Letter of Pre-Settlement Real Estate Disclosure



Letter of Pre-Settlement Real Estate Disclosure : Please fill out the following form. Please print your completed form if you would to have a copy for your records.




THE PROSPECTIVE BUYER AND THE OWNER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE PROPERTY AND PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM CONCERNINGANY ADVICE, INSPECTIONS, DEFECTS, OR WARRANTIES OBTAINED ON THE PROPERTY. THE REPRESENTATIONS IN THIS FORM ARE REPRESENTATIONS OF THE OWNER AND ARE NOT REPRESENTATIONS OF THE AGENT, IF ANY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF THE CONTRACT BETWEEN THE BUYER AND OWNER.


Seller states that the information contained in this Disclosure is correct as of the date below, to the best of the Seller’s current actual knowledge.


DATE :


PROPERTY ADDRESS :


THE CONDITION OF THE FOLLOWING PROPERTY IS : N/A DEFECTIVE NOT DEFECTIVE UNKNOWN


1. ELECTRICAL SYSTEM

a) Air filtration system

b) Burglar alarm

c) Cable TV wiring and connections

d) Ceiling fans

e) Garage door opener

f) Inside telephone wiring and jacks

g) Intercom

h) Kitchen range hood

i) Light fixtures

j) Sauna

k) Smoke/fire alarm

l) Switches and outlets

m) Amp services

n) Other


2. HEATING AND COOLING

a) Attic fan

b) Central air conditioning

c) Hot water heater

d) Furnace heater-gas, electric, oil, solar

e) Fireplace

f) Humidifier

g) Propane tank

h) Other


3. APPLIANCES

a) Vacuum system (built-in)

b) Clothes washing machine

c) Clothes dryer

d) Compactor

e) Convection oven

f) Dishwasher

g) Freezer

h) Garbage disposal

i) Gas grill

j) Microwave oven

k) Oven

l) Range

m) Refrigerator

n) TV antenna/dish

o) Other


4. WATER & SEWER SYSTEM

a) Cistern

b) Septic field/bed

c) Hot tub

d) Plumbing

e) Aerator system

f) Sump pump

g) Sprinkler /irrigation system

h) Water heater-gas, electric, solar

i) Water filtration system

j) Water softener

k) Well

l) Public water system

m) Public sewer system

n) Private/community water system

o) Private/community sewer system

p) Other systems


5. FOUNDATION & STRUCTURE

a) Are there any problems with the foundation?

b) Are there any structural problems with the building?

c) Have any substantial additions or alterations been made without a required building permit?

d) Are there any violations of zoning, building codes or restrictive covenants?

e) Are there moisture or water problems?

f) Is there termite, rodent or insect damage?

g) Is there damage due to wind or flood?

h) Is the property in a flood plain?

i) Is the property located within 1 (one) nautical mile of an airport?

j) Is there any threat of or pending litigation regarding the property?

k) Are the furnace, wood stove, chimney/flue in working order?


6. ROOF

a) Age in years_________

b) Are there any current leaks?

c) Is roof currently damaged?

d) Is there more than one roof on the structure?

If yes, how many_________?


7. HAZARDOUS CONDITIONS

Are there any existing hazards on the property such as methane gas, radioactive material, radon or lead paint in house or well, or expansive soil, toxic materials, asbestos insulation, landfill, mineshaft or PCBs? If yes, explain:


8. Additional comments or explanations :


Seller and Buyer hereby acknowledge receipt of this Disclosure Form by signing below :


Seller’s Signature :


Seller’s Name :


Seller’s Signature :


Seller’s Name :


Buyer’s Signature :


Buyer’s Name :


Buyer’s Signature :


Buyer’s Name :





Letters Used in Real Estate Index

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Letter of Pre-Settlement Real Estate Disclosure
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