Sellers Real Property Disclosure Form (Page 2 of 3) in pdf

Home entertainment system _________

Other_________

EXPLANATIONS: Any "No" must be fully explained. Attach additional sheets if necessary. _________

Property conditions, improvements and additional information:

YES NO UNK N/A

Are you aware of any of the following:

1 Basement / Crawl space: Previous or current moisture conditions? _________

2 Land / Foundation:

(a) Any of the improvements being located on unstable or expansive soil? _________

(b) Any foundation sliding, settling, movement, upheaval, or earth stability problems that have occurred on

the property? _________

(d) The property being located in a designated flood plain? _________

3 Roof: Any problems with the roof? _________

4 Structure: Any structural conditions that could affect the value or use of the property? _________

5 Pool/spa: Any problems with structure, wall, liner, or equipment? _________

6 Infestation: Any history of infestation (termites, carpenter ants, etc.)? _________

7 Environmental: Any substances, materials, or products which may be an environmental hazard such as, but not

limited to, asbestos, radon gas, ureaformaldehyde, fuel or chemical storage tanks, contaminated water or soil on the

property? _________

EXPLANATIONS: Any "Yes" must be fully explained. Attach additional sheets if necessary. _________

LEAD-BASED PAINT: Was the property constructed on or before 12/31/77? _________

(If yes, additional Federal EPA notification and disclosure documents are required)

(a) Does the property have lead-based paint or lead-based paint hazards? _________

(b) Is a lead-based paint report available? If yes, please attach. _________

Other items: Are you aware of any of the following:

1 Any features of the property shared in common with adjoining landowners such as walls, fences, road,

driveways or other features whose use or responsibility for maintenance may have an effect on the property?

_________

2 Any encroachments, easements, zoning violations or nonconforming uses? _________

3 Any "common areas" (facilities like pools, tennis courts, walkways or other areas co-owned with others) or a

homeowner association which has any authority over the property? _________

(a) Common Interest Community Declaration and Bylaws available? _________

(b) Any periodic or recurring association fees? _________

4 Any litigation, arbitration, or mediation related to property or common area? _________

5 Any assessments associated with the property (excluding property taxes)? _________

6 Any construction, modification, alterations, or repairs made without required permits? _________

7 Any problems with water quality or water supply? _________

8 Water source: _________ Municipal _________ Community _________Well _________Private Well

_________ Other

9 Wastewater disposal: _________ Municipal _________ Sewer _________ Septic System _________ Other

10 Any other conditions or aspects of the property which materially affect its value or use in an adverse manner?

_________

EXPLANATIONS: Any "Yes" must be fully explained. Attach additional sheets if necessary. _________

The above information is true and correct to the best of seller's knowledge as of the date set forth above.

SELLER HAS DUTY TO DISCLOSE TO BUYER AS NEW DEFECTS ARE DISCOVERED AND/OR KNOWN

DEFECTS BECOME WORSE (See NRS 113.130(1)(b)).

Seller(s):_________ Date: _________

BUYER MAY WISH TO OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO

MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY AND ITS ENVIRONMENTAL STATUS.

Buyer(s) has/have read and acknowledges receipt of a copy of this Seller's Real Property Disclosure Form and copy

of NRS Chapter 113.100-150, inclusive, attached hereto as pages 3 and 4.

Sellers Real Property Disclosure Form Page 2

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