Residential Property Condition Disclosure Statement Template

LOCATION OF SUBJECT PROPERTY_______________________________________________________________________________________

_______________________________________________________________________________________________________________________

IF YOU ANSWERED Not Working to any items on page one, please explain. A ach addi onal pages with your signature.

___________________________________________________________________________________________________________

Zoning and Historical

1. Property is zoned: (Check One) ___ residential _____ commercial _____ historical ___ office ___ agricultural ___ industrial

___ urban conservation ___ other ___ unknown

2. Is the property designated as historical or located in a registered historical district?

Yes _____

No ______

Flood and Water

Yes No

3. What is the flood zone status of the property? ______________________________________________________________

DRAFT

4. What is the floodway status of the property? _______________________________________________________________

5. Are you aware of any flood insurance requirements concerning the property?

6. Are you aware of any flood insurance on the property?

7. Are you aware of the property being damaged or affected by flood, storm run-off, sewer backup, draining or grading problems?

8. Are you aware of any surface or ground water drainage systems which assist in draining the property, e.g. “French Drains?”

9. Are you aware of any occurrence of water in the heating and air conditioning duct system?

10. Are you aware of water seepage, leakage or other draining problems in any of the improvements on the property?

Additions/Alterations/Repairs

Yes No

11. Are you aware of any additions being made without required permits?

12. Are you aware of any previous foundation repairs?

13. Are you aware of any alterations or repairs having been made to correct defects or problems?

14. Are you aware of any defect or condition affecting the interior or exterior walls, ceilings, roof structure, slab/foundation, basement/storm

cellar, floors, windows, doors, fences or garage?

15. Are you aware of the roof covering ever being repaired or replaced during your ownership of the property?

16. Approximate age of roof covering, if known __________ number of layers, if known __________

17. Do you know of any current problems with the roof covering?

18. Are you aware of treatment for termite or wood-destroying organism infestation?

19. Are you aware of a termite bait system installed on the property?

20. If yes, is it being monitored by a licensed exterminating company? If yes, annual cost $__________

21. Are you aware of any damage caused by termites or wood-destroying organisms?

22. Are you aware of major fire, tornado, hail, earthquake or wind damage?

23. Have you ever received payment on an insurance claim for damages to residential property and/or any improvements which were not

repaired?

24. Are you aware of problems pertaining to sewer, septic, lateral lines or aerobic system?

Environmental

Yes No

25. Are you aware of the presence of asbestos?

26. Are you aware of the presence of radon gas?

27. Have you tested for radon gas?

28. Are you aware of the presence of lead-based paint?

29. Have you tested for lead-based paint?

30. Are you aware of any underground storage tanks on the property?

31. Are you aware of the presence of a landfill on the property?

32. Are you aware of existence of hazardous or regulated materials and other conditions having an environmental impact?

33. Are you aware of existence of prior manufacturing of methamphetamine?

34. Have you had the property inspected for mold?

35. Are you aware of any remedial treatment for mold on the property?

36. Are you aware of any condition on the property that would impair the health or safety of the occupants?

Buyer’s Ini als __________ Buyer’s Ini als __________

Seller’s Ini als __________Seller’s Ini als __________

(OREC—11/15)

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Residential Property Condition Disclosure Statement Template - Oklahoma Page 2

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