Residential Property Disclosure Form Page 2
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3D)
BASEMENT/CRAWL SPACE: Do you know of any current water leakage, water accumulation, excess dampness or other
defects with the basement/crawl space?
Yes
No
If "yes", please describe:
If owner knows of any repairs, alterations or modifications to the property or other attempts to control any water or dampness
problems in the basement or crawl space since owning the property (but not longer than the past 5 years) please describe:___
E)
STRUCTURAL COMPONENTS (FOUNDATION, FLOORS, INTERIOR AND EXTERIOR WALLS): Do you know of any
movement, shifting, deterioration, material cracks (other than visible minor cracks or blemishes) or other material problems
with the foundation, floors, or interior/exterior walls?
Yes
No
If "yes", please describe:
If you know of any repairs, alterations or modifications to control the cause or effect of any problem identified above, since
owning the property (but not longer than the past 5 years) please describe:
F)
MECHANICAL SYSTEMS: Do you know of any current problems or defects with the mechanical systems?
Yes
No
If "Yes", please describe:
For purposes of this section, mechanical systems include electrical, plumbing (pipes), central heating and air conditioning,
sump pump, fireplace/chimney, lawn sprinkler, water softener, security systems, central vacuum, or other mechanical systems
that exist on the property.
G)
WOOD BORING INSECTS/TERMITES: Do you know of the presence of any wood boring insects/termites in or on the
property or any existing damage to the property caused by wood boring insects/termites?
Yes
No
If "Yes", please describe:
If owner knows of any inspection or treatment for wood boring insects/termites, since owning the property (but not longer than
the past 5 years) please describe:
H)
PRESENCE OF HAZARDOUS MATERIALS: Do you have actual knowledge of the presence of any of the below identified
hazardous materials on the property?
YES
NO
UNKNOWN
1) Lead-Based Paint
2) Asbestos
3) Urea-Formaldehyde Foam Insulation
4) Radon Gas
4a) If "YES", indicate level of Gas if known_______________________________
5) Other toxic substances
5a) If "YES", specify substance________________________________________
If the answer to any of the above questions is "Yes", please describe:
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