Fillable Seller'S Disclosure Statement Form printable pdf download

REALTOR

Association of Greater Fort Lauderdale Inc.

SELLER’S DISCLOSURE STATEMENT

1. Seller(s) Name(s):

________

Property Address: _____________________________________________________________________________________________

Is each individual named above a U.S. Citizen or resident alien? ( ) Yes ( ) No

Approximate Age of Property? _____________________ Date Purchased:

________________________________________

2. NOTICE TO SELLER

Each Seller is obligated to disclose to a buyer all known facts that materially and adversely affect the value of the property being sold

and that are not readily observable. This disclosure statement is designed to assist Seller in complying with disclosure requirements and

to assist Buyer in evaluating the property being considered. The listing real estate broker, the selling real estate broker and their

respective agents will also rely upon this information when they evaluate, market and present Seller’s property to prospective buyers.

3. NOTICE TO BUYER

This is a disclosure of Seller’s knowledge of the condition of the property as of the date signed by Seller and is not a substitute for any

inspections or warranties that Buyer may wish to obtain. It is not a warranty of any kind by Seller or a warranty or representation by the

listing broker, the selling broker, or their agents.

4. OCCUPANCY

Does Seller currently occupy this property? (

) Yes (

) No. If not, how long has it been since Seller occupied this property?

_____________________________________________________________________________________________________________

5. LAND (SOILS, DRAINAGE AND BOUNDARIES)

(a) Is there any fill or expansive soil on the property? ( ) Yes ( ) No ( ) Unknown.

(b) Do you know of any sliding, settling, earth movement, upheaval or earth stability problems that have occurred on the property or in

the immediate neighborhood? ( ) Yes ( ) No

(d) Is the property located in a flood zone or wetlands area? ( ) Yes ( ) No

(e) Do you know of any past or present drainage or flood problems affecting the property or adjacent properties?

( ) Yes ( ) No

(f) Do you know of any encroachments, boundary line disputes, or easements affecting the property? ( ) Yes ( ) No

(g) If any of your answers in this section are “Yes,” explain in detail: ___________________________________________

______________________________________________________________________________________________

6. ROOF

(a) Age: _______________ years.

(b) Has the roof ever leaked during your ownership? ( ) Yes ( ) No

(d) Do you know of any problems with the roof or rain gutters? ( ) Yes ( ) No

(e) If any of your answers in this section are “Yes,” explain in detail: ___________________________________________

______________________________________________________________________________________________

7. TERMITES, DRYROT, PESTS

(a) Do you have any knowledge of termites, dryrot, or pests on or affecting the property? ( ) Yes ( ) No

(b) Do you have any knowledge of any damage to the property caused by termites, dryrot, or pests? ( ) Yes ( ) No

(d) Do you know of any termite/pest control reports or treatments for the property in the last five years? ( ) Yes ( ) No

(e) If any of your answers in this section are “Yes,” explain in detail: ___________________________________________

______________________________________________________________________________________________

Page 1 of 4

(Rev. 3/99)

Seller'S Disclosure Statement Form

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