Form Seller Disclosure Statement PDF Details

In many states, it is now a legal requirement for both home sellers and landlords to fill out a form seller disclosure statement. The form seller disclosure statement is a document that provides potential buyers or tenants with important information about the property they are interested in. This document can help you avoid any surprises down the road by disclosing any known issues with the property. In this blog post, we will discuss what is included on a form seller disclosure statement, and how to fill it out correctly.

Here, you may find some specifics of form seller disclosure statement PDF. Before you complete the form, it is usually definitely worth reading more about it.

QuestionAnswer
Form NameForm Seller Disclosure Statement
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesseller disclosure form, michigan real estate disclosure form, how to michigan disclosure, seller statement

Form Preview Example

Seller’s Disclosure Statement

Property address:

 

 

 

MICHIGAN

 

Street

 

City, Village, or Township

Purpose of Statement: This statement is a disclosure of the condition of the property in compliance with the Seller Disclosure Act. This statement is a disclosure of the condition and information concerning the property, known by the Seller. Unless otherwise advised, the Seller does not possess any expertise in construction, architecture, engineering or any other specific area related to the construction or condition of the improvements on the property or the land. Also, unless otherwise advised, the Seller has not conducted any inspection of generally inaccessible areas such as the foundation or roof. This statement is not a warranty of any kind by the Seller or by any Agent representing the Seller in this transaction, and is not a substitute for any inspections or warranties the Buyer may wish to obtain.

Seller's Disclosure: The Seller discloses the following information with the knowledge that even though this is not a warranty, the Seller specifically makes the following representations based on the Seller's knowledge at the signing of this document. Upon receiving this statement from the Seller, the Seller's Agent is required to provide a copy to the Buyer or the Agent of the Buyer. The Seller authorizes its Agent(s) to provide a copy of this statement to any prospective Buyer in connection with any actual or anticipated sale of property. The following are representations made solely by the Seller and are not the representations of the Seller's Agent(s), if any. THIS INFORMATION IS A DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY CONTRACT BETWEEN BUYER

AND SELLER.

Instructions to the Seller: (1) Answer ALL questions. (2) Report known conditions affecting the property. (3) Attach additional pages with your signature if additional space is required. (4) Complete this form yourself. (5) If some items do not apply to your property, check NOT AVAILABLE. If you do not know the facts, check UNKNOWN, FAILURE TO PROVIDE A PURCHASER WITH A SIGNED DISCLOSURE STATEMENT WILL ENABLE A PURCHASER TO TERMINATE AN OTHERWISE BINDING PURCHASE AGREEMENT.

Appliances/Systems/Services: The items below are in working order. (The items listed below are included in the sale of the property only if the purchase

agreement so provides.)

 

 

 

 

 

 

 

 

 

 

 

Yes

No

Unknown Not Available

Yes

No

Unknown

Not Available

Range/Oven

 

 

Lawn sprinkler system

 

 

 

 

 

 

Dishwasher

 

 

Water heater

 

 

 

 

 

 

Refrigerator

 

 

Plumbing system

 

 

 

 

 

 

Water softener/

 

 

 

Hood/fan

 

 

 

 

 

 

conditioner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disposal

 

 

 

Well & pump

 

 

 

 

 

 

TV antenna, TV rotor

 

 

 

Septic tank & drain

 

 

 

 

 

 

& controls

 

 

 

 

 

 

 

 

 

 

 

 

field

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Electrical system

 

 

Sump pump

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Garage door opener &

 

 

 

City water system

 

 

 

 

 

 

remote control

 

 

 

 

 

 

 

 

Alarm system

 

 

City sewer system

 

 

 

 

 

 

Intercom

 

 

Central air conditioning

 

 

 

 

 

 

Central vacuum

 

 

Central heating system

 

 

 

 

 

 

Attic fan

 

 

 

 

 

 

 

 

 

 

 

 

Wall Furnace

 

 

 

 

 

 

Pool heater, wall liner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

& equipment

 

 

Humidifier

 

 

 

 

 

 

Microwave

 

 

Electronic air filter

 

 

 

 

 

 

Trash compactor

 

 

Solar heating system

 

 

 

 

 

 

Ceiling fan

 

 

Fireplace & chimney

 

 

 

 

 

 

Sauna/hot tub

 

 

Wood burning system

 

 

 

 

 

 

Washer

 

 

Dryer

 

 

 

 

 

 

Explanations (attach additional sheets if necessary):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNLESS OTHERWISE AGREED, ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED, WITHOUT WARRANTY BEYOND

DATE OF CLOSING.

 

 

 

 

 

 

 

 

 

 

Property conditions, improvements & additional information:

 

 

 

 

 

 

 

1. Basement/Crawlspace: Has there been evidence of water?

 

 

yes

no

 

 

 

 

 

 

If yes, please explain:

 

 

 

 

 

 

 

 

 

 

 

2. Insulation: Describe if known:

 

 

 

 

 

 

 

 

 

 

Urea Formaldehyde Foam Insulation (UFFI) is installed?

unknown

yes

no

3. Roof: Leaks?

 

 

 

 

yes

no

 

 

 

 

 

 

 

 

 

Approximate age if known:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.Well: Type of well (depth/diameter, age and repair history, if known):

Has the water been tested?

yes

no

If yes, date of last report/results:

 

 

5.Septic tanks/drain fields: Condition if known:

6.Heating system: Type/approximate age:

BUYERS INITIALS

 

SD Page 1 of 2

 

SELLERS INITIALS

 

Revised 01/06

Property address:

 

 

 

 

 

MICHIGAN

 

 

Street

 

 

City, Village, or Township

7. Plumbing system: Type: copper

galvanized

other

Any known problems?

8.Electrical system: Any known problems?

9.History of infestation, if any: (termites, carpenter ants, etc.)

10.Environmental problems: Are you aware of any substances, materials or products that may be an environmental hazard such as, but not limited to, asbestos, radon gas, formaldehyde, lead-based paint, fuel or chemical storage tanks and contaminated soil on property.

 

 

 

unknown

yes

no

 

If yes, please explain:

 

 

 

 

11. Flood Insurance: Do you have flood insurance on the property?

unknown

yes

no

12. Mineral Rights: Do you own the mineral rights?

unknown

yes

no

 

 

 

Other Items: Are you aware of any of the following:

 

 

 

1.

Features of the property shared in common with the adjoining landowners, such as walls, fences, roads and driveways, or other features whose use or

 

responsibility for maintenance may have an effect on the property?

unknown

yes

no

2.

Any encroachments, easements, zoning violations or nonconforming uses?

unknown

yes

no

3.

Any “common areas” (facilities like pools, tennis courts, walkways, or other areas co-owned with others), or a homeowner’s association that has any authority

 

over the property?

unknown

yes

no

4.

Structural modifications, alterations, or repairs made without necessary permits or licensed contractors?

unknown

yes

no

 

 

 

 

 

5. Settling, flooding, drainage, structural, or grading problems?

unknown

yes

no

6.

Major damage to the property from fire, wind, floods, or landslides?

unknown

yes

no

7.

Any underground storage tanks?

unknown

yes

no

8.

Farm or farm operation in the vicinity; or proximity to a landfill, airport, shooting range, etc?

unknown

yes

no

9.

Any outstanding utility assessments or fees, including any natural gas main extension surcharge?

unknown

yes

no

10.

Any outstanding municipal assessments or fees?

unknown

yes

no

11.

Any pending litigation that could affect the property or the Seller’s right to convey the property?

unknown

yes

no

If the answer to any of these questions is yes, please explain. Attach additional sheets, if necessary:

The Seller has lived in the residence on the property from

 

(date) to

 

(date).

The Seller has owned the property since

 

 

 

 

(date).

The Seller has indicated above the condition of all the items based on information known to the Seller. If any changes occur in the structural/mechanical/appliance systems of this property from the date of this form to the date of closing, Seller will immediately disclose the changes to Buyer. In no event shall the parties hold the Broker liable for any representations not directly made by the Broker or Broker’s Agent.

Seller certifies that the information in this statement is true and correct to the best of Seller’s knowledge as of the date of Seller’s signature.

BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY. THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT, AS WELL AS ANY EVIDENCE OF UNUSUALLY HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING, BUT NOT LIMITED TO, HOUSEHOLD MOLD, MILDEW AND BACTERIA.

BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT, 1994 PA 295, MCL 28,721 TO 28.732 IS AVAILABLE TO THE PUBLIC. BUYERS SEEKING SUCH INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERRIF’S DEPARTMENT DIRECTLY.

BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY, PRINCIPAL RESIDENCE EXEMPTION INFORMATION, AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSOR'S OFFICE. BUYER SHOULD NOT ASSUME THAT

BUYER'S FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLER'S PRESENT TAX BILLS. UNDER MICHIGAN LAW, REAL PROPERTY OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED.

Seller

 

 

 

Date

 

 

Seller

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

Buyer has read and acknowledges receipt of this statement.

 

 

 

 

 

 

 

 

Buyer

 

Date

 

 

Time

 

 

 

 

 

 

 

 

 

 

 

Buyer

 

Date

 

 

 

Time

 

 

 

 

 

 

Disclaimer: This form is provided as a service of the Midland Board of REALTORS®. Please review both the form and details of the particular transactions to ensure that each section is appropriate for the transaction. The Midland Board of REALTORS® is not responsible for the use or misuse of the form for misrepresentation of for warranties made in connection with the form.

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Revised 01/06

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