Land Use Disclosure Form

LAND USE DISCLOSURE AND AGREEMENT

Parties and Recitals

This Land Use Disclosure and Agreement (the Agreement) is entered into by and between Owner Name: and Recipient Name: .

WHEREAS, Owner represents that Owner holds an interest in the real property described below and intends to disclose known land use conditions and restrictions to Recipient; and

WHEREAS, Recipient requires accurate information concerning zoning, easements, environmental conditions, and other land use limitations for the purposes of evaluation, development, financing, or conveyance; and

WHEREAS, the parties desire to record such disclosures and to set certain terms for reliance, confidentiality, and remedies as set forth herein.

Property Identification

Land Use Disclosures

Current Zoning Classification:     Applicable Municipal Jurisdiction:

Known easements, rights-of-way, covenants, conditions or restrictions affecting the property (briefly state):

Environmental and physical conditions (check all confirmed conditions):

Scope of Assessment / Scope of Work

Payment Terms (if applicable)

Payment Amount: $     Payment Schedule:

Late Payment Fee: (applies to overdue balances).

Term and Termination

Agreement Effective Date:     Agreement End Date (if any):

Either party may terminate this Agreement for material breach or by providing written notice at least days prior to the intended termination date. Upon termination, obligations that by their nature survive termination shall remain in effect.

Confidentiality

The parties acknowledge that disclosures made under this Agreement may include confidential business, technical, environmental, or legal information. Recipient agrees to (a) hold such information in strict confidence, (b) use the information solely for the evaluation or permitted purpose described in the Scope of Work, and (c) not disclose confidential information to third parties except to employees, consultants, lenders, or advisors with a demonstrated need to know and subject to confidentiality obligations no less protective than those herein. This confidentiality obligation survives termination for a period of three (3) years.

Representations and Warranties

Owner represents that, to Owner's knowledge after reasonable inquiry, the information provided in this disclosure is true and correct as of the date stated below. Owner makes no other express or implied representations or warranties, and Recipient acknowledges that Recipient is responsible for independent verification of material facts, including but not limited to zoning, title, and environmental conditions.

Governing Law and Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles. Any dispute arising under this Agreement shall be resolved by litigation or arbitration as selected by the prevailing party or as otherwise agreed in writing.

Entire Agreement

This Agreement, together with any attachments, exhibits, or schedules expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or modification must be in writing and signed by both parties.

Acknowledgment and Certification

By signing below, Owner certifies under penalty of perjury that the information provided in this disclosure is true, accurate, and complete to the best of Owner's knowledge as of the date of signature. Recipient acknowledges receipt of the disclosures and agrees that Recipient has had the opportunity to request additional documentation and to conduct independent due diligence.

Sign Now