Seller’s Property Disclosure

Is there presently any polybutylene, plumbing, other than the primary service line? *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is the Property vacant? *

Yes

No

Is the property or any portion thereof leased? *

Yes

No

Has the Property been designated as historic or in a historic district where permission must be received to make modifications and additions? *

Yes

No

Is the Property subject to a recorded Declaration of Covenants, Conditions, and Restrictions ("CC&Rs") or other similar restrictions? *

Yes

No

Is the Property part of a condominium or community in which there is a community association? *

IF YES, SELLER TO COMPLETE AND PROVIDE BUYER WITH A "COMMUNITY ASSOCIATION DISCLOSURE EXHIBIT" GAR F22.

Yes

No

Was any part of the residential dwelling on the Property or any painted component, fixture, or material used therein constructed or manufacture prior to 1978? *

Yes

No

Has there been any settling, movement, crackling or breakage of the foundations or structural supports of the improvements? *

Yes

No

Have any structural reinforcements or supports been added? *

Yes

No

Have there been any additions, structural changes, or any other major alternations to the original improvements or Property, including without limitation pools, carports or storage buildings? *

Yes

No

Has any work been done where a required building permit was not obtained? *

Yes

No

Are there violations of building codes, housing codes, or zoning regulations (not otherwise grandfathered)? *

Yes

No

Have any notices alleging such violation been received? *

Yes

No

Is any portion of the main dwelling a mobile, modular or manufactured home? *

Yes

No

Was any dwelling or portion thereof (excluding mobile, modular and manufactured dwelling) moved to the site from another location? *

Yes

No

Has any part of the HVAC system(s) been replaced during Seller's ownership? *

Yes

No

Date of last HVAC system(s) service:

MM

DD

YYYY

Is any heated and cooled portion of the main dwelling not served by a central heating and cooling system? *

Yes

No

Is any portion of the heating and cooling system in need of repair or replacement? *

Yes

No

Does any dwelling or garage have aluminum wiring other than in the primary service line? *

Yes

No

Are any fireplaces decorative only or in need of repair? *

Yes

No

Have there been any reports damaging moisture behind exterior walls constructed of synthetic stucco? *

Yes

No

Are any systems/components subject to a lease or rental payment plan (i.e HVAC, security system, appliances, alternate energy source systems, etc.)? *

Yes

No

Are there any remotely accessed thermostats, lighting systems, security camera, video doorbells, locks, appliances, etc. servicing the Property? *

Yes

No

What is the drinking water source: *

public

private

well

If the drinking water is from a well, give the date of last service:

MM

DD

YYYY

If the drinking water is from a well, has there ever been a test the results of which indicate that water is not safe to drink? If yes, date of testing:

MM

DD

YYYY

What is the sewer system: *

public

private

septic tank

Is the main dwelling served by a sewage pump? *

Yes

No

Has any septic tank or cesspool on Property ever been professionally serviced? *

Yes

No

If yes, give the date of last service:

MM

DD

YYYY

Are there any leaks, backups, or other similar problems with any portion of the plumbing, water, or sewage systems or damage therefrom? *

Yes

No

Is there presently ant polybutylene plumbing, other than the primary service line? *

Yes

No

Has there been any damage from a frozen water line, spigot, or fixture? *

Yes

No

Has any part of the roof been repaired during Seller's ownership? *

Yes

No

Are there any roof leaks or other problems with the roof, roof flashing, gutters, or downspouts?, *

Yes

No

Is there now or has there any water intrusion into the basement, crawl space or other interior parts of any dwelling or garage or damage therefrom from the exterior? *

Yes

No

Have any repairs been made to control water intrusion into the basement, crawl space, or other interior parts of any dwelling or garage from the exterior? *

Yes

No

Is any part of the Property or any improvements thereon presently located in a Special Flood Hazard Area? *

Yes

No

Has there ever been any flooding? *

Yes

No

Are there any streams that do not flow year round or underground springs? *

Yes

No

Are there any dams, retention ponds, storm water detention basins, or other similar facilities? *

Yes

No

Are there any landfills (other than foundation backfill), graves, burial pits, caves, mine shafts, trash dumps or wells (in use or abandoned)? *

Yes

No

Is there now or has there ever been any visible soil settlement or movement? *

Yes

No

Are there any shared improvements which benefit or burden the Property, including, but not limited to a shared dock, septic system, well, driveway, alleyway, or private road? *

Yes

No

Are there presently any encroachments, unrecorded easements, unrecorded agreements regarding shared improvements, or boundary line disputes with a neighboring property owner? *

Yes

No

Are you aware of any wildlife accessing the attic or other interior portions of the residence? *

Yes

No

Is there any damage or hazardous condition resulting from such wildlife intrusion; from insects (such as termites, bees and ants); or by fungi or dry rot? *

Yes

No

Is there presently a bond, warranty or service contract for termites or other wood destroying organisms by a licensed pest control company? *

Yes

No

Expiration Date

MM

DD

YYYY

Renewal Date

MM

DD

YYYY

Are there any underground tanks or toxic or hazardous substances such as asbestos? *

Yes

No

Has Methamphetamine ("Meth") ever been produced on the Property? *

Yes

No

Have there ever been adverse test results for radon. lead, mold or any other potentially toxic or environmetaly hazardous substances? *

Yes

No

Is there now or has there been any litigation therein alleging negligent construction or defective building products? *

Yes

No

Has there been any award or payment of money in lieu of repairs or defective building products or poor construction? *

Yes

No

Has any release been signed regarding defective products or poor construction that would limit a future owner from making any claims? *

Yes

No

During Seller's ownership have there been any insurance claims for more than 10% of the value of the Property? *

Yes

No

Is the Property subject to a threatened or pending condemnation action? *

Yes

No

Are there any other hidden defects that have not otherwise been disclosed? *

Yes

No

Is the Property within, partially within, or adjacent to any property zoned or identified on an approved county land use plan as agricultural or forestry use? *

Yes

No

Is the Property receiving preferential tax treatment as an agricultural property? *

Option 1

Option 2

Appliances *

Clothes Dryer

Clothes Washing Machine

Dishwasher

Garage Door Opener

Garage Disposal

Ice Maker

Microwave Oven

Oven

Range

Refrigerator w/o Freezer

Refrigerator/Freezer

Free Standing Freezer

Surface Cook Top

Trash Compactor

Vacuum System

Vent Hood

Warning Drawer

Wine Cooler

Home Media *

Amplifier

Cable Jacks

Cable Receiver

Cable Remotes

Intercom System

Internet HUB

Internet Wiring

Satelite Dish

Satelite Receiver

Speakers

Speaker Wiring

Switch Plate Covers

Television (TV)

TV Antenna

TV Mounts/Brackets

TV Wiring

Interior Fixtures *

Ceiling Fan

Chandelier

Closet System

Fireplace (FP)

FP Gas Logs

FP Screen/Door

FP Wood Burning Insert

Light Bulbs

Light Fixtures

Mirrors

- Wall Mirrors

- Vanity (hanging) Mirrors

Shelving Unit & System

Shower Head/Sprayer

Storage Unit/System

Window Shutters (and Hardware)

Window Draperies (and Hardware)

Unused Paint

Landscaping / Yard *

Arbor

Awning

Basketball Post and Goal

Birdhouses

Boat Dock

Fence - Invisible

Dog House

Flag Pole

Gazebo

Irrigation System

Landscaping Lights

Mailbox

Out/Storage Building

Porch Swing

Statuary

Stepping Stones

Swing Set

Tree House

Trells

Weather Vane

Recreation *

Aboveground Pool

Gas Grill

Hot Tub

Outdoor Furniture

Outdoor Playhouse

Pool Equipment

Pool Chemicals

Sauna

Safety *

Alarm System (Burglar)

Alarm System (Smoke/Fire)

Security Camera

Carbon Monoxide Detector

Doorbell

Door & Window Hardware

Fire Sprinkler System

Gate

Safe (Built-In)

Smoke Detector

Window Screens

Systems *

A/C Window Unit

Air Purifier

Whole House Fan

Attic Ventilator Fan

Ventilator Fan

Car Charging Station

Dehumidifier

Generator

Humidifier

Propane Tank

Propane Fuel in Tank

Fuel Oil Tank

Fuel Oil in Tank

Sewage Pump

Thermostat

Water Purification System

Water Softener System

Well Pump