
___Not
Attached
____
Carport
Garage Door Opener(s):
____
Electronic
____
Control(s)
Water Heater:
____
Gas
____
Electric
Water Supply:
____
City
____
Well
____
MUD
____
Co-op
Roof Type: ______________________________ Age:
______________________________ (approx)
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? [choose one:] ____Yes
____No
____Unknown.
If yes, then describe. (Attach additional sheets if necessary):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
2. Are you
(Seller) aware of any known defects/malfunctions 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/Septics
____
Electrical
Systems
____
Lighting
Fixtures
____
Other
Structural Components (Describe):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
If the answer
to any of the above is yes, explain. (Attach additional sheets
if necessary):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
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
____
Termite or
Wood Rot Damage
____
Previous
Termite Damage
wood destroying insects) Needing
Repair
____
Previous Termite Treatment
____
Previous
Flooding
____
Improper
Drainage
____
Water
Penetration
____
Located in
100-Year Floodplain
____
Present Flood
Insurance
____
Prior
Structural/Roof Repair
____
Hazardous or
Toxic Waste
____
Asbestos
Components
____
Urea-formaldehyde Insulation
____
Radon Gas
____
Lead Based
Paint
____
Aluminum Wiring
____
Previous Fires
____
Unplatted
Easements
____
Landfill, Settling, Soil
____
Subsurface
Structure or Pits
Movement, Fault Lines
If the answer
to any of the above is yes, explain. (Attach additional sheets
if necessary):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
4. Are you
(Seller) aware of any item, equipment, or system in or on the
Property that is in need of repair?
____Yes
(if you are aware) ____No
(if you are not aware). If yes, explain (attach additional
sheets as necessary).
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
5. 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.
____
Homeowners' Association or maintenance 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 the answer
to any of the above is yes, explain. (Attach additional sheets
if necessary):
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
_________________________________________
_________________________________________
Date Signature of Seller
Date Signature
of Seller
The
undersigned purchaser hereby acknowledges receipt of the
foregoing notice.
_________________________________________
_________________________________________
Date Signature of
Purchaser Date
Signature of Purchaser
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