SELLERS and PURCHASERS represent this transaction is being entered into without the
assistance of any real estate agent and, thereby, no commission is due by reason of this
transaction and will indemnify and hold each other harmless in the event of any claim for
commission asserted by a Realtor or Broker.
PURCHASERS acknowledge receipt of completed ”State of Ohio Residential Property
Disclosure Form” and “Federal Lead Paint Disclosure Form”, copies of which are attached
hereto and made a part hereof.
Executed in Duplicate By:
SELLERS:
PURCHASERS:
____________________________________
_____________________________________
Date
Date
_____________________________________
_____________________________________
Date
Date
ADDRESS:
ADDRESS:
_____________________________________
_____________________________________
_____________________________________
_____________________________________
PHONE:
PHONE:
____________________________________
______________________________________
Page Three of Three
BUYER AND SELLER INFORMATION