Seller's Disclosure of Property Condition

Seller’s Disclosure of Property Condition

Property Address:

Completion of this form shall satisfy the requirements of KRS 324.360 that mandates the seller's disclosure of information about the property he or she is about to sell. This disclosure is based solely on the seller's observation and knowledge of the property's condition and the improvements thereon. This disclosure form shall not be a warranty by the seller or seller's real estate agent and shall not be used as a substitute for an inspection or warranty that the purchaser may wish to obtain.

Instructions: Complete all numbered items. Report all known conditions affecting the property. If some items do not apply, mark "not applicable." If you do not know the answer, mark "unknown."

1. HOUSE SYSTEMS

Any past or current problems affecting:

(a) Plumbing N/A Yes No Unknown

(b) Electrical system N/A Yes No Unknown

(c) Appliances N/A Yes No Unknown

(d) Floors and walls N/A Yes No Unknown

(e) Doors and windows N/A Yes No Unknown

(f) Ceiling and attic fans N/A Yes No Unknown

(g) Security system N/A Yes No Unknown

(h) Sump pump N/A Yes No Unknown

(i) Chimneys, fireplaces, inserts N/A Yes No Unknown

(j) Pool, hot tub, sauna N/A Yes No Unknown

(k) Sprinkler system N/A Yes No Unknown

(l) Heating, age N/A Yes No Unknown

(m) Cooling/air conditioning, age N/A Yes No Unknown

(n) Water heater, age N/A Yes No Unknown

Explain:

2. FOUNDATION/STRUCTURE/BASEMENT

(a) Any defects or problems, current or past, to the foundation or slab? N/A Yes No Unknown

(b) Any defects or problems, current or past, to the structure or exterior veneer? N/A Yes No Unknown

Explain:

(c) Has the basement leaked at any time since you have owned or lived at the property? N/A Yes No Unknown

(d) When was the last time the basement leaked?

(e) Have you ever had any repairs done to the basement? N/A Yes No Unknown

(f) If you have had basement leaks repaired, when was the repair performed?

Explain:

(g) If the basement presently leaks, how often does it leak?

(h) Have you experienced, or are you aware of, any water or drainage problems with regard to the crawl space? N/A Yes No Unknown

3. ROOF

(a) Age of the roof covering

(b) 1. Has the roof leaked at any time since you have owned or lived at the property? N/A Yes No Unknown

2. When was the last time the roof leaked?

(c) 1. Have you ever had any repairs done to the roof? N/A Yes No Unknown

2. If you have ever had the roof repaired, when was the repair performed?

(d) 1. Have you ever had the roof replaced? N/A Yes No Unknown

2. If you have had the roof replaced, when was the replacement performed?

(e) If the roof presently leaks, how often does it leak?

(f) 1. Have you ever had roof repairs that involved placing shingles on the roof instead of replacing the entire roof covering? N/A Yes No

2. If yes, when was the repair performed?

Explain:

4. LAND/DRAINAGE

(a) Any soil stability problems? N/A Yes No Unknown

(b) Has the property ever had a drainage, flooding, or grading problem? N/A Yes No Unknown

(c) Is the residence located within a Special Flood Hazard Area (SFHA) mandating the purchase of flood insurance for federally backed mortgages? N/A Yes No Unknown

If yes, what is the flood zone?

(d) Is there a retention/detention basin, pond, lake, creek, spring, or water shed on or adjoining this property? N/A Yes No Unknown

Explain:

5. BOUNDARIES

(a) 1. Have you ever received a staked or pinned survey of the property? N/A Yes No Unknown

2. Are the boundaries marked in any way? N/A Yes No Unknown

3. Do you know the boundaries? If yes, provide description below. N/A Yes No Unknown

Explain:

(b) Are there any encroachments or unrecorded easements relating to the property of which you are aware? N/A Yes No Unknown

Explain:

6. WATER

(a) 1. Source of water supply

2. Are you aware of below normal water supply or water pressure? N/A Yes No Unknown

(b) Is there a water purification system or softener remaining with the house? N/A Yes No Unknown

(c) Has your water ever been tested? If yes, provide results below N/A Yes No Unknown

Explain:

7. SEWER SYSTEM

(a) Property is serviced by:

1. Category I. Public Municipal Treatment Facility

2. Category II. Private Treatment Facility

3. Category III. Subdivision Package Plant

4. Category IV. Single Home Aerobic Treatment System (“Home Package Plant”)

5. Category V. Septic Tank with drain field, lagoon, wetland, other onsite dispersal

6. Category VI. Septic Tank with dispersal to an offsite, multi-property cluster treatment system

7. Category VII. No Treatment/Unknown

Name of Servicer (if known):

(b) For properties with Category IV, V, or VI systems:

Date of last inspection (sewer):

Date of last inspection (septic): Date last cleaned (septic):

(c) Are you aware of any problems with the sewer system? N/A Yes No Unknown

Explain:

8. CONSTRUCTION/REMODELING

(a) Have there been any additions, structural modifications, or other alterations made? N/A Yes No Unknown

(b) Were all necessary permits and government approvals obtained? N/A Yes No Unknown

Explain:

9. HOMEOWNER'S ASSOCIATION

(a) 1. Is the property subject to rules or regulations of a homeowner's association? N/A Yes No Unknown

2. If yes, what is the yearly assessment? $

3. Homeowner’s Association Name:

HOA Primary Contact Name:

HOA Primary Contact Phone No.

(b) Are you aware of any condition that may result in an increase in taxes or assessments? N/A Yes No Unknown

(c) Are any features of the property shared in common with adjoining landowners such as walls, fences, driveways, etc? N/A Yes No Unknown

Explain:

10. MISCELLANEOUS

(a) Was this house built before 1978? N/A Yes No Unknown

(b) Are you aware of any use of urea formaldehyde, asbestos materials, or lead based paint in or on this home? N/A Yes No Unknown

(c) 1. Are you aware of any testing for radon gas? N/A Yes No Unknown

2. Results, if tested

(d) Are you aware of any underground storage tanks, old septic tanks, field lines, cisterns or abandoned wells on the property? N/A Yes No Unknown

(e) Are there any other environmental hazards known to seller? N/A Yes No Unknown

(f) Are you aware of any present or past wood infestation? N/A Yes No Unknown

(g) Are you aware of any damage due to wood infestation? N/A Yes No Unknown

(h) 1. Has the house or other improvements ever been treated for wood infestation? N/A Yes No Unknown

2. If yes, when, by whom, and any warranties?

(i) Are you aware of any existing or threatened legal action affecting this property? N/A Yes No Unknown

(j) Are there any assessments other than property assessments that apply to this property? N/A Yes No Unknown

(k) Are you aware of any violations of local, state, or federal laws, codes, or ordinances relating to this property? N/A Yes No Unknown

(l) Are you aware of any other conditions that are defective with regard to this property? N/A Yes No Unknown

(m) Are there any environmental hazards known to seller? N/A Yes No Unknown

(n) Are there any warranties to be passed on? N/A Yes No Unknown

(o) Has this house ever been damaged by fire or other disaster? N/A Yes No Unknown

If yes, please explain:

(p) Are you aware of the existence of mold or other fungi on the property? N/A Yes No Unknown

(q) Has this house ever had pets living in it? N/A Yes No Unknown

If yes, Explain

(r) Is the property in a historic district? N/A Yes No Unknown

Methamphetamine contamination disclosure requirement: A property owner who chooses not to decontaminate a property used in the production of methamphetamine must make written disclosure of methamphetamine contamination.

Space for Additional Information

Seller states that the information contained in this Disclosure of Property Condition Form is complete and accurate to the best of his/her/their knowledge and belief. Seller agrees to immediately notify Buyer of any changes that may become known to Seller prior to closing by providing a written addendum hereto.

The real estate agent named here has been requested by the owner to complete this form and has done so.