New Jersey Disclosure

A. Do you have legal authority to sell the property? Yes No Unknown

B. Is title to the property subject to any of the following: Yes No Unknown

(1) First right of refusal

(2) Option

(3) Lease or Rental Agreement

(4) Life Estate

C. Are there any encroachments, boundary disputes, or boundary agreements?

D. Are there any rights of way, easements, or access limitations that may affect the owner's use of the property?

E. Are there any written agreements for joint maintenance of an easement or right of way?

F. Is there any study, survey project, or notice that would adversely affect the property?

G. Are there any pending or existing assessments against the property?

H. Are there any zoning violations, nonconforming uses, or any unusual restrictions on the subject property that would affect future construction or remodeling?

I. Is there a boundary survey for the property? Yes No If yes, attach survey.

J. Are the property’s boundaries marked? Yes No Unknown

K. Are there fences on the property? Yes No Unknown
If yes, were the fences put up by the property owner?

L. Are any trees or other flora on the property diseased, dead or damaged?

M. Are there any covenants, conditions, or restrictions which affect the property?

N. Is the property accessed by public or private road? Public Private Unknown

If private, what yearly upkeep amount is paid by the property owner?

If private, explain road upkeep in detail:

A. Household Water

(1) The source of the water is: Public Community Private Shared

(2) Water source information: Yes No Unknown

a. Are there any written agreements for shared water source?

b. Is there an easement (recorded or unrecorded) for access to and/or maintenance of the water source?

c. Are any known problems or repairs needed?

d. Does the source provide an adequate year round supply of potable water?

e. Are there any water treatment systems (softener, purifier, etc.) for the property?

B. Irrigation

(1) Are there any water rights for the property?

(2) If they exist, to your knowledge, have the water rights been used during the last five-year period?

(3) If so, is the certificate available?

C. Outdoor Sprinkler System

(1) Is there an outdoor sprinkler system for the property?

(2) Are there any defects in the outdoor sprinkler system?

A. The property is served by (circle one): Public Sewer Main Septic Tank System Other Disposal System

If other, describe:

B. If the property is served by a public or community sewer main, is the house connected to the main? Yes No Unknown

If no, explain:

C. Is the property currently subject to a sewer capacity charge? Yes No Unknown

If yes, explain:

D. If the property is connected to a septic system:

(1) Was a permit issued for its construction, and was it approved by the city or county following its construction? Yes No Unknown

(2) On what date was it last pumped:

(3) Are there any defects in the operation of the septic system? Yes No Unknown

If yes, explain:

(4) On what date was it last inspected: By whom:

(5) How many bedrooms was the system approved for?

E. Do all plumbing fixtures, including laundry drain, go to the septic/sewer system? Yes No Unknown

If no, explain:

F. Are you aware of any changes or repairs to the septic system? Yes No Unknown

If yes, explain:

G. Is the septic system, including drainage field, located entirely within the property’s boundaries? Yes No Unknown

If no, explain:

A. How old is the current roof? years. (If unknown, mark Unknown.) Unknown

Roof is constructed of: Asphalt Shingle Wood Shingle Slate Metal Tile Asbestos Unknown Other

B. Has the roof leaked during your ownership? Yes No Unknown

If yes, has it been repaired? Yes No

Explain any roof repairs of which you are aware:

C. Has the house undergone any conversions, additions, or remodeling? Yes No Unknown

1. If yes, were all building permits obtained? Yes No Unknown

2. If yes, were all final inspections obtained? Yes No Unknown

Explain any conversions/additions/remodeling:

D. Do you know the age of the house? Yes No

If yes, give year of original construction (if approximation, indicate such):

E. Are you aware of:

(1) Any movement, shifting, deterioration or other problems with walls, foundation, crawl space or slab? Yes No

(2) Any cracks or flaws in the walls, ceilings, foundations, concrete slab, crawl space, basement, floors or garage? Yes No

(3) Any water leakage or dampness in the crawl space or basement? Yes No

(4) Any dry rot on the property? Yes No

(5) Any repairs or other attempts to control the cause or effect of any problem described above? Yes No

Explain any ‘Yes’ answer(s) to 1-5 above. When describing repairs or control efforts, describe the location, extent, date, and name of person/company who did the work. Attach any reports and/or other documentation:

F. If you know of any defect(s) regarding the following items, mark the defective item with a check:

1. Foundation 2. Deck 3. Exterior walls 4. Chimneys 5. Interior walls 6. Fire Alarm 7. Doors 8. Door locks 9. Patio 10. Ceilings 11. Slab Floors 12. Driveways 13. Attic Stairs 14. Windows 15. Window locks 16. Sidewalks 17. Outbuildings 18. Fireplaces 19. Garage Floors 20. Walkways 21. Balconies 22. Wood Stoves

If you checked any of the above items, explain the defect(s):

G. In the last 4 years, was a pest, dry rot, structural or "whole house" inspection done? Yes No Unknown

If yes, which test(s), when, and by whom was the inspection done? (Attach documentation)

H. Has the property had a problem with pest control, infestations, or vermin? Yes No Unknown

If yes, explain:

I. Are you aware of:

(1) Any termites, wood destroying insects or pests on or affecting the property? Yes No

(2) Property damage by termites, wood destroying insects or pests? Yes No

(3) Any termite/pest control treatments on the property in the last 4 years? Yes No

If yes, list company and where treated:

(4) Current warranty or other coverage by a licensed pest control company on the property? Yes No

If yes, explain warranty and attach documentation:

J. Have you made a homeowner’s insurance claim(s) regarding the property in the last 4 years? Yes No

If yes, explain when and why:

If the following systems or fixtures are included with the transfer, do they have any existing defects: Yes No Unknown

A. Electrical system, including wiring, all switches, all outlets, and service

What type of wiring comprises the electrical system? Copper Aluminum Unknown

B. Plumbing system, including pipes, faucets, fixtures, and toilets

C. Hot water heater (mark one): Electric Natural Gas Other Age: years

If yes, explain:

D. Oven/stove: Electric Natural Gas Other Age: years

If yes, explain:

E. List ANY OTHER APPLIANCES TO REMAIN, attach separate sheet if necessary.

1. Appliance Age: years Yes No Unknown

If yes, explain:

2. Appliance Age: years

If yes, explain:

3. Appliance Age: years

If yes, explain:

F. Cooling and Heating systems

Air Conditioning (mark one): Central Electric Central Gas Heat Pump Window Unit(s) # included in sale
Other (describe):

Air Conditioning (continued): Age of cooling system: years. Zoned cooling? Yes No

Air Conditioning defects? No Unknown Yes explain:

Heating system (mark one): Electric Natural Gas Fuel Oil Heat Pump Propane Other

Age of heating system: years. Zoned heating? Yes No

Heating system defects? No Unknown Yes explain:

Last date of servicing: Heating: Cooling: By whom:

Are there rooms without heating/air conditioning vents? Yes No

If yes, which rooms:

G. Security system (Circle One): Owned Leased Any defects? Yes No Unknown

Describe security system:

If defects are indicated, explain:

H. Other: Any defects? Yes No Unknown

If defects are indicated, explain:

A. Is there a Home Owners' Association? Yes No Unknown

If yes, what is the name of the association?

B. Are there regular periodic assessments: Yes No Unknown

If yes, give amount per: Month: $ Year: $ Other: $

If other, explain:

C. Are there any pending special assessments? Yes No Unknown

D. Are there any shared “common areas” or any joint maintenance agreements (facilities such as walls, fences, landscaping, pools, tennis courts, walkways, or other areas co-owned in undivided interest with others)? Yes No Unknown

If any such areas exist, explain:

Instructions: Mark INCL if the item is included in the sale. If item is included in sale, mark Yes or No to indicate whether item is in working order. Indicate the item’s approximate age (in years) in the ‘age’ space, if provided-- if age is unknown, mark ‘?’ in space.

ITEM    INCL   Yes   No

Attic Fan
Air Conditioner (central) age:
Air Conditioner (wall/window) age:
Air Cleaner/Purifier age:
Ceiling Fan(s), # included
Clothes Washer age:
Convection Oven age:
Dishwasher age:
Door Bells
Drain Tile System
Dryer age:
Exhaust Fans (bathroom)
Fireplace
Fireplace Mechanisms
Furnace age:
Furnace Mechanisms
Freezer age:
Garbage Compactor
Garbage Disposal
Garage Door Opener (GDO)
GDO Auto-reverse Safety Mechanism
GDO Remote Opener(s), # included:
Gas Grill
Gas Logs
Heating System (central) age:
Heating System (supplemental) age:
Humidifier age:
Incinerator
Intercom
Lawn Sprinkler System

Lawn Sprinkler Auto-timer
Lawn Sprinkler Backflow Valve
Microwave Oven age:
Plumbing
Pool age:
Pool Equipment/mechanisms age:
Range/Oven age:
Range Timer
Range Vent-hood
Refrigerator age:
Security System
Smoke Detectors (battery)
Smoke Detectors (hardwired)
Solar Collectors
Sump Pump
Toilet Mechanisms
TV Antenna/receiver/dish
TV Cable wiring
Water Heater age:
Window Treatments
Whirlpool/Hot-tub age:
Wood Burning Stove
Yard Lights
Other:
Other:
Other:
Other:
Other:

Explanations: if any item above is NOT in working order, list the item and explain the defect in the space below.

A. Is there any settling, soil, standing water, or drainage problems on the property? Yes No Unknown

If yes, explain:

B. Does the property contain fill material? Yes No Unknown

C. Is there any material damage to the property or any of the structure from fire, wind, floods, beach movements, earthquake, expansive soils, or landslides? Yes No Unknown

If yes, explain:

D. Is the property in a designated flood plain? Yes No Unknown

E. Are there any substances, materials, or products that may be an environmental hazard such as, but not limited to, asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical storage tanks and contaminated soil or water on the subject property?

F. Are there any tanks or underground storage tanks (e.g., chemical, fuel, etc.) on the property?

G. Has the property ever been used as an illegal drug-manufacturing site?

H. If the property contains a wood-burning stove or fireplace, when was/were the chimney(ies) last cleaned?

I. Are you aware of any of the following regarding the property?

Existing or threatened legal action
Violation of any law or regulation
General stains or pet stains to carpet or floor
Transferable warranties
Any locks without keys
Unrecorded interests affecting the property
Fire Damage at any time
Appraiser or Mechanic’s Lien
Landfills or underground problems

If any of the above are marked, explain:

J. If any tests to detect radon gas have been done on the property, provide documentation. If radon gas has been detected on the property, explain when, where, by whom, and all other details:

A. Other conditions or defects:

Does the Seller know of any other material defects affecting this property or its value that a prospective buyer should know about? Yes No

If yes, explain:

B. Verification:

The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the property.

NEW JERSEY NOTIFICATION REGARDING OFF-SITE CONDITIONS

Pursuant to the "New Residential Construction Off-Site Conditions Disclosure Act", P.L. 1995, c. 253 (C. 46:3C-1 et seq.), sellers of newly constructed residential real estate are required to notify purchasers of the availability of lists disclosing the existence and location of off-site conditions which may affect the value of the residential real estate being sold.

The address(es) and telephone number(s) of the municipalities relevant to this project and the appropriate municipal offices where the lists are made available are listed below. Purchasers are encouraged to exercise all due diligence in order to obtain any additional or more recent information that they believe may be relevant to their decision to purchase the residential real estate.

The purchaser has five (5) business days from the date the contract is executed by the purchaser and the seller to send notice of cancellation of the contract to the seller.

MUNICIPALITY

ADDRESS

TELEPHONE NUMBER

By signing below, Purchaser indicates that a copy of the foregoing disclosure was received by Purchaser on