Property Condition Disclosure Form - Adams Law Group Llc Page 2
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1
2NOT
N/A
YES
NO
KNOWN
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If municipal, is it metered?
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27.
Has the water quality and/or flow rate been tested? (If yes, explain below)
What is the type of sewage system (Circle all that apply)
PRIVATE SEWER
28.
PUBLIC SEWER
PRIVATE SEWER
SEPTIC CESSPOOL
If septic or cesspool
Age?
Date last pumped?
Frequency of pumping
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Any known material defects
29.
Who is your electric service provider
What is the amperage
Does it have circuit breaker or fuses
Public or private poles
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Any known material defects? (If yes, explain below)
Are there any flooding, drainage or grading problems that resulted in standing water on any
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30.
portion of the property? (If yes, explain below)
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31.
Does the basement have seepage that results in standing water? (If yes, explain below)
Are there any known material defects in any of the following (if yes, explain below. Use additional sheets if necessary):
YES
NO
NOT
N/A
YES
NO
NOT
N/A
KNOWN
KNOWN
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32.
Plumbing System?
41.
Floors?
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33.
Security System?
42.
Chimney/Fireplace or stove?
Carbon monoxide
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detector?
34.
43.
Patio/Deck?
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35.
Smoke detector?
44.
Driveway?
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36.
Fire sprinkler system?
45.
Air conditioning?
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37.
Sump pump?
46.
Heating system?
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38.
Foundation/Slab?
47.
Hot water heater?
The property is located in the following school district
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39.
Interior walls/ceilings?
48.
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40.
Exterior walls or siding?
Note: Buyer is encouraged to check public records concerning the property (e.g. tax records and wetland and flood plain maps)
The seller should use this area to further explain any item above. If necessary, attach additional pages and indicate here the number of additional pages attached.
Seller’s Certification:
SELLER CERTIFIES THAT THE INFORMATION IN THIS PROPERTY CONDITION DISCLOSURE STATEMENT IS TRUE AND COMPLETE TO THE
SELLER’S ACTUAL KNOWLEDGE AS OF THE DATE SIGNED BY THE SELLER. IF A SELLER OF RESIDENTIAL REAL PROPERTY ACQUIRES
KNOWLEDGE WHICH RENDERS MATERIALLY INACCURATE A PROPERTY CONDITION DISCLOSURE STATEMENT TO THE BUYER AS SOON AS
PRACTICABLE, IN NO EVENT, HOWEVER, SHALL A SELLER BE REQUIRED TO PROVIDE A REVISED PROPERTY CONDITION DISCLOSURE
STATEMENT AFTER THE TRANSFER OF TITLE FORM THE SELLER TO THE BUYER OR OCCUPANCY BY THE BUYER, WHICHEVER IS EARLIER.
Seller ___________________________________________________________________________date ____________________________________
Seller ____________________________________________________________________________date ____________________________________
Buyer’s Acknowledgment:
Buyer acknowledges receipt of a copy of this statement and buyer understands that this information is a statement of certain conditions and information
concerning the property known to the seller. It is not a warranty of any kind by the seller of seller’s agent and is not a substitute for any home, pest, radon or
other inspections or testing of the property or inspection of the public records.
Buyer ____________________________________________________________________________ date ___________________________________
Buyer ____________________________________________________________________________ date ___________________________________
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