Residential Property Condition Disclosure Report Page 3

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III. BUILDING/STRUCTURE/IMPROVEMENTS
YES
NO
UNKN
16. FOUNDATION/SLAB problems/settling? Explain
17. BASEMENT Water/Seepage/Dampness? Explain amount, frequency and location.
18. SUMP PUMP problems? If yes, explain
19. ROOF leaks, problems? Explain
Age
Roof type
20. INTERIOR WALLS/CEILING problems? Explain
21. EXTERIOR SIDING problems? Explain
22. FLOOR problems? Explain
23. CHIMNEY/FIREPLACE/WOOD OR COAL STOVE problems? Explain:
24. Any knowledge of FIRE/SMOKE damage? Explain:
25. PATIO/DECK problems?
If made of wood, is wood treated or untreated?
26. DRIVEWAY problems? Explain:
27. TERMITE/INSECT/RODENT/PEST INFESTATION problems? Explain:
28. IS HOUSE INSULATED? Type
Location
29. ROT AND WATER DAMAGE problems? Explain:
30. WATER DRAINAGE problems? Explain:
31. Are ASBESTOS CONTAINING INSULATION OR BUILDING MATERIALS present?
If yes, location
32. Is LEAD PAINT present? If yes, location
33. Is LEAD PLUMBING present? If yes, location
34. Has test for RADON been done? If yes, attach copy.
State whether a radon control system is in place

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