Property Condition Disclosure Statement Template Page 3
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423.
Has the property been tested for termite, insect, rodent or pest infestation or damage?
Yes No UNKN NA (if yes, please attach report(s))
___________________________
24.
What is the type of roof/roof covering (slate, asphalt, other.)?
_____________________________________________
Any known material defects?
___________________________________________________
How old is the roof?
Is there a transferable warrantee on the roof in effect now? Yes No UNKN NA (if yes, explain below)
25.
Are there any known material defects in any of the following structural systems: footings, beams, girders, lintels,
columns or partitions. Yes No UNKN NA (if yes, explain below)
Mechanical Systems & Services
26.
What is the water source (circle all that apply - well, private, municipal, other)? If municipal, is it metered?
Yes No UNKN NA
27.
Has the water quality and/or flow rate been tested? Yes No UNKN NA (if yes, describe below)
28.
What is the type of sewage system (circle all that apply – public sewer, private sewer, septic or cesspool)?
________________________________________________
If septic or cesspool, age?
_____________________________________________________
Date last pumped?
__________________________________________________
Frequency of pumping?
Any known material defects? Yes No UNKN NA (if yes, explain below)
___________________________________________
29.
Who is your electric service provider?
__________________________________________________
What is the amperage?
________________________________________
Does it have circuit breakers or fuses?
__________________________________________________
Private or public poles?
Any known material defects? Yes No UNKN NA (if yes, explain below)
30.
Are there any flooding, drainage or grading problems that resulted in standing water on any portion of the
property? Yes No UNKN NA (if yes, state locations and explain below)
31.
Does the basement have seepage that results in standing water? Yes No UNKN NA (if yes, explain below)
Are there any known material defects in any of the following (if yes, explain below. Use additional sheets if necessary):
32. Plumbing system?
Yes No UNKN NA
33. Security system?
Yes No UNKN NA
34. Carbon monoxide detector?
Yes No UNKN NA
35. Smoke detector?
Yes No UNKN NA
36. Fire sprinkler system?
Yes No UNKN NA
37. Sump pump?
Yes No UNKN NA
38. Foundation/slab?
Yes No UNKN NA
39. Interior walls/ceilings?
Yes No UNKN NA
40. Exterior walls or siding?
Yes No UNKN NA
41. Floors?
Yes No UNKN NA
42. Chimney/fireplace or stove?
Yes No UNKN NA
43. Patio/deck?
Yes No UNKN NA
44. Driveway?
Yes No UNKN NA
45. Air conditioner?
Yes No UNKN NA
46. Heating system?
Yes No UNKN NA
47. Hot water heater?
Yes No UNKN NA
48. The property is located in the following school district _____________________________________ UNKN
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This contract is for use by Greene Realty Group. Use by any other party is illegal and voids the contract.
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