Residential Property Condition Disclosure Report (Page 2 of 4) in pdf

Residential Property Condition Disclosure Report Page 2

II. SYSTEM/UTILITIES

YES

UNKN

6. HEATING SYSTEM problems? Explain

a. Heating System and Fuel Type

b. Is there an underground fuel tank? If yes, location and age

7. HOT WATER HEATER problems? Explain

Type of hot water heater

Age

8. PLUMBING SYSTEM problems? Explain

9. SEWAGE SYSTEM problems? Explain

a. Type of sewage disposal system

(central sewer, septic, cesspool, etc.)

b. If private: (a) Name of service company

(b) Date last pumped

Frequency

c. If public:

(1) Is there a separate charge made for sewer use? yes

(2) If separate charge, is it a flat amount or metered?

(3) If flat amount, please state amount and payment dates

(4) Are there any unpaid sewer charges, and if so state the amount

10. AIR CONDITIONING problems? Explain

Air Conditioning type: Central ______ Window ______ Other

11. ELECTRICAL SYSTEM problems? Explain

12. DRINKING WATER problems? Quality or Quantity? Explain

If public drinking water:

a. Is there a separate charge made for water use? Yes

b. If separate charge, is it a flat amount or metered?

c. If flat amount, please state amount and payment dates

d. Are there any unpaid water charges, and if so state the amount

13. ELECTRONIC SECURITY SYSTEM problems? Explain

14. CARBON MONOXIDE OR SMOKE DETECTOR problems? Explain

15. FIRE SPRINKLER SYSTEM problems? Explain

Residential Property Condition Disclosure Report Page 2