Fill and Sign the Pennsylvania Disclosure Form

PENNSYLVANIA SELLER’S PROPERTY DISCLOSURE STATEMENT Property Address: ____________________________________________________ ____________________________________________________ Seller: ________________________________________________________ A seller must disclose to a buyer all known material defects about property being sold that are not readily observable. This disclosure statement is designed to assist the seller in complying with disclosure requirements and to assist the buyer in evaluating the property being considered. This statement discloses the seller's knowledge of the condition of the property as of the date signed by the seller and is not a substitute for any inspections or warranties that the buyer may wish to obtain. This statement is not a warranty of any kind by the seller or a warranty or representation by any listing real estate broker, any selling real estate broker or their agents. The buyer is encouraged to address concerns about the conditions of the property that may not be included in this statement. This statement does not relieve the seller of the obligation to disclose a material defect that may not be addressed on this form. A material defect is a problem with the property or any portion of it that would have a significant adverse impact on the value of the residential real property or that involves an unreasonable risk to people on the land. The fact that a structural element, system or subsystem is near, at or beyond the end of its normal useful life is not by itself a material defect. 1. Seller's expertise. The seller does not possess expertise in contracting, engineering, architecture or other areas related to the construction and conditions of the property and i ts improvements, except as follows: 2. Occupancy. Do you, the seller, currently occupy this property ? Yes No If no, when did you last occupy the property? 3. Roof (i) Date roof was installed: Documented? Yes No Unknown If yes, explain (ii) Has the roof been replaced or repaired during your ownership? Yes No If yes: (a) Explain: (b) Were the existing shingles removed? Yes No Unknown If yes, explain (iii) Has the roof ever leaked during your ownership? Yes No If yes, explain: (iv) Do you know of any problems with the roof, gutters, or downspouts? Yes No If yes, explain 4. Basements and crawl spaces (Complete only if applicable) (i) Does the property have a sump pump? Yes No Unknown If yes, explain: (ii) Are you aware of any water leakage, accumulation or dampness within the basement or crawl space? Yes No If yes, describe in detail (iii) Do you know of any repairs or other attempts to control any water or dampness problem in the basement or crawl space? Yes No If "yes," describe the location, extent, date and name of the person who did the repair or control effort: 5. Termites/wood destroying insects, dry rot, pests. (i) Are you aware of any termites/wood destroying insects, dry rot or pests affecting the property? Yes No If yes, explain Pennsylvania Seller’s Property Disclosure Statement, page 1 of 5 (ii) Are you aware of any damage to the property caused by termites/wood destroying insects, dry rot or pests? Yes No If yes, explain (iii) Is your property currently under contract by a licensed pest control company? Yes No If yes, explain (iv) Are you aware of any termite/pest control reports of treatments for the property in the last five years? Yes No If yes, explain 6. Structural Items (i) Are you aware of any past or present water leakage in the house or other structures? Yes No If yes, explain. When explaining efforts to control or repair, please describe the location and extent of the problem and the date and person by whom the work was done, if known: (ii) Are you aware of any past or present movement, shifting, deterioration or other problems with walls, foundations or other structural components? Yes No If yes, explain. When explaining efforts to control or repair, please describe the location and extent of the problem and the date and person by whom the work was done, if known: (iii) Are you aware of any past or present problems with driveways, walkways, patios or retaining walls on the property? Yes No If yes, explain. When explaining efforts to control or repair, please describe the location and extent of the problem and the date and person by whom the work was done, if known: 7. Additions /remodeling. Have you made any additions, structural changes or other alterations to the property? Yes No If yes, please describe: 8. Water and Sewage (i) What is the source of your drinking water? Public Community system Well on property Other If other, please explain: (ii) If your drinking water source is not public: (a) When was your water last tested? (b) What was the result of the test? (c) Is the pumping system in working order? If no, please explain (iii) Do you have a softener, filter or other purification system? Yes No If yes, is the system: Leased Owned (iv) What is the type of sewage system? Public Sewer Private Sewer Septic Tank Cesspool Other If “other,” please explain: (v) Is there a sewage pump? Yes No If yes, is it in working order? Yes No (vi) If applicable, when the was the septic system or cesspool last serviced? (vii) Is either the water or sewage system shared? Yes No If yes, please explain (viii) Are you aware of any leaks, backups or other problems relating to any of the plumbing, water and sewage-related items? Yes No If yes, please explain: 9. Plumbing system (i) Type of plumbing: Copper Galvanized Lead PVC Unknown Other If other, please explain: (ii) Are you aware of any problems with any of your plumbing fixtures (including, but not limited to: kitchen, laundry or bathroom fixtures, wet bars, hot water heater, etc.)? Yes No Pennsylvania Seller’s Property Disclosure Statement, page 2 of 5 If yes, please explain: 10. Heating and air conditioning (i) Type of air conditioning: Central electric Central gas Wall None Number of window units included in sale: Location: (ii) List any areas of the house that are not air conditioned. (iii) Type of heating. Electric Fuel Oil Natural Gas Other If other, please explain: (iv) List any areas of the house that are not heated: (v) Type of water heating. Electric Gas Solar Other If other, please explain: (vi) Are you aware of any underground fuel tanks on the property? Yes No If yes, please describe: Are you aware of any problems with any item in this section? Yes No If yes, please explain: 11. Electrical system. Are you aware of any problems or repairs needed in the electrical system? Yes No If yes, explain: 12. Equipment and appliances included in sale (complete only if applicable). (i) Electric Garage Door Opener Number of Transmitters (ii) Smoke Detectors How many? Location (iii) Security Alarm System Leased Owned Lease Information (iv) Lawn sprinkler Number Automatic Timer (v) Circle if applicable Swimming pool Pool heater Spa/hot tub List all pool/spa equipment: (vi) Circle if applicable Refrigerator Range Microwave Oven Dishwasher Trash Compactor Garbage Disposal (vii) Circle if applicable Washer Dryer (viii) Circle if applicable Intercom (ix) Ceiling fans Number Location (x) Other Are any items in this section in need of repair or replacement? Yes No Unknown If yes, please explain: 13. Land (soils, drainage and boundaries). (i) Are you aware of any fill or expansive soil on the property? Yes No (ii) Are you aware of any sliding, settling, earth movement, upheaval, subsidence or earth stability problems that have occurred on or that affect the property? Yes No If yes, please explain: NOTE TO BUYER: Your property may be subject to mine subsidence damage. Maps of the counties and mines where mine subsidence damage may occur and mine subsidence insurance are available through: Department of Environmental Protection Mine Subsidence Insurance Fund 3913 Washington Road McMurray, PA 15317 412-941-7100 (iii) Are you aware of any existing or proposed mining, strip mining or any other excavations that might affect this property? Yes No If yes, please explain: (iv) To your knowledge, is this property or part of it located in a flood zone or wetlands area? Yes No If yes, please explain: (v) Do you know of any past or present drainage or flooding problems affecting the property? Yes No Pennsylvania Seller’s Property Disclosure Statement, page 3 of 5 If yes, please explain: (vi) Do you know of any encroachments, boundary line disputes or easements? Yes No If yes, please explain: NOTE TO BUYER: Most properties have easements running across them for utility services and other reasons. In many cases, the easements do not restrict the ordinary use of the property, and the seller may not be readily aware of them. Buyers may wish to determine the existence of easements and restrictions by examining the property and ordering an abstract of title or searching the records in the Office of the Recorder of Deeds for the county before entering into an agreement of sale. (vii) Are you aware of any shared or common areas (for example, driveways, bridges, docks, walls, etc.) or maintenance agreements? Yes No If yes, please explain: (viii) Are you aware of any sinkholes that have developed on the property? Yes No If yes, please explain: 14. Hazardous Substances (i) Are you aware of any underground tanks or hazardous substances present on the property (structure or soil), including, but not limited to, asbestos, polychlorinated biphenyls (PCBs), radon, lead paint, urea-formaldehyde foam insulation (UFFI ), etc.? Yes No If yes, please explain: (ii) To your knowledge, has the property been tested for any hazardous substances? Yes No If yes, please explain: (iii) Do you know of any other environmental concerns that might impact upon the property? Yes No If yes, please explain: 15. Condominiums and other homeowners associations (complete only if applicable). Type: Condominium Cooperative Homeowner’s Association Other If “other,” please explain: NOTICE REGARDING CONDOMINIUMS AND COOPERATIVES: According to 68 Pa.C.S.A. § 3407 (relating to resales of units) and § 4409 (relating to resales of cooperative interests), a buyer of a resale unit in a condominium or cooperative must receive a certificate of resale issued by the association in the condominium or cooperative. The buyer will have the option of canceling the agreement with return of all deposit moneys until the certificate has been provided to the buyer and for five days thereafter or until conveyance, whichever occurs first. 16. Storm water facilities (i) Do you know the location and condition of any basin, pond, ditch, drain, swale, culvert, pipe or other manmade feature of land that temporarily or permanently conveys or manages storm water for the property? | Yes | No | Unknown (ii) If the answer to (i) is Yes, is the owner of this property responsible for the ongoing maintenance of the storm water facility? | Unknown | Yes | No If the answer to (i) and/or (ii) is Yes, explain: 17. Miscellaneous (i) Are you aware of any existing or threatened legal action affecting the property? Yes No If yes, explain: (ii) Do you know of any violations of Federal, State or local laws or regulations relating to this property? Yes No If yes, explain: (iii) Are you aware of any public improvement, condominium or homeowner association assessments against the property that remain unpaid or of any violations of zoning, housing, building, safety or fire ordinances that remain uncorrected? Yes No If yes, explain: (iv) Are you aware of any judgment, encumbrance, lien (for example, comaker or equity loan) or other debt against this property that cannot be satisfied by the proceeds of this sale? Yes No If yes, explain: (v) Are you aware of any reason, including a defect in title that would prevent you from giving a warranty deed or conveying title to the property? Yes No Pennsylvania Seller’s Property Disclosure Statement, page 4 of 5 If yes, explain: (vi) Are you aware of any material defects to the property, dwelling or fixtures which are not disclosed elsewhere on this form? Yes No If yes, explain: A material defect is a problem with the property or any portion of it that would have a significant adverse impact on the value of the residential real property or that involves an unreasonable risk to people on the land. The undersigned seller represents that the information set forth in this disclosure statement is accurate and complete to the best of the seller's knowledge. The seller hereby authorizes any agent for the seller to provide this information to prospective buyers of the property and to other real estate agents. The seller alone is responsible for the accuracy of the information contained in this statement. The seller shall cause the buyer to be notified in writing of any information supplied on this form which is rendered inaccurate by a change in the condition of the property following the completion of this form. SELLER ______________________________________________ DATE _________________________________ SELLER ______________________________________________ DATE _________________________________ SELLER ______________________________________________ DATE _________________________________ EXECUTOR, ADMINISTRATOR, TRUSTEE The undersigned has never occupied the property and lacks the personal knowledge necessary to complete this disclosure statement. ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ DATE ____________________ ___________________________________________________________ ___________________________________________________________ RECEIPT AND ACKNOWLEDGMENT BY BUYER The undersigned buyer acknowledges receipt of this disclosure statement. The buyer acknowledges that this statement is not a warranty and that, unless stated otherwise in the sales contract, the buyer is purchasing this property in its present condition. It is the buyer's responsibility to satisfy himself or herself as to the condition of the property. The buyer may request that the property be inspected, at the buyer's expense and by qualified professionals, to determine the condition of the structure or its components. BUYER ____________________________________________________ DATE __________________________ BUYER ____________________________________________________ DATE __________________________ BUYER ____________________________________________________ DATE __________________________ Pennsylvania Seller’s Property Disclosure Statement, page 5 of 5