Real Estate Statement

REAL ESTATE STATEMENT

Parties and Property Identification

Seller Name:

Buyer Name:

Parcel / APN:     Assessed Value: $

Statement of Ownership and Title

Seller represents and warrants that Seller is the lawful owner of the Property and has full authority to convey title. Date of Seller's acquisition: .

The following recorded encumbrances, liens, or claims exist (if none, state "None"):

Tenancies, Occupancy, and Leases

Is the Property currently occupied? Yes No

If occupied or leased, describe tenant names, lease terms, rent amounts, security deposits, and termination provisions:

Taxes, Assessments, and Homeowners' Association

Current real property taxes for the fiscal year: $    Are property taxes paid to date? Yes No

Is the Property subject to a homeowner association (HOA)? Yes No    If yes, monthly dues: $

Disclosures

Seller makes the following disclosures to the best of Seller's knowledge. Check applicable boxes and provide details where indicated.

Lead-based paint or hazards: Yes No

Known mold or water intrusion history: Yes No

Prior structural damage or repair (fire, flood, earthquake, subsidence): Yes No

Pest or termite treatment within the last five years: Yes No

Financial and Transaction Terms

Purchase Price: $    Earnest Money Deposit: $

Financing contingency: Yes No    If yes, lender and terms:

Inspection period (number of days):    Closing Date:    Possession Date:

Prorations at Closing (taxes, rents, assessments) shall be computed through: .

Representations, Warranties, and Covenants

Seller hereby certifies that, except as disclosed in this Statement, Seller knows of no material defects in the Property not generally apparent on reasonable inspection, no unrecorded agreements affecting title, and no proceedings pending that would impair Seller's ability to convey marketable title. Seller further warrants Seller will deliver title at closing free and clear of all liens except those listed in this Statement and those to be paid or assumed at closing.

Buyer acknowledges receipt of the disclosures and understands Buyer may rely on the contents of this Statement in making the decision to proceed to closing. Buyer and Seller agree to exchange further documentation as necessary to effectuate closing.

Default, Remedies, and Miscellaneous

In the event of default by either party under any agreement incorporating this Statement, the non-defaulting party may pursue all remedies available at law or in equity, including specific performance, damages, and recovery of costs and reasonable attorneys' fees as authorized by contract or statute. Time is of the essence for all dates specified in this Statement.

This Statement is governed by the substantive laws of the state in which the Property is located. This Statement, together with any purchase agreement it supplements, constitutes the entire agreement between the parties with respect to the matters stated herein and supersedes all prior oral or written statements.

Seller Certification

Seller certifies under penalty of perjury that the foregoing statements are true and correct to the best of Seller's knowledge as of the date signed below. Seller understands that material misstatements may give rise to liability.

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