Residential Property Condition Disclosure Statement Template

LOCATION OF SUBJECT PROPERTY_______________________________________________________________________________________

_______________________________________________________________________________________________________________________

Property Shared in Common, Easements, Homeowner’s Associations and Legal

Yes

37. Are you aware of features of the property shared in common with the adjoining landowners, such as fences, driveways, and roads

whose use or responsibility has an effect on the property?

38. Other than utility easements serving the property, are you aware of any easements or right-of-ways affecting the property?

39. Are you aware of encroachments affecting the property?

40. Are you aware of a mandatory homeowner’s association?

Amount of dues $__________ Special Assessment $__________

Payable: (check one) _____ monthly _____ quarterly _____ annually

Are there unpaid dues or assessments for the property? _____ YES _____ NO

If yes, what is the amount? $__________ Manager’s Name _______________________ Phone Number _______________

DRAFT

41. Are you aware of any zoning, building code or setback requirement violations?

42. Are you aware of any notices from any government or government-sponsored agencies or any other entities affecting the property?

43. Are you aware of any surface leases, including but not limited to agricultural, commercial or oil and gas?

44. Are you aware of any filed litigation or lawsuits directly or indirectly affecting property, including a foreclosure?

45. Is the property located in a fire district which requires payment?

If yes, amount of fee $ __________ Paid to Whom _________________________________________________________

Payable: (check one) _____ monthly _____ quarterly _____ annually

46. Is the property located in a private utility district?

Check applicable _____ Water _____ Garbage _____ Sewer _____ Other

If other, explain ______________________________________________________________________________________

Initial membership fee $__________ Annual membership fee $ __________ (if more than one utility attach additional pages)

Miscellaneous

Yes

47. Are you aware of other defect(s) affecting the property not disclosed above?

48. Are you aware of any other fees or dues required on the property that you have not disclosed?

If you answered YES to any of the items on pages two and three, list the item number(s) and explain. If needed, attach additional pages with your

signature(s), date(s) and location of the subject property. __________________________________________________________________________

_______________________________________________________________________________________________________________________

On the date this form is signed, the seller states that based on seller’s CURRENT ACTUAL KNOWLEDGE of the property, the

information contained above is true and accurate.

Are there any additional pages attached to this disclosure? (circle one): YES

If yes, how many? _____

_______________________________________________________________________________________________

Seller’s Signature

Date

Seller’s Signature

Date

A real estate licensee has no duty to the Seller or the Purchaser to conduct an independent inspection of the property and

has no duty to independently verify the accuracy or completeness of any statement made by the Seller in the disclosure

statement.

The Purchaser understands that the disclosures given by the Seller on this statement are not a warranty of condition. The

Purchaser is urged to carefully inspect the property, and, if desired, to have the property inspected by a licensed expert. For specific

uses, restrictions and flood zone status, contact the local planning, zoning and/or engineering department.

The Purchaser

acknowledges that the Purchaser has read and received a signed copy of this statement. This completed acknowledgement should

accompany an offer to purchase on the property identified. This is to advise that this disclosure statement is not valid after 180 days

from the date completed by the Seller.

_______________________________________________________________________________________________

Purchaser’s Signature

Date

Purchaser’s Signature

Date

The disclosure and disclaimer statement forms and the Oklahoma Residential Property Condition Disclosure Act information pamphlet are made

available at the Oklahoma Real Estate Commission (OREC), Denver N. Davison Building, 1915 N. Stiles, Suite 200, Oklahoma City, OK 73105, or visit OREC’s

Web site

(OREC—11/15) Page 3 of 3

Residential Property Condition Disclosure Statement Template - Oklahoma Page 3

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