SELLER’S PROPERTY DISCLOSURE STATEMENT: - 1st Page
SELLER’S PROPERTY DISCLOSURE STATEMENT
For property located at:
Legal Description (Lot, block, etc) :__________________________________________________________
| Also know as: | ||||||
| street address: | ______________________________________________________________ | |||||
| City, State & Zip: | ______________________________________________________________ | |||||
| Seller’s Name: | ______________________________________________________________ | |||||
Notice to Buyer and Seller: This disclosure statement is designed to assist Seller in disclosing to Buyer all known material or adverse facts relating to the physical condition of the Property that are not readily observable. All questions are to be answered completely. If answers are affirmative, please explain in detail in the “Additional Explanations” section.
| Yes | No | Don't Know | ||||
| 1. Occupancy: | ||||||
| a. Is Property vacant? .......................................................... | ___ | ___ | ___ | b. If yes, when last did Seller occupy Property? ____________ | c. Are there any written or verbal leases on Property? .................. | ___ | ___ | ___ |
| If yes, enter termination dates of leases: _______________ | ||||||
| 2. Soil, Trees, Shrubs and Boundaries: | ||||||
| a. Other than normal settling, are you aware of any earth movements such as sliding, upheavals, or sinkholes? ............... |
___ | ___ | ___ | |||
| b. Are you aware of any earth stability or expansive soil problems? | ___ | ___ | ___ | |||
| c. Other than foundation backfill, are you aware of any landfill, burial pits, mine shafts, or well holes on Property? ................ |
___ | ___ | ___ | |||
| d. Are you aware of any dead or diseased trees or shrubs? ............ | ___ | ___ | ___ | |||
| e. Are you aware of any boundary line disputes, encroachments, or unrecorded easement disputes regarding Property? .................... |
___ | ___ | ___ | |||
| 3. Roof, Gutters and Downspouts: | ||||||
| a. Please enter the approximate age of roof in years:__________ | ||||||
| b. Has the roof been repaired or replaced while you owned Property? | ___ | ___ | ___ | |||
| c. Are you aware of any leaks or other current problems with the roof, gutters or downspouts? .................... |
___ | ___ | ___ | |||
| 4. Termites, Dry-Rot, Pests, and Wood-Destroying Organisms: | ||||||
| a. Are you aware of any past or present damage caused by infiltrating pests, termites, dry rot, or other wood-destroying organisms? ..................... |
___ | ___ | ___ | |||
| b. Have you ever had the Property inspected for termites, dry-rot, pests or wood destroying organisms? .................................. |
___ | ___ | ___ | |||
| If yes, enter date of inspection: ________________ | ||||||
| c. Has the Property been treated for termites, dry rot, pest or wood destroying organisms? ........................... |
___ | ___ | ___ | |||
| If yes, enter date of treatment: ________________ | ||||||
| d. Is Property under a current warranty or other coverage for termites or other wood-destroying organisms by a licensed pest control company? ............................................... |
___ | ___ | ___ | |||
| If yes, enter name of company: ___________________________ |