Property disclosure

Please fill out this form and click "submit"

Date:

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

General:

What year was the main residential dwelling constructed?

Is the property or any portion thereof leased?

Has the Property been designated as historic or in a historic district where permission must be received to make modifications and additions?

Is the Property subject to a recorded Declaration of Covenants, Conditions, and Restrictions ("CC&Rs") or other similar restrictions?

Is the Property part of a condominium or community in which there is a community association?

Lead-Based Paint:

Was any part of the residential dwelling on the Property or any painted component, fixture, or material used therin constructed or manufactured prior to 1978?

Structural Items, Additions and Alterations:

Has there been any settling, movement, cracking or breakage of the foundation or structural supports of the improvements?

Have any structural reinforcements or supports been added?

Have there been any additions, structural changes, or any other major alterations to the original improvements or Property, including without limitation pools, carports or storage buildings?

Has any work been done where a required building permit was not obtained?

Are there any violations of building codes, housing codes, or zoning regulations (not otherwise grandfathered)?

Have any notices alleging such violations been received?

Was any dwelling or portion therof (excluding mobile, modular and manufactured dwelling) moved to the site from another location?

Systems and Components:

Approximate age of HCAC system(s) in years:

Is any heated and cooled portion of the main dwelling not served by a central heating and cooling system?

Is any portion of the heating and cooling system in need of repair or replacement?

Does any dwelling or garage have aluminum wiring other than in the primary service line?

Are any fireplaces decorative or in need or repair?

Have there been any reports or damaging moisture behind exterior walls constructed of synthetic stucco?

Sewer / Plumbing Related Items:

What is the drinking water source:

Public
Private
Well

If the drinking water is from a well, has there ever been a test the results of which indicate that the water is not safe to drink?

What is the sewer system:

Public
Private
Septic tank

If the Property is served by a septic system, how many bedrooms was the septic system approved for by local government authorities? (copy)

Is the main dwelling served by a sewage pump?

Has any septic tank or cesspool on Property ever been professionally serviced?

If yes, please give the date of last service:

Are there any leaks, backups, or other similar problems with any portion of the plumbing, water, or sewage systems or damage therefrom?

Is there presently any polybutylene plumbing, other than the primary service line?

Has there ever been any damage from a frozen water line, spigot, or fixture?

Roofs, Gutters, and Downspouts:

Approximate age of roof on main dwelling (in years):

Has any part of the roof been repaired during Seller’s ownership?

Are there any roof leaks or other problems with the roof, roof flashing, gutters, or downspouts?

Flooding, Draining, Moisture, and Springs:

Is there now or has there been any water intrusion in the basement, crawl space or other parts of any dwelling or garage or damage therefrom?

Have any repairs been made to control water intrusion in the basement, crawl space, or other parts of any dwelling or garage?

Is any part of the Property or any improvements thereon presently located in a Special Flood Hazard Area?

Has there ever been any flooding?

Are there any streams that do not flow year round or underground springs?

Are there any dams, retention ponds, storm water detention basins, or other similar facilities?

Soil and Boundaries:

Are there any landfills (other than foundation backfill), graves, burial pits, caves, mine shafts, trash dumps or wells (in use or abandoned)?

Is there now or has there ever been any visible soil settlement or movement?

Are there presently any encroachments, unrecorded easements or boundary line disputes with a neighboring property owner?

Do any of the improvements encroach onto a neighboring property?

Termites, Dry Rot, Pests, and Wood Destroying Organisms:

Is there any damage resulting from animals (such as squirrels, mice, possum or raccoons); insects (such as termites, bees and ants); or by fungi or dry rot?

Is there presently a bond, warranty or service contract for termites or other wood destroying organisms by a licensed pest control company?

Environmental, Health, and Safety Concerns:

Are there any underground tanks or toxic or hazardous substances such as asbestos?

Have there ever been adverse test results for radon, lead, mold or any other potentially toxic or environmentally hazardous substances?

Has Methamphetamine (“Meth”) ever been produced on the Property?

Litigation and Insurance:

Is there now or has there been any litigation therein alleging negligent construction or defective building products?

Has there been any award or payment of money in lieu of repairs for defective building products or poor construction?

Has any release been signed regarding defective products or poor construction that would limit a future owner from making any claims?

During Seller’s ownership have there been any insurance claims for more than 10% of the value of the Property?

Is the Property subject to a threatened or pending condemnation action?

How many insurance claims have been filed during Seller’s ownership?

Other Hidden Defects:

Are there any other hidden defects that have not otherwise been disclosed?

Explanation: