Is this disclosure mandatory?

State requirements vary; many transactions rely on seller-provided disclosures as part of due diligence. Check local statutes or title company requirements to confirm whether a signed disclosure is required in your transaction.

Can the form be signed electronically?

Yes, electronic signatures are valid under the federal ESIGN Act (15 U.S.C. §7001) and by UETA where adopted, provided parties consent and the record is retained in a reproducible form.

Who should sign the form?

The seller or an authorized representative such as an agent or attorney should sign. If the seller is an entity, an officer or authorized signatory should execute on the entity’s behalf.

What if I don't know well history?

Disclose what you know and state where information is unavailable. Good-faith statements that the seller lacks knowledge are preferable to leaving fields blank.

How long must I keep the executed form?

Retain the executed disclosure with closing records for at least the transaction lifecycle; federal tax-related documents should be kept three years (IRC §6501(a)).

When should a buyer re-test water?

Buyers commonly perform independent testing during inspection periods; rely on recent certified lab reports and perform confirmatory tests if results are dated or incomplete.

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Minnesota Well Disclosure Statement Form

Minnesota Well Disclosure Statement Form

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FLORIDA QUITCLAIM DEED

THIS INSTRUMENT PREPARED BY:

NAME:

ADDR.:

PARCEL IDENTIFICATION NUMBER:

Space above for Recording

QUITCLAIM DEED

[Three Individuals to Two Individuals]

This Deed, made by, and Husband and Wife, and

an Individual, hereinafter “Grantors”, to and

Husband and Wife, of the County of State of hereinafter "Grantees"

(Wherever used herein the terms “Grantors” and “Grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations.)

Witnesseth: That the Grantors, in consideration of the sum of $ and other good and valuable consideration, do hereby remise, release, and quitclaim unto Grantees, as joint tenants with the right of survivorship, legal title to all that certain property in

County, Florida, to wit:

See Legal Description attached as Exhibit A and incorporated by reference as though set forth in full

Legal Description:

To have and to hold the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever for the said Grantor, either in law or equity, to the only proper use, benefit and behoof of the said Grantees forever.

IN WITNESS WHEREOF, the Grantors has executed this instrument on the dates set forth below.

Quitclaim Deed

Signed, sealed and delivered in the presence of:

Date:

Witness Signature

Printed Name

By:

Signature of First Grantor

Printed Name

Witness Signature

Printed Name

Post Office Address

City, State and Zip

STATE OF FLORIDA, COUNTY OF

The foregoing instrument was acknowledged before me this (date), by , who is

personally known to me or has produced (type of identification) as identification.

Notary Public

(Print, type, or stamp commissioned name of Notary Public)

Signed, sealed and delivered in the presence of:

Date:

Witness Signature

Printed Name

By:

Signature of Second Grantor

Printed Name

Witness Signature

Printed Name

Post Office Address

City, State and Zip

STATE OF FLORIDA, COUNTY OF

The foregoing instrument was acknowledged before me this (date), by , who is

personally known to me or has produced (type of identification) as identification.

Notary Public

(Print, type, or stamp commissioned name of Notary Public)

Signed, sealed and delivered in the presence of:

Date:

Witness Signature

Printed Name

By:

Signature of Third Grantor

Printed Name

Witness Signature

Printed Name

Post Office Address

City, State and Zip

STATE OF FLORIDA, COUNTY OF

The foregoing instrument was acknowledged before me this (date), by , who is

personally known to me or has produced (type of identification) as identification.

Notary Public

(Print, type, or stamp commissioned name of Notary Public)

Quitclaim Deed

EXHIBIT A

Grantor:

Grantees:

Parcel Identification Number:

Legal Description:

What the Minnesota Well Disclosure Statement Form Is

The Minnesota Well Disclosure Statement Form documents known information about wells, wellheads, water supply and related on-site conditions for a property in Minnesota. It is typically completed by the seller or an authorized representative during a residential or commercial real estate transaction to inform buyers, lenders, and title companies about well location, construction, maintenance, test results, and any known contamination or repairs. Accurate completion helps allocate risk, supports due diligence and title review, and becomes part of transaction records retained by closing parties and insurers.

Why completing the form matters for buyers and sellers

A clear disclosure reduces post-closing disputes by documenting well condition and test history, supports title and insurance underwriting, and helps buyers assess water safety and compliance risks before purchase.

Who typically completes and reviews this form

Accurate and timely completion ensures the disclosure is effective during inspections, escrow, and title review stages.

Sellers and listing agents — Provide known well facts and attach available test reports.
Buyers and inspectors — Use disclosures to plan water testing and risk assessment.
Title companies and closing attorneys — Review disclosures for exceptions and closing documentation.

Step-by-step: Completing the Minnesota Well Disclosure Statement Form

Follow these core steps to gather facts, record results, and deliver the completed disclosure to the buyer and closing parties.

01

Gather records: Collect water tests, well log, repair invoices, and permits.
02

Answer sections: Complete each question accurately and attach supporting documents.
03

Sign and date: Authorized party signs; use MM/DD/YYYY for dates.
04

Deliver copy: Send to buyer, inspector, and title company before closing.

Core sections you will find on a professional disclosure

A complete Minnesota Well Disclosure Statement Form includes factual fields, attestation language, and places to append testing and permit documents.

Disclosure header

Identifies property, parties, and effective date; anchors the form to the transaction and determines the signatory authority.

Well location

Captures well coordinates or description on site, distance from structures, and GPS or plat references for clarity at closing.

Construction details

Records well depth, casing type, and date installed; these items inform potential remediation needs and testing frequency.

Water quality tests

Summarizes recent laboratory results for microbiological and chemical contaminants and directs where full lab reports are attached.

Seller statements

Allows the seller to disclose knowledge of problems, repairs, or prior contamination and to assert whether additional records exist.

Attachments

Space for well logs, permits, repair invoices and lab reports that substantiate answers and provide proof during escrow.

Required data and system security indicators

Encryption: AES-256 at rest

Transport: TLS 1.2/1.3

Audit trail: Timestamped events

Access control: Role-based access

BAA availability: HIPAA BAA option

Retention: Tamper-evident storage

Risks and consequences of incorrect or missing disclosures

Civil liability: Buyer claims for undisclosed defects

Title exceptions: Unresolved issues may affect insurance

Closing delays: Incomplete records prolong escrow

Remediation costs: Seller may face cleanup expenses

Contract rescission: Material misstatements can void sale

Reputational harm: Agent and seller credibility impacted

Common preparation errors to avoid

Leaving water test dates or lab names blank, which prevents verification of results and may trigger buyer re-testing.
Failing to disclose sealed, abandoned, or unused wells on the property, which can create liability at closing or for future buyers.
Using inconsistent property descriptions between the disclosure and title documents, causing confusion during escrow and title searches.
Omitting seller signature pages or failing to date signatures, which can render the disclosure ineffective for title underwriting.

How to deliver the completed disclosure during a transaction

Use a simple routing process so buyers, inspectors, and title professionals receive the disclosure early in due diligence.

Upload: Add the signed file to the listing or transaction folder.
Send to buyer: Provide copy to buyer and inspector for review.
Share with title: Include disclosure in closing package and title binder.
Archive: Store executed copy with transaction records.

Configuring a digital workflow for this disclosure

Set up validators and recipient routing to reduce errors and speed review across parties.

Field	Configuration
Authentication	Email or SMS code per signer
Field validation	Require MM/DD/YYYY and numeric test results
Attachments	Allow PDF lab reports and permits
Notifications	Auto-notify buyer and title on completion

Technical considerations for e-signature and storage

Ensure chosen tools provide long-term export options and preserve audit logs for title and compliance review.

File formats: PDF, DOCX
Integrations: Salesforce, NetSuite, Google Workspace
Authentication: Email, SMS, or stronger methods

When to provide the disclosure during the sale process

Timely delivery prevents inspection delays and supports the buyer’s due diligence timetable.

Pre-offer:

Provide disclosure upon listing when practical

Upon offer:

Make disclosure available during offer negotiation

Prior to closing:

Ensure title company receives final signed copy

Testing window:

Complete water testing within buyer-specified period

Record retention:

Keep executed copy with closing documents

eSignature vendor comparison relevant to this disclosure

Compare starting price, trial options, bulk send, audit trail, HIPAA availability, and envelope caps when selecting an eSignature provider.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies	Varies	Varies	Varies
Bulk Send	Yes (Premium)	Yes	Yes	Yes	Varies
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No limit	100 envelopes/user/year	Varies	Varies	Varies

Frequently asked questions about the Minnesota Well Disclosure

Answers to common issues that arise when completing, delivering, or relying on a well disclosure form.

Need help? Contact support

Is this disclosure mandatory?
State requirements vary; many transactions rely on seller-provided disclosures as part of due diligence. Check local statutes or title company requirements to confirm whether a signed disclosure is required in your transaction.
Can the form be signed electronically?
Yes, electronic signatures are valid under the federal ESIGN Act (15 U.S.C. §7001) and by UETA where adopted, provided parties consent and the record is retained in a reproducible form.
Who should sign the form?
The seller or an authorized representative such as an agent or attorney should sign. If the seller is an entity, an officer or authorized signatory should execute on the entity’s behalf.
What if I don't know well history?
Disclose what you know and state where information is unavailable. Good-faith statements that the seller lacks knowledge are preferable to leaving fields blank.
How long must I keep the executed form?
Retain the executed disclosure with closing records for at least the transaction lifecycle; federal tax-related documents should be kept three years (IRC §6501(a)).
When should a buyer re-test water?
Buyers commonly perform independent testing during inspection periods; rely on recent certified lab reports and perform confirmatory tests if results are dated or incomplete.

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