Purchase Agreement
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9Disclosure Confirmations to the
PURCHASE AGREEMENT
Southwest Iowa Association of REALTORS®
Date of Offer
Address_________________________________
_______________________, 20____
I.
DISCLOSURE CONFIRMATIONS.
A. AGENCY. Buyer and Seller confirm that written disclosures of agency representation were provided to them.
They understand who is representing them, and the disclosures were provided prior to signing this Offer For Real
Estate.
¨
B.
Licensee is related to Buyer or Seller(relationship) _____________________________________
¨
C.
Agent has interest in property (explain) ______________________________________________
D. SELLER DISCLOSURE OF PROPERTY CONDITION. If this offer is for 1 to 4 unit residential property, Seller
or Seller’s Agent must deliver a written disclosure statement to Buyer prior to Seller accepting an offer, or counter-
offering to Buyer. By signing below Buyer confirms one of the following:
¨
Buyer has received, reviewed and signed the Seller’s Disclosure of Property Condition.
¨
This offer is contingent upon Buyer promptly receiving, reviewing and signing Seller’s Disclosure of Property
Condition. If not delivered at time of offer Buyer has 3-5 days from date of receipt of Seller Disclosure to void
this offer.
¨
Check here if Seller is exempt from providing disclosure under the Code of Iowa.
E. LEAD-BASED PAINT. If this offer is for a residential property built prior to 1978, Seller or Seller’s Agent must
provide Buyer with: (1) an EPA-approved lead hazard information pamphlet and (2) Seller’s Lead-Based Paint
Disclosure Information Statement. By signing below, Buyer confirms the following:
¨
Buyer has received and read the above described documents.
¨
.
Check here if Seller is exempt from providing documents under EPA regulations (property built 1978 or later)
F. RADON. Buyer confirms one of the following:
¨
Buyer Has received, reviewed and signed the “Iowa Radon Home-Buyers and Sellers Fact Sheet”, prepared
by
the Iowa Department of Public Health.
¨
The Seller is exempt from providing the “Iowa Radon Home-Buyers and Seller Fact Sheet.”
G. REQUEST TO COMPLETE FORM DOCUMENTS AND REALTOR® PERMISSION TO CALL. Buyer and
Seller
request that Broker selects and completes documents allowed by law, and authorizes REALTOR®/Broker to call,
fax, and email their respective clients.
1. ____________________________________________ 1. ____________________________________________
BUYER Signature
DATE
SELLER Signature
DATE
2. ____________________________________________ 2. _____________________________________________
BUYER Signature
DATE
SELLER Signature
DATE
Rev. 4/29/11
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