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RESIDENTIAL REAL PROPERTY DISCLOSURE REPORT <br /> NOTICE:THE PURPOSE OF THIS REPORT IS TO PROVIDE PROSPECTIVE BUYERS WITH INFORMATION <br /> ABOUT MATERIAL DEFECTS IN THE RESIDENTIAL REAL PROPERTY.THIS REPORT DOES NOT LIMIT THE <br /> PARTIES'RIGHT TO CONTRACT FOR THE SALE OF RESIDENTIAL REAL PROPERTY IN"AS IS"CONDITION. <br /> UNDER COMMON LAW,SELLERS WHO DISCLOSE MATERIAL DEFECTS MAY BE UNDER A CONTINUING <br /> OBLIGATION TO ADVISE THE PROSPECTIVE BUYERS ABOUT THE CONDITION OF THE RESIDENTIAL REAL <br /> PROPERTY EVEN AFTER THE REPORT IS DELIVERED TO THE PROSPECTIVE BUYER.COMPLETION OF THIS <br /> REPORT BY THE SELLER CREATES LEGAL OBLIGATIONS ON THE SELLER;THEREFORE THE SELLER MAY <br /> WISH TO CONSULT AN ATTORNEY PRIOR TO COMPLETION OF THIS REPORT. <br /> Property Address: q,'2 S ,D??f M 1 S*7: A�C~ XL. <br /> Seller's Name(s): -TI Ko S/d!'T1�/ 4 4/1^6 e U <br /> This Report is a disclosure of certain conditions of the residential real property listed above in compliance with the <br /> Residential Real Property Disclosure Act. <br /> This information is provided as of -3e-/eR,,% (month)aS (day) OAb (year),and does not reflect any <br /> changes made or occurring after that date or information that becomes known to the seller after that date.The disclosures <br /> herein shall not be deemed warranties of any kind by the seller or any person representing any party in this transaction.In this <br /> form,"am aware"means to have actual notice or actual knowledge without any specific investigation or inquiry.In this form, <br /> a"material defect"means a condition that would have a substantial adverse effect on the value of the residential real property <br /> or that would significantly impair the health or safety of future occupants of the residential real property unless the seller <br /> reasonably believes that the condition has been corrected.The seller discloses the following information with the knowledge <br /> that even though the statements herein are not deemed to be warranties,prospective buyers may choose to rely on this <br /> information in deciding whether or not and on what terms to purchase the residential real property.The seller represents that <br /> to the best of his or her actual knowledge,the following statements have been accurately noted as"yes"(correct),"no" <br /> (incorrect),or"not applicable"to the property being sold.If the seller indicates that the response to any statement,except <br /> number 1,is yes or not applicable,the seller shall provide an explanation,in the additional information area of this form. <br /> YES NO N/A <br /> Seller has occupied the property within the last 12 months.(No explanation is <br /> 1. ...lt... ......... ......... needed.) <br /> 2. ......... ...X... ......... I am aware of flooding or recurring leakage problems in the crawl space or basement. <br /> I am aware that the property is located in a flood plain or that I currently have flood <br /> 3. ......... ..yX... hazard insurance on the property. <br /> I am aware of material defects in the basement or foundation(including cracks and <br /> 4. ......... .. .... bulges). <br /> 5. ......... ...h.... ......... I am aware of leaks or material defects in the roof,ceilings,or chimney. <br /> 6. ......... .... .. ......... I am aware of material defects in the walls or floors. <br /> 7. ......... ... ... ......... I am aware of material defects in the electrical system. <br /> VV I am aware of material defects in the plumbing system(includes such things as water <br /> 8. ......... ....1... heater,sump pump,water treatment system,sprinkler system,and swimming pool). <br /> 9. ......... ......... ...., . 1 am aware of material defects in the well or well equipment. <br /> 10. ......... .. ... ......... I am aware of unsafe conditions in the drinking water. <br /> 11. ......... .....X.. ......... I am aware of material defects in the heating,air conditioning,or ventilating systems. <br /> 12. ......... ......... ...X.. I am aware of material defects in the fireplace or woodburning stove. <br /> 13. ......... ....,X. .. ......... I am aware of material defects in the septic,sanitary sewer,or other disposal system. <br /> 14. ......... ... .. ......... I am aware of unsafe concentrations of radon on the premises. <br /> I am aware of unsafe concentrations of or unsafe conditions relating to asbestos on the <br /> 15. ......... ......... . premises. <br /> 8 <br />