Residential Property Disclosure Form Page 3
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3I)
DRAINAGE: Do you know of any current flooding, drainage, settling or grading problems affecting the property?
Yes
No
If "Yes", please describe:
If owner knows of any repairs, modifications or alterations to the property or other attempts to control any flooding, drainage,
settling or grading problems since owning the property (but not longer than the past 5 years) please describe:
J)
CODE VIOLATIONS: Have you received notice of any building or housing code violations currently affecting the use of the
property?
Yes
No
If "Yes", please describe:
K)
UNDERGROUND STORAGE TANKS/WELLS: Do you know of any underground storage tanks, oil or natural gas wells
(plugged or unplugged), or abandoned water wells on the property (but not longer than the past 5 years) please describe:
L)
OTHER KNOWN MATERIAL DEFECTS: The following are other known material defects currently 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 would 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:______________________________________________________________________ DATE:_______________________
OWNER:______________________________________________________________________ DATE:_______________________
RECEIPT AND ACKNOWLEDGMENT 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 the 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 the 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 OWNER'S ACTUAL KNOWLEDGE AS OF THE DATE SIGNED BY THE OWNER.
My/Our signature below does not constitute approval of any disclosed condition as represented herein by the owner.
PURCHASER:__________________________________________________________________ DATE:_______________________
PURCHASER:__________________________________________________________________ DATE:_______________________
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