Fillable Residential Property Disclosure Form printable pdf download

STATE OF OHIO

DEPARTMENT OF COMMERCE

RESIDENTIAL PROPERTY DISCLOSURE FORM

Pursuant to Ohio Revised Code Section 5302.30

TO BE COMPLETED BY OWNER (Please Print)

Property Address:_____________________________________________________________________________________________

_____________________________________________________________________________________________

Owners Name(s):_____________________________________________________________________________________________

Date:____________________________________

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 would 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 PRUCHASERS 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 obligations 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.

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

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

Public Water Service

Private Water Service

Well

Holding Tank

Cistern

Spring

Pond

Unknown

Other___________________________________

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

please describe:

SEWER SYSTEM: The nature of the sanitary sewer system servicing the property is (check appropriate boxes):

Public Sewer

Private Sewer

Septic Tank

Leach Field

Aeration Tank

Filtration Bed

Unknown

Other______________________________

If not a public or private sewer, date of last inspection__________________________

If owner knows of any current leaks, backups or other material problems with the sewer system servicing the property, please

describe

ROOF: Do you know of any current leaks or other material problems with the roof or rain gutters?

Yes

If "yes", please describe:

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Residential Property Disclosure Form

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