Seller'S Property Disclosure Statement Template Page 3
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3The following checked items are currently on the property and will be included in the sale:
___ Burglar Alarms
___ Smoke Detectors
___ Fire Alarms
___ Central Air
___ Central Heating
___ Window A/C Unit
___ Dishwasher
___ Trash Compactor
___ Garbage Disposal
___ Oven
___ Microwave
___ TV Antenna
___ Satellite Dish
___ Intercom System
___ Pool
___ Washer/Dryer Hookups
___ Hot Tub/Jacuzzi
___ Washer
___ Dryer
___ Refrigerator
___ Pool Barrier
___ Safety Cover for Hot Tub
SELLER’S REPRESENTATION
Seller warrants that to the best of Seller’s knowledge, the above information is complete and accurate as of the date signed
by Seller. However, this disclosure statement is not a substitute for inspections and/or warranties.
SELLER
DATE
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
SELLER
DATE
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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
BUYER’S RECEIPT AND ACKNOWLEDGEMENT
I acknowledge receipt of this Disclosure. I understand that except as stated in the Purchase and Sale Agreement with
Seller, the property is being sold in its present condition only, without warranties of guarantees of any kind by Seller. No
representations concerning the condition of the property are being relied upon by me except as disclosed herein or stated in
the Purchase and Sale Agreement.
BUYER
DATE
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
BUYER
DATE
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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
NOTICE: Many local law enforcement agencies maintain the locations of persons such as sex offenders who might be required to
register their addresses. You may retain the right to contact local law enforcement authorities for information about the presence of these
individuals in any neighborhood.
SELLER’S PROPERTY DISCLOSURE STATEMENT | Page 3
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