Home Feature Disclosure Form
Use this form to disclose known features, conditions, and recent changes affecting the home. Please answer each section as accurately as possible.
Property Address or Identifying Label
*
Property Type
*
Please Select
Single-family home
Condominium
Townhouse
Multi-family
Other
Disclosure Contact Name
*
First Name
Last Name
Date Completed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Disclosure Period or Timeframe Covered
*
Are there any known structural or exterior issues (foundation, roof, siding, windows, etc.)?
*
Yes
No
Unknown
Are there any known plumbing, electrical, or HVAC issues?
*
Yes
No
Unknown
Are there any known water intrusion, mold, pest, or environmental concerns?
*
Yes
No
Unknown
List any recent repairs or renovations and their dates
Attestation: I confirm that the information provided is accurate and complete to the best of my knowledge.
*
I confirm
Submit Disclosure
Should be Empty: