Seller Property Disclosure Statement

seller property disclosure statement

Seller(s) states that all information pertaining to the condition of the property listed in this disclosure
statement is true and correct to the best of Seller's current knowledge as of the
______day of ______, 20____.
Property Address
Heating, Ventilation, and Air Conditioning
Item / Yes / No / Don’t Know / N/A
Ceiling Attic Fan
Electric Furnace
Entire House Fan
Fireplace
Fireplace Insert
Gas Furnace
Heat Pump
Humidifier/Dehumidifier
Propane Tank/Container
Solar Heating
Wood Stove
Other:
Electrical System
Item / Yes / No / Don’t Know / N/A
220 Volt Service
Air Purifier
Ceiling Fan(s) #______
Entire House Fan
Garage Door Opener
Garage Door Remotes #______
Intercom/Communication
Intruder Alarm
Light Fixtures
Sauna/Steam Room
Service – Amps ______
Smoke/Fire/CO Alarms
Switches & Outlets
Telephone Jacks #______
Telephone Units #______
Ventilation Fan
Other:
Water and Drainage
Item / Yes / No / Don’t Know / N/A
Cast Iron Drain Piping
Copper Press. Piping
Cistern
Galv. Press. Piping
Hot Tub/Spa
Plastic Drain Piping
Plastic Press. Piping
Pool
Septic/Leach Field
Sprinkler System
Sump Pump
Water Heater: Electric/Gas/Solar
Well (Depth:______)
Other:
Appliances
Item / Yes / No / Don’t Know / N/A
Dishwasher
Disposal
Dryer
Freezer
Gas Grill
In-Wall Vacuum
Microwave
Range
Refrigerator
Room/Window A/C
Trash Compactor
TV Antenna/Satellite Dish
Vent Hood
Washer
Other:

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HAZARDOUS CONDITIONS
Item / Yes / No / Don’t Know
Are there any existing hazardous conditions on the property? This includes but is not limited to lead based paint, toxic material, methane or radon gas in the house, well or other buildings, ureaformaldehyde foam insulation, expansive soil, mine shafts, radioactive material or waste, landfills (hidden or unhidden) or asbestos-containing materials? If Yes, explain below.
ROOFING
Item / Yes / No / Don’t Know
Age of Roof:______Layers: ______Does the roof leak when it rains, snows or ice forms?
Do the gutters leak when it rains, snows or ice forms?
Is the roof damaged, or has it been damaged since it was last repaired/replaced?
Is the roof under warranty?
If the roof is under warranty, is the warranty transferrable? Expiration: ______
OTHER/MISCELLANEOUS DISCLOSURES
Item (please explain below) / Yes / No / Don’t Know
Are all additions/improvements connected to public water/sewer systems?
Are all additions/improvements connected to private water/sewer systems?
Do all additions/improvements meet local building codes or have waivers/variances?
Are any easements on the property or any property disputes?
Is the property being used for any irregular activities?
Are there any structural problems with any additions/improvements?
Is there any vegetation that is diseased, dying or dead?
Have building permits and licenses been procured for all additions/improvements?
Is there any damage, or has there been any damage from insects, acts of nature or other to additions?
COMMENTS AND EXPLANATIONS

I(we), being the Seller(s) of the aforementioned property, do hereby swear to the truth of the statements, information and details included in this Disclosure Statement, based on my(our) current knowledge. Should there be any changes to the condition or any other factor that might affect property occur or become known to me(us) prior to closing, this information shall be disclosed to Buyer.

Seller: ______Seller: ______

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