Fillable Residential Property Disclosure Form (Page 4 of 4) in pdf

Property Address____________________________________________________________________________________________

L) BOUNDARY LINES/ENCROACHMENTS/SHARED DRIVEWAY/PARTY WALLS: Do you know of any of the following

conditions affecting the property?

Yes

1) Boundary Agreement

4) Shared Driveway

2) Boundary Dispute

5) Party Walls

3) Recent Boundary Change

6) Encroachments From or on Adjacent Property

If the answer to any of the above questions is “Yes”, please describe: ____________________________________________________

____________________________________________________________________________________________________________

M) UNDERGROUND STORAGE TANKS/WELLS: Do you know of any underground storage tanks (existing or removed), oil or

natural gas wells (plugged or unplugged), or abandoned water wells on the property?

Yes

If “Yes”, please describe: ______________________________________________________________________________________

____________________________________________________________________________________________________________

N) OTHER KNOWN MATERIAL DEFECTS: The following are other known material defects in or on the property: _________

____________________________________________________________________________________________________________

For purposes of this section, material defects would include any non-observable physical condition existing on the property that could

be dangerous to anyone occupying the property or any non-observable physical condition that could inhibit a person’s use of the

property.

Owner represents that the statements contained in this form are made in good faith based on his/her actual knowledge as of

the date signed by the Owner. Owner is advised that 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 or that may exist to

preclude fraud, either by misrepresentation, concealment or nondisclosure in a transaction involving the transfer of

residential real estate.

OWNER: _____________________________________________

DATE: ___________________________________________

OWNER: _____________________________________________

DATE: ___________________________________________

RECEIPT AND ACKNOWLEDGEMENT OF POTENTIAL PURCHASERS

Potential purchasers are advised that the owner has no obligation to update this form but may do so according to Revised Code Section

5302.30(G). Pursuant to Ohio Revised Code Section 5302.30(K), if this form is not provided to you prior to the time you enter into a

purchase contract for the property, you may rescind the purchase contract by delivering a signed and dated document of rescission to

Owner or Owner’s agent, provided the document of rescission is delivered prior to all three of the following dates: 1) the date of

closing; 2) 30 days after the Owner accepted your offer; and 3) within 3 business days following your receipt or your agent’s receipt

of this form or an amendment of this form.

I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS DISCLOSURE FORM AND UNDERSTAND THAT THE

STATEMENTS ARE MADE BASED ON THE OWNERS ACTUAL KNOWLEDGE AS OF THE DATE SIGNED BY THE

OWNER.

Owner makes no representations with respect to any offsite conditions. Purchaser should exercise whatever due diligence

purchaser deems necessary with respect to offsite issues that may affect purchaser’s decision to purchase the property.

Purchaser should exercise whatever due diligence purchaser deems necessary with respect to Ohio’s Sex Offender

Registration and Notification Law (commonly referred to as “Megan’s Law”). This law requires the local Sheriff to provide

written notice to neighbors if a sex offender resides or intends to reside in the area. The notice provided by the Sheriff is a

public record and is open to inspection under Ohio’s Public Records Law. If concerned about this issue, purchaser assumes

responsibility to obtain information from the Sheriff’s office regarding the notices they have provided pursuant to Megan’s

Law.

My/Our Signature below does not constitute approval of any disclosed condition as represented herein by the owner.

PURCHASER: __________________________________________ DATE: ___________________________________________

(Page 4 of 4)

Residential Property Disclosure Form Page 4

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