Residential Property Disclosure And Disclaimer Statement Page 9
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108. GENERAL
YES
NO
UNKNOWN
A. Is there any settling, soil, standing water, or drainage problems on the property?
If yes, explain:
B. Does the property contain fill material?
C. Is there any material damage to the property or any of the structure from fire, wind, floods, beach
movements, earthquake, expansive soils, or landslides?
If yes, explain:
D. Is the property in a designated flood plain?
E. Are there any substances, materials, or products that may be an environmental hazard such as, but
not limited to, asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical storage tanks
and contaminated soil or water on the subject property?
If yes, explain:
F. Are there any tanks or underground storage tanks (e.g., chemical, fuel, etc.) on the property?
If yes, explain, and give approx. position (attach map):
G. Has the property ever been used as an illegal drug-manufacturing site?
If yes, explain:
H. If the property contains a wood-burning stove or fireplace, when was/were the chimney(ies) last cleaned?
Detail date(s) and chimney(ies), or mark Unknown:
I. Are you aware of any of the following regarding the property?
Existing or threatened legal action
Violation of any law or regulation
General stains or pet stains to carpet or floor
Transferable warranties
Any locks without keys
Unrecorded interests affecting the property
Fire Damage at any time
Appraiser or Mechanic’s Lien
Landfills or underground problems
If any of the above are marked, explain:
J. If any tests to detect radon gas have been done on the property, provide documentation. If radon gas has been detected on the
property, explain when, where, by whom, and all other details:
9. FULL DISCLOSURE BY SELLERS
A. Other conditions or defects:
Does the Seller know of any other material defects affecting this property or its value that a prospective buyer
Yes
No
should know about?
If yes, explain:
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