Residential Property Disclosure Report

RESIDENTIAL PROPERTY DISCLOSURE REPORT

Property Identification

Parties

Disclosure of Known Material Facts

The Seller certifies that, to the Seller's actual knowledge as of the date of signature below, the responses to the statements and questions in this report are true and complete. The Seller acknowledges a continuing duty to disclose material facts known to the Seller that may affect the value or desirability of the property prior to closing. The Buyer acknowledges receipt of this report and that Buyer has the right to obtain independent inspections.

Structural, Systems and Safety

1. Known structural defects (foundation, load-bearing walls, significant settlement): Yes No

2. Roof condition or known leaks: Yes No   Date of last replacement or major repair:

3. Plumbing system defects (leaks, lead pipe, sewer backups): Yes No

4. Electrical system defects or hazards: Yes No

5. Heating, ventilation and air-conditioning (HVAC) functional condition: Yes No   Age of primary heating system:

Environmental, Hazardous Materials and Pests

6. Presence or prior presence of mold or water intrusion requiring remediation: Yes No

7. Known lead-based paint, asbestos, radon, or other hazardous substances: Yes No

8. Evidence of wood-destroying pests or prior treatment: Yes No

History, Repairs and Improvements

9. Past damage from fire, flooding, landslide, or other casualty events: Yes No

10. Major improvements or additions and whether permits were obtained and final inspections completed: Yes No

Utilities, Sewage, Wells and Easements

11. Public sewer or septic system: Septic Public sewer Well

12. Known easements, encroachments, boundary disputes, or restrictions affecting use: Yes No

Homeowners' Association / Assessments

13. Property subject to an owners' association, covenant, condition or restriction (CC&R) or special assessments: Yes No

Other Material Facts

14. Any other facts materially affecting the property not previously disclosed (including legal actions, rental agreements, unrecorded leases, or occupancy agreements):

Certifications and Notices

Seller Certification: I, the undersigned Seller, declare under penalty of perjury that the information provided in this Residential Property Disclosure Report is true and correct to the best of my actual knowledge as of the date signed. Seller acknowledges that knowingly making a false statement in this document may subject the Seller to contractual and statutory remedies available to the Buyer.

Buyer Acknowledgement: I, the undersigned Buyer, acknowledge receipt of this report and understand that the disclosures are based on the Seller's actual knowledge. Buyer is advised to obtain any inspections and investigations Buyer deems appropriate.

Governing Law: This report and any dispute arising hereunder shall be governed by the laws of the state in which the property is located. This document constitutes the entire written disclosure by the Seller relating to the matters set forth herein and supersedes any prior written disclosures.

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