Property Condition Disclosure Statement Page 2
ADVERTISEMENT
1
2
3
4
5
6Property Condition Disclosure Statement
6. Has anyone denied you access to the property or made a formal legal claim challenging your
title to the property? If Yes, explain below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Unkn
NA
”
”
”
”
7. Are there any features of the property shared in common with adjoining landowners or a
homeowner’s association, such as walls, fences or driveways? If Yes, describe below . . . . .
Yes
No
Unkn
NA
”
”
”
”
8. Are there any electric or gas utility surcharges for line extensions, special assessments or
homeowner or other association fees that apply to the property? If Yes, explain below . . . . .
Yes
No
Unkn
NA
”
”
”
”
9. Are there certificates of occupancy related to the property? If No, explain below . . . . . . . . .
Yes
No
Unkn
NA
”
”
”
”
ENVIRONMENTAL
Note to Seller:
In this section, you will be asked questions regarding petroleum products and hazardous or toxic substances that you know
to have been spilled, leaked or otherwise been released on the property or from the property onto any other property. Petroleum
products may include, but are not limited to, gasoline, diesel fuel, home heating fuel, and lubricants. Hazardous or toxic
substances are products that could pose short or long-term danger to personal health or the environment if they are not properly
disposed of, applied or stored. These include, but are not limited to, fertilizers, pesticides and insecticides, paint including paint
thinner, varnish remover and wood preservatives, treated wood, construction materials such as asphalt and roofing materials,
antifreeze and other automotive products, batteries, cleaning solvents including septic tank cleaners, household cleaners and pool
chemicals and products containing mercury and lead.
Note to Buyer:
If contamination of this property from petroleum products and/or hazardous or toxic substances is a concern to you, you are
urged to consider soil and groundwater testing of this property.
Yes
No
Unkn
NA
”
”
”
”
10. Is any or all of the property located in a designated floodplain? If Yes, explain below . . . . .
11. Is any or all of the property located in a designated wetland? If Yes, explain below . . . . . .
Yes
No
Unkn
NA
”
”
”
”
12. Is the property located in an agricultural district? If Yes, explain below . . . . . . . . . . . . . . .
Yes
No
Unkn
NA
”
”
”
”
13. Was the property ever the site of a landfill? If Yes, explain below . . . . . . . . . . . . . . . . . . .
Yes
No
Unkn
NA
”
”
”
”
DOS-1614 (Rev. 8/06)
PAGE 2 OF 6
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal