Kansas Association Of Realtors Seller'S Property Disclosure Statement
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3Kansas Association of REALTORS®
SELLER’S PROPERTY DISCLOSURE STATEMENT
(To Be Completed by Seller)
Property Address:
Date
__________________________________________________________________
___________________________
SELLER
IS
IS NOT currently occupying the property
or HAS NEVER occupied the property.
Approximate age of property _________
Date purchased _______
THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE ABOVE DESCRIBED PROPERTY KNOWN BY THE SELLER ON THE DATE
ON WHICH IT IS SIGNED. IT IS NOT A WARRANTY OF ANY KIND BY THE SELLER(S) OR ANY REAL ESTATE LICENSEE IN THIS
TRANSACTION, AND SHOULD NOT BE ACCEPTED AS A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO
OBTAIN.
THE INFORMATION PROVIDED IN THIS STATEMENT IS THE REPRESENTATION OF THE SELLER AND NOT THE
REPRESENTATION OF ANY REAL ESTATE LICENSEE.
THE INFORMATION CONTAINED HEREIN IS INTENDED TO BE PART OF ANY CONTRACT BETWEEN THE SELLER AND THE PURCHASER.
SELLER’S INFORMATION
The Seller discloses the following information with the knowledge that even though this is not a warranty, prospective Buyers may rely on this information in deciding
whether, and on what terms, to purchase the subject real property. Seller hereby authorizes any real estate licensee in this transaction to provide a copy of this statement
to any person or entity in connection with any actual or possible sale of the real property.
PART I - Indicate the condition of the following items by marking the appropriate box. Check only one box.
INCLUDED
None/
INCLUDED
None/
NOT
NOT
NOT
NOT
INCLUDED WORKING
INCLUDED WORKING
WORKING
WORKING
Section A - Appliances:
1. Built-in vacuum system & equipment.........
9. Microwave oven.......................................
2. Clothes dryer ...............................................
10. Oven .........................................................
3. Clothes washer ............................................
11. Range........................................................
4. Dishwasher ..................................................
12. Refrigerator ..............................................
5. Disposal .......................................................
13. TV antenna/satellite dish..........................
6. Freezer .........................................................
14. Trash compactor.......................................
7. Gas grill .......................................................
15. Other (specify)
8. Range ventilation system ............................
16. Other (specify)
Section B - Electrical Systems:
1. Electric service panel ..................................
7. Sauna..........................................................
(Capacity ________ AMPS)
(
Steam
Dry, If included)
Fuse
Circuit breakers
8. Smoke/fire alarm ........................................
2. Ceiling fan(s)................................................
9. Vent fan(s)..................................................
3. Garage door opener/remotes ........................
10. 220 Volt service .........................................
No. remotes
11. Security system ..........................................
4. Telephone wiring/jacks ................................
Owned
Leased
5. Cable TV wiring/jacks .................................
Central station - monitoring
6. Intercom or sound system wiring
12. Other (specify) ...........................................
and built-in speakers....................................
13. Other (specify) ...........................................
Section C - Heating and Cooling Systems:
1. Air purifier....................................................
9. Propane tank
Leased
Own...............
2. Attic fan........................................................
10. Humidifier ..................................................
3. Whole house fan...........................................
11. Fireplace/fireplace insert............................
4. Central A/C...................................................
Blower
5. Room air conditioner(s) ...............................
Factory built
Masonry
6. Heating system.............................................
12. Gas starter (fireplace).................................
Gas
Forced air gas
Elec
13. Gas logs ......................................................
Boiler (
Hot water
Steam)
14. Woodburning stove ....................................
7. Heat pump ........................................ ...........
15. Other (specify)
8. Solar house heating ......................................
16. Other (specify)
Section D - Water Systems:
1. Hot tub/whirlpool .........................................
9. Well system ................................................
2. Plumbing ......................................................
Cistern
Irrigation Well.................
3. Sump pump ..................................................
10. Sewer (specify)
Discharges to
Lift
Direct
4. Swimming pool ............................................
11. Lagoon........................................................
5. Underground sprinkler .................................
12. Septic..........................................................
Back Flow Preventer .............................
6. Water heater .................................................
13. E.T. Bed
................
(Evapotranspiration Bed)
7. Water purifier ...............................................
14. Other (specify)
. 8. Water softener
Rent
Own ...................
15. Other (specify)
Buyer’s Initials
Seller’s Initials
___________ Date ___________
___________ Date ___________
___________ Date ___________
___________ Date ___________
11/98
Page 1 of 3
Approved by KAR Legal Counsel
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