Seller’s Disclousre of
Property Condition
This Seller's Disclosure of Property Condition is intended to assist Seller in
ocstoc Legal Agreements
disclosing to a Buyer all known materials or adverse facts relating to the
physical condition of the property that are not readily observable.
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Entire document © Docstoc, Inc., 2010, 2011
Attorney Drafted
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 1
SELLER'S DISCLOSURE OF PROPERTY CONDITION
The information in this form is based upon the undersigned’s observation and knowledge about
the property during the period beginning on the date of his or her purchase of it on _____
[Month] ___ [Date], 20____ [Instruction: Insert the date of purchase] and ending on _____
[Month] ___ [Date], 20____ [Instruction: Insert the date of this form]
CONCERNING THE PROPERTY AT:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
[Instruction: Insert the property address]
NOTICE TO SELLER AND PURCHASER: THIS NOTICE IS A DISCLOSURE OF ALL
SELLER'S KNOWLEDGE OF THE PHYSICAL CONDITION OF THE PROPERTY
INCLUDING DISCLOSURE TO A BUYER ALL KNOWN MATERIALS OR ADVERSE
FACTS RELATING TO THE PHYSICAL CONDITION OF THE PROPERTY THAT ARE
NOT READILY OBSERVABLE 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.
© Copyright 2011 Docstoc Inc. registered document proprietary, copy not 2
1. The Property has the items checked below:
[Comment: Write Yes (Y) No (N), or Unknown (U) as per applicable]
Property Items Yes(Y) No(N) 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 Heating
Wall/Window
Air Conditioning
Plumbing System
Septic System
Public Sewer System
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Patio/Decking
Outdoor Grill
Fences
Pool
Sauna
Spa
Hot Tub
Pool Equipment
Pool Heater
Automatic Lawn
Sprinkler
Fireplace(s)/Chimney
(Wood)
Fireplace(s)/Chimney
(Mock)
Gas Lines (Nat. /LP)
Gas Fixtures
Carport
Garage Door
Opener(s)
Electronic
Control(s)
Water Heater
Gas
Electric
Water Supply
Well
Mud
Roof Type: __________________ [Instruction: Insert the type of roof E.g., Metal, Tile, Slate]
Age: ________ (___) [Fifty (50)] years [◊ Instruction: Insert approximate age of the
property].
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2. 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?
[Instruction: Choose any one as applicable] Yes (Y) ___ No (N) ___ Unknown (U) ___.
If yes, then describe. [Instruction: Attach additional sheets if necessary]:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_________________________________________________________________________
3. Are you (Seller) aware of any known defects/malfunctions in any of the following?
[Comment: Write Yes (Y) if you are aware; write No (N) if you are not aware as
applicable.]
Property Items Yes (Y) No (N)
Interior Walls
Exterior Walls
Doors
Windows
Ceilings
Roof
Floors
Basement
Walls/Fences
Driveways
Sidewalks
Plumbing/Sewers/Septic
Electrical Systems
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Lighting
Fixtures
Other Structural Components [Comment: Describe the structural components (if any)]
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________________________________
If the answer to any of the above is yes, explain. [Instruction: Attach additional sheets if
necessary]:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_________________________________________________________________________
4. Are you (Seller) aware of any of the following conditions?
[Comment: Write Yes (Y) if you are aware; write No (N) if you are not aware.]
Property Conditions Yes (Y) No (N)
Active Termites
Termite or Wood Rot Damage
Previous Termite Damage
Needing Repair
Previous Termite Treatment
Previous Flooding
Improper Drainage
Water Penetration
Located in 100-Year
Floodplain
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Present Flood Insurance
Prior Structural/Roof Repair
Hazardous or Toxic Waste
Asbestos Components
Urea-formaldehyde Insulation
Radon Gas
Lead Based Paint
Aluminum Wiring
Previous Fires
Landfill, Settling, Soil
Subsurface Structure or Pits
Movement, Fault Lines
If the answer to any of the above is yes, explain. [Instruction: Attach additional sheets if
necessary]:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
5. Are you (Seller) aware of any item, equipment, or system in or on the Property that is in
need of repair? [Comment: Write Yes (Y) if you are aware; write No (N) if you are
not aware.]
If the yes, explain. [Instruction: Attach additional sheets if necessary]:
___________________________________________________________________________
___________________________________________________________________________
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___________________________________________________________________________
___________________________________________________________________________
6. Are you (Seller) aware of any of the following? [Comment: Write Yes (Y) if you are
aware; write No (N) if you are not aware as applicable.]
Property Condition Yes (Y) No (N)
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 lawsuits directly or
indirectly affecting the
Property
Any condition on the
Property which
materially affects the
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physical health or safety
of an individual
If the answer to any of the above is yes, explain. [Instruction: Attach additional sheets if
necessary]:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SELLER’S REPRESENTATION
Seller warrants that to the best of Seller’s knowledge, the above information is complete and
accurate as of the date signed by Seller. However, this disclosure statement is not a substitute
for inspections and/or warranties.
_________________________________
[Instruction: Insert the name of seller]
_______________________________________
[Instruction: Insert the printed name of seller]
_____ [Month] ___ [Date], 20__.
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BUYER’S RECEIPT AND ACKNOWLEDGEMENT
I acknowledge receipt of this Disclosure. I understand that except as stated in the Purchase
and Sale Agreement with Seller, the property is being sold in its present condition only,
without warranties of guarantees of any kind by Seller. No representations concerning the
condition of the property are being relied upon by me except as disclosed herein or stated in
the Purchase and Sale Agreement.
_________________________________
[Instruction: Insert the name of buyer]
_______________________________________
[Instruction: Insert the printed name of buyer]
_____ [Month] ___ [Date], 20__.
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