Seller's Real Property Disclosure Form
Do you currently occupy or have you ever occupied this property?
*
Yes
No
Please indicate the property address.
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select the date you filled out the document.
*
-
Month
-
Day
Year
Date
Please specify the type of the seller.
*
Bank (financial institution)
Asset Management Company
Owner-occupier
Other
Please evaluate the property.
*
Not Satisfied
(I am aware of some problems)
Satisfied
(I am not aware of any problems)
Electrical System
1
2
Plumbing
3
4
Sewer System & Line
5
6
Septic tank & leach field
7
8
Well & pump
9
10
Yard sprinkler system(s)
11
12
Fountain(s)
13
14
Heating system
15
16
Cooling system
17
18
Solar heating system
19
20
Fireplace & chimney
21
22
Wood burning system
23
24
Garage door opener
25
26
Water treatment system(s)
27
28
Shower(s)
29
30
Range/oven/hood-fan
31
32
Garbage disposal
33
34
Dishwasher
35
36
Alarm system
37
38
Smoke Detector
39
40
Pool / Spa
41
42
Roof
43
44
Water quality/ supply
45
46
Data Communication line(s)
47
48
Satellite dish(es)
49
50
Built-in microwave
51
52
You need to explain the case for the answers that you picked "Not Satisfied".
Structure
Is there any any structural defect you want to mention? (e.g. any construction, modification, alterations, or repairs made without required state, city or county building permits?)
*
Yes
No
Please specify it.
Land / Foundation
Do you think the property land is recommended for investment? (e.g. whether the property is located next to or near any known future development?)
*
Yes
No
Please explain your reasons.
Infestation
Any history of infestation (termites, carpenter ants, etc.)?
*
Yes
No
Please elaborate your answer.
Fungi / Mold
Any previous or current fungus or mold?
*
Yes
No
Please explain the situation.
Common Facilities
Do you observe a problem with common areas (e.g. facilities like pools, tennis courts, walkways)?
*
Yes
No
Please specify the case.
Environment
Have the environmental aspects of the property been approved by a certified body? (e.g. any substances, materials, or products, asbestos, radon gas, urea formaldehyde, fuel or chemical storage tanks, contaminated water or soil...etc.)
*
Yes
No
Please explain the situation.
When the property constructed?
*
-
Month
-
Day
Year
Date
Please specify the water source.
*
Municipal
Community Well
Domestic Well
Other
Please enter the state engineer well permit number.
Please choose the case for solar panels.
*
Owned
Leased
Financed
There is no installed solar panels.
Please choose the case for wastewater disposal.
*
Municipal Sewer
Septic System
Other
Is this property the subject to a Private Transfer Fee Obligation?
*
Yes
No
Is there anything more you need to mention?
Is there anything you need to upload?
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As the seller, I declare that the information I have provided above is correct, and I know that I have to notify when new problems arise or existing problems worsen.
*
As the buyer, I declare that I have read and approved the above information, and I know that I have the right to request a closer examination of the property in the future.
*
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