Fill and Sign the If the Answer to Any Items Requires Explanation Explain on Attached Sheets If Necessary Form

- 1 - RESIDENTIAL PROPERTY DISCLOSURE AND DISCLAIMER STATEMENT INSTRUCTIONS TO THE SELLER Please complete the following form. Do not leave any spaces blank. If the question clearly does not apply to the property write "NA". If the answer to any items requires explanation, explain on attached sheets, if necessary. NOTICE TO THE BUYER THE FOLLOWING DISCLOSURES ARE MADE BY THE SELLER(S), CONCERNING THE CONDITION OF THE PROPERTY LOCATED AT . ("THE PROPERTY"), OR AS LEGALLY DESCRIBED ON ATTACHED EXHIBIT A. DISCLOSURES CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME THIS DISCLOSURE FORM IS COMPLETED BY THE SELLER. THE FOLLOWING ARE DISCLOSURES MADE BY THE SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY WRITTEN AGREEMENT BETWEEN THE BUYER AND THE SELLER. FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED TO OBTAIN AND PAY FOR THE SERVICES OF A QUALIFIED SPECIALIST TO INSPECT THE PROPERTY ON YOUR BEHALF, FOR EXAMPLE, ARCHITECTS, ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING INSPECTORS, OR PEST AND DRY ROT INSPECTORS. THE PROSPECTIVE BUYER AND THE OWNER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE PROPERTY AND TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY ADVICE, INSPECTION, DEFECTS OR WARRANTIES. Seller(s), , [is] / [is not] currently occupying the property. Seller has owned the property for years. I. SELLER’S DISCLOSURES. If explanation is needed, use attached sheet if necessary. Approximations should be labeled as such. 1. TITLE YES NO UNKNOWN A. Do you have legal authority to sell the property? B. Is title to the property subject to any of the following: (1) First right of
Refusal or foreclosure, (2) encumbrance, (3) court order or court order granting a waiver for a first lien mortgage on the property, or (4) other legal action taken against the seller by any other third party? a) yes no (4) b) yes no (1) (4) c) no no (2) d) no 2. Assumption of security interest by another? No none required. (3) 3. Seller's address. Street, number, letter, etc. Yes no, 4. Seller's contact information email, phone, fax. Yes no no 5. Seller's address. Street, number, etc. No. If the address is a mailbox please call the mailing service or send an email. Address, telephone, fax. Address, email, email. Address. Street, number, phone #, fax number, 6. Seller's financial account status. No no no no note: there is a fee and any additional charges must be paid in full at the time of the inspection and a copy (both copies) must be returned to the real estate commission. Seller must send all inspection documents to the real estate commission within five days of receipt. 7. Seller's legal name and address. Name, title, address, address, business phone, fax or email. Name, street, number, and county, city, state, zip. Address number of boxes in home, type, and size. 8. Seller's legal name and address. Name, title, address, Contact telephone, fax, address, phone, contact fax number, mail, mail no. City, state, zip. Postal, mail, date of receipt. 9. Seller's address. Street, number. Address number, street, number, city, zip, and state. 10. Date of birth no later than may 10 th. Note: the buyer and the seller(s) must disclose the date of birth together in the same space on the disclosure form. 11. For buyers, is there an agreement between buyer and seller regarding the terms of the transaction? No no no yes 12. If the seller is represented by an attorney, does the seller know and have a legal copy of the agreement or other legal representation in case of an appeal? No no no if you do not want to answer this question you can skip the.