Fillable Residential Property Disclosure Form printable pdf download

11/6/08

STATE OF OHIO

DEPARTMENT OF COMMERCE

RESIDENTIAL PROPERTY DISCLOSURE FORM

Pursuant to section 5302.30 of the Revised Code and rule 1301:5-6-10 of the Administrative Code.

TO BE COMPLETED BY OWNER (Please Print)

Property Address:

_________________________________________________________________________________________________________

Owners Name(s):

_________________________________________________________________________________________________________

Date: ________________________________, 20______

Owner

is not occupying the property. If owner is occupying the property, since what date: _________________________

Purpose of Disclosure Form: This is a statement of the condition of the property and of information concerning the property actually

known by the owner as required by Ohio Revised Code Section 5302.30. Unless otherwise advised in writing by the owner, the

owner, other than having lived at or owning the property, possesses no greater knowledge than that which could be obtained by a

careful inspection of the property by a potential purchaser. Unless otherwise advised, owner has not conducted any inspection of

generally inaccessible areas of the property. THIS STATEMENT IS NOT A WARRANTY OF ANY KIND BY THE OWNER OR

BY ANY AGENT OR SUBAGENT REPRESENTING THE OWNER OF THE PROPERTY. THIS STATEMENT IS NOT A

SUBSTITUTE FOR ANY INSPECTIONS. POTENTIAL PURCHASERS ARE ENCOURAGED TO OBTAIN THEIR OWN

PROFESSIONAL INSPECTION.

Owner’s Statement: The representations contained on this form are made by the owner and are not the representations of the

owner’s agent or subagent. This form and the representations contained in it are provided by the owner exclusively to potential

purchasers in a transfer made by the owner, and are not made to purchasers in any subsequent transfers. The information contained in

this disclosure form does not limit the obligation of the owner to disclose an item of information that is required by any other statute or

law to be disclosed in the transfer of residential real estate. For example, although some questions are limited to the past five

years material problems or defects that occurred over five years ago that have not been fully corrected are required to be

disclosed.

Instructions to Owner: (1) Answer ALL questions. (2) Identify any material matters in the property that are actually known. (3)

Attach additional pages with your signature if additional space is needed. (4) Complete this form yourself. (5) If some items do not

apply to your property, write NA (not applicable). If the item to be disclosed is not within your actual knowledge, indicate Unknown.

THE FOLLOWING STATEMENTS OF THE OWNER ARE BASED ON OWNER’S ACTUAL KNOWLEDGE

A) WATER SUPPLY: The source of water supply to the property is (check appropriate boxes):

Public Water Service

Holding Tank

Unknown

Private Water Service

Cistern

Other ____________________

Private Well

Spring

_________________________

Shared Well

Pond

_________________________

Do you know of any current leaks, backups or other material problems with the water supply system or quality of the water?

Yes

If “Yes”, please describe: _______________________________________________________________________

____________________________________________________________________________________________________________

Is the quantity of water sufficient for your household use? (NOTE: water usage will vary from household to household)

Yes

If owner knows of any leaks, backups or other material problems with the water supply system or quality or quantity of the water since

owning the property (but not longer than the past 5 years), please describe and indicate any repairs completed: ___________________

____________________________________________________________________________________________________________

Owner’s Initials ______/______ Date ______/______

Purchaser’s Initials ______/______ Date ______/______

(Page 1 of 4)

Residential Property Disclosure Form

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