Mold Addendum Form To Property Disclosure printable pdf download

ESCAMBIA-SANTA ROSA FORMS

MOLD ADDENDUM TO SELLER’S REAL PROPERTY DISCLOSURE

The following amends the Seller’s Real Property Disclosure Statement signed on (Date) ________________________

by (Seller(s)) _______________________________________ and ___________________________________ for the

property located at (Street) __________________________________________ (City)_______________________

(State) _______________________

The following representations are made by the Seller(s) and are not the representations of any real estate licensees.

1. Moisture/Water Intrusion Incidents/Mold

Are You Aware:

a. of any instances where moisture/water/condensation/humidity intruded into the structures located on the property as a

result of rain, flood, plumbing leak, appliance leak, roof, window or wall leak or any other type of leak or event?

No _____

Yes ____ If yes, explain: _________________________________________________________________

_________________________________________________________________________________________________

b. of any damage to the structures located on the property including the growth of mold that resulted from any type of

moisture/water/condensation/humidity intrusion or leak? No _____

Yes ____ If yes explain:_____________________

_________________________________________________________________________________________________

c. of any clean up, repairs, or remediation of the property including clean up of mold because of moisture or water

intrusion/condensation/humidity? No _____

Yes ____ If yes explain:_______________________________________

_________________________________________________________________________________________________

d. of any other problems resulting from moisture/water intrusion/condensation/humidity?

No _____

Yes ____ If yes explain:__________________________________________________________________

_________________________________________________________________________________________________

Acknowledgement of Seller

The undersigned Seller (s) represents that the information set forth in the above disclosure statement is accurate and complete to the best of the

Seller’s knowledge on the date signed below. Seller does not intend for this disclosure statement to be a warranty or guaranty of any kind. Seller

hereby authorizes disclosure of the information contained in this disclosure statement to prospective Buyers of the property. Seller understands and

agrees that Seller will notify the Buyer in writing within five business days after the Seller becomes aware that any information set forth in this

disclosure statement has become inaccurate or incorrect in any way during the term of the pending purchase by the Buyer.

Date: _______________

Seller:__________________________

Seller:________________________________

Signature

Receipt and Acknowledgement of Buyer

Seller(s) is using this form to disclose Seller’s knowledge of the condition of the real property and improvements located on the property as of the

date signed by Seller(s). This disclosure form is not a warranty of any kind. This information contained in the disclosure is limited to information to

which the Seller has knowledge. It is not intended to be a substitute for any inspections or professional advice the Buyer may wish to obtain. An

independent professional inspection is encouraged and may be helpful to verify the condition of the property and to determine the cost of repairs, if

any. Buyer understands these representations are not made by any real estate licensees.

The Buyer(s) hereby acknowledges having received a copy of this disclosure statement.

Date: ___________ Signature: _____________________ Signature: _______________________

Mold Addendum Form To Property Disclosure

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