EQUAL HOUSING OPPORTUNITY
SELLER’S DISCLOSURE OF PROPERTY CONDITION
CONCERNING THE PROPERTY AT (Street Address and City)
THIS NOTICE IS A DISCLOSURE OF SELLER’S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE PURCHASER MAY WISH TO OBTAIN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER OR SELLER’S AGENTS.
Seller is is not occupying the Property. If unoccupied, how long since Seller has occupied the Property?
- The Property has the items checked below [Write Yes (Y), No (N), or Unknown (U)]:
Range Oven Microwave
Dishwasher Trash Compactor Disposal
Washer/Dryer Hookups Window Screens Rain Gutters
Security System Fire Detection Equipment Intercom System
TV Antenna Cable TV Wiring Satellite Dish
Ceiling Fan(s) Attic Fan(s) Exhaust Fan(s)
Central A/C Central Heating
Wall/Window Air Conditioning
Plumbing System Septic System Public Sewer System
Patio/Decking Outdoor Grill Fences
Pool Sauna Spa Hot Tub
Pool Equipment Pool Heater
Automatic Lawn Sprinkler System Gas Lines (Nat./LP)
Fireplace(s) & Chimney (Wood burning)
Fireplace(s) & Chimney (Mock) Gas Fixtures
_ Garage: Attached Carport Not Attached
__ Garage Door Opener(s): Electronic Control(s)
Water Heater: Gas Electric
Water Supply: City Well MUD Co-op
Roof Type: Age: (approx)
Are you (Seller) aware of any of the above items that are not in working condition, that have known defects, or that are in need of repair? (__) Yes (__) No (__) Unknown. If yes, then describe. (Attach additional sheets if necessary):
- Are you (Seller) aware of any known defects/malfunctions in any of the following? Write Yes (Y) if you are aware, write No (N) if you are not aware.
Interior Walls Ceilings Floors
Exterior Walls Doors Windows
Roof Foundation/Slab(s) Basement
Walls/Fences Driveways Sidewalks
Plumbing/Sewers/Septics Electrical Systems
Lighting Fixtures
Other Structural Components (Describe)
Seller’s Disclosure Notice Concerning the Property at
(Street Address and City)
If the answer to any of the above is yes, explain. (Attach additional sheets if necessary):
3. Are you (Seller) aware of any of the following conditions? Write yes (Y) if you are aware, write No (N) if you are not aware.
Active Termites Termite or Wood Rot Previous Termite Damage
(includes wood-destroying insects Damage Needing Repair)
Previous Termite Previous Flooding Improper Drainage Treatment
Water Penetration Located in 100-Year Floodplain
Present Flood Insurance Coverage __ Radon Gas
__ Previous Structural or Roof Repair Lead Gas Paint
__ Hazardous or Toxic Waste Urea-formaldehyde Insulation
Aluminum Wiring Previous Fires Unplatted Easements
Landfill, Settling, Soil
Subsurface Structure or Movement, Fault Lines Pits
If the answer to any of the above is yes, explain. (Attach additional sheets if necessary):
4. Are you (Seller) aware of any item, equipment, or system in or on the Property that is in need of repair? (__) Yes (if you are aware) (__) No (if you are not aware). If yes, explain (attach additional sheets as necessary).
5. Are you (Seller) aware of any of the following? Write Yes (Y) if you are aware, write No (No) if you are not aware.
Room additions, structural modifications, or other alterations or repairs made without necessary permits or not in compliance with building codes in effect at that time.
Homeowners Association or maintenance fees or assessments.
Any common area (facilities such as pools, tennis courts, walkways, or other areas) co-owned in undivided interest with others.
Any notices of violations of deed restrictions or governmental ordinances affecting the condition or use of the Property.
Any lawsuits directly or indirectly affecting the Property.
Any condition on the Property which materially affects the physical health or safety of an individual.
If the answer to any of the above is yes, explain. (Attach additional sheets if necessary):
__________________________ ________________________
Date Signature of Seller Date Signature of Seller
The undersigned purchaser hereby acknowledges receipt of the foregoing notice.
__________________________ ___________________________
Date Signature of Seller Date Signature of Seller
State Specific Real Estate Forms
–For State Specific Real Estate Forms you can download in Word format, go to http://www.uslegalforms.com/realestate/
