Tennessee Real Estate Residential Property Disclosure Form

TENNESSEE RESIDENTIAL PROPERTY CONDITION DISCLOSURE

The Tennessee Residential Property Disclosure Act states that anyone transferring title to residential real property must provide information about the condition of the property. This completed form constitutes that disclosure by the seller. This is not a warranty, or a substitute for any professional inspections or warranties that the purchasers may wish to obtain. Buyers and sellers should be aware that any sales agreement executed between the parties will supersede this form as to any obligations on the part of the seller to repair items identified below and/or the obligation of the buyer to accept such items "as is."

Instructions to Seller

Complete this form yourself and answer each question to the best of your knowledge. If an answer is an estimate, clearly label it as such. The seller hereby authorizes any agent representing any party in this transaction to provide a copy of this statement to any person or entity in connection with any actual or anticipated sale of the subject property.

Property Address

City

Seller's Name(s)

Property Age

Date Seller Acquired the Property

Do You Occupy the Property?

If Not Owner-Occupied, How Long Has It Been Since the Seller Occupied the Property?

A. The Subject Property Includes the Items Checked Below:

34. Garage (Circle if Applicable)

35. Water Heater (Circle if Applicable)

36. Water Supply (Circle if Applicable)

If other, please explain:

37. Waste Disposal (Circle if Applicable)

If other, please explain:

38. Gas Disposal (Circle if Applicable)

If other, please explain:

39. Roof Type: Age(approx.):

40. Other Items:

41. To the best of your knowledge, are any of the above NOT in operating condition? Yes No

If YES, then describe (attach additional sheets if necessary):

B. Are You (Seller) Aware of Any Defects/Malfunctions in Any of the Following?

1. Interior Walls Yes No Unknown

If yes, please explain:

2. Ceilings Yes No Unknown

If yes, please explain:

3. Floors Yes No Unknown

If yes, please explain:

4. Windows Yes No Unknown

If yes, please explain:

5. Doors Yes No Unknown

If yes, please explain:

6. Insulation Yes No Unknown

If yes, please explain:

7. Plumbing Yes No Unknown

If yes, please explain:

8. Sewer/Septic Yes No Unknown

If yes, please explain:

9. Electrical System Yes No Unknown

If yes, please explain:

10. Exterior Walls Yes No Unknown

If yes, please explain:

11. Roof Yes No Unknown

If yes, please explain:

12. Basement Yes No Unknown

If yes, please explain:

13. Foundation Yes No Unknown

If yes, please explain:

14. Slab Yes No Unknown

If yes, please explain:

15. Driveway Yes No Unknown

If yes, please explain:

16. Sidewalks Yes No Unknown

If yes, please explain:

17. Central heating Yes No Unknown

If yes, please explain:

18. Heat Pump Yes No Unknown

If yes, please explain:

19. Central air conditioning Yes No Unknown

If yes, please explain:

C. Are You (Seller) Aware of Any of the Following?

1. Substances, materials or products which may be an environmental hazard such as, but not limited to: asbestos, radon gas, lead-based paint, fuel or chemical storage tanks and/or contaminated soil or water on the subject property? Yes No Unknown

2. Features shared in common with adjoining landowners, such as walls, but not limited to, fences, and/or driveways, with joint rights and obligations for use and maintenance? Yes No Unknown

3. Any authorized changes in roads, drainage or utilities affecting the property, or contiguous to the property? Yes No Unknown

4. Any changes since the most recent survey of the property was done? Yes No Unknown

5. Any encroachments, easements, or similar items that may affect your ownership interest in the property? Yes No Unknown

6. Room additions, structural modifications or other alterations or repairs made without necessary permits? Yes No Unknown

7. Room additions, structural modifications or other alterations or repairs not in compliance with building codes? Yes No Unknown

8. Landfill (compacted or otherwise) on the property or any portion thereof? Yes No Unknown

9. Any settling from any cause, or slippage, sliding or other soil problems? Yes No Unknown

10. Flooding, drainage or grading problems? Yes No Unknown

11. Any requirement that flood insurance be maintained on the property? Yes No Unknown

12. Property or structural damage from fire, earthquake, floods or landslides? Yes No Unknown

13. Any zoning violations, nonconforming uses and/or violations of "setback" requirements? Yes No Unknown

14. Neighborhood noise problems or other nuisances? Yes No Unknown

15. Subdivision and/or deed restrictions or obligations? Yes No Unknown

16. A Homeowners Association (HOA) which has any authority over the subject property? Yes No Unknown

Name of HOA:

HOA Address:

Monthly Dues:

Special Assessments:

17. Any "common area" (facilities such as, but not limited to, pools, tennis courts, walkways, or other areas co-owned in undivided interest with others)? Yes No Unknown

18. Any notices of abatement or citations against the property? Yes No Unknown

19. Any lawsuits or proposed lawsuits by or against the seller which affects or will affect the property? Yes No Unknown

20. Is any system, equipment or part of the property being leased? Yes No Unknown

If yes, please explain, and include a written statement regarding payment information:

21. Any exterior wall covering of the structures covered with exterior insulation and finish systems (EIFS), also known as "synthetic stucco"? Yes No Unknown

If yes, has there been a recent inspection to determine whether the structure has excessive moisture accumulation and/or moisture related damage? Yes No Unknown

If yes, please explain. If necessary, please attach an additional sheet:

D. Certification:

I/we certify that the information herein, concerning the real property located at is true and correct to the best of my/our knowledge as of the date signed. Should any of these conditions change prior to conveyance of title to this property, these changes will be disclosed in addendum to this document.

Parties may wish to obtain professional advice and/or inspections of the property and to negotiate appropriate provisions in the purchase agreement regarding advice, inspections or defects.

Transferee/Buyer's Acknowledgement:

I/we understand that this disclosure statement is not intended as a substitute for any inspection, and that I/we have a responsibility to pay diligent attention to and inquire about those material defects which are evident by careful observation.

I/we acknowledge receipt of a copy of this disclosure.