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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 disclo- sure of the condition and information concerning the property, known by the Seller. Unless otherwise advised, the Seller does not possess any expertise in con- struction, 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 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 addi- tional 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.)
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Yes |
No |
Unknown |
Not |
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Yes |
No |
Unknown |
Not |
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Available |
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Available |
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Washer |
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Range/oven |
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Dishwasher |
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Dryer |
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Refrigerator |
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Lawn sprinkler system |
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Hood/fan |
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Water heater |
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Disposal |
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Plumbing system |
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TV antenna, TV rotor |
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Water softener/ |
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& controls |
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conditioner |
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Electrical system |
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Well & pump |
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Garage door opener & |
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Septic Tank & |
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remote control |
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drain field |
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Alarm system |
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Sump pump |
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Intercom |
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City water system |
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Central vacuum |
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City sewer system |
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Attic fan |
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Central air conditioning |
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Pool heater, wall liner |
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Central heating system |
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& equipment |
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Wall furnace |
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Microwave |
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Humidifier |
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Trash compacter |
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Electronic air filter |
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Ceiling fan |
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Solar heating system |
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Sauna/hot tub |
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Fireplace & chimney |
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Wood burning system |
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Explanation (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 and additional information: |
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1. |
Basement/Crawlspace: Has there been evidence of water? |
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yes________no ________ |
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If yes, please explain: __________________________________________________________________________________________________________ |
2 |
Insulation: Describe, if known: __________________________________________________________________________________________________ |
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Urea formaldehyde Foam Insulation (UFFI) is installed? |
unknown ________ |
yes________no ________ |
3. |
Roof: Leaks? |
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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: ____________________________________________________________________________________________
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.) ____________________________________________________________________________
________ ________Seller’s Initials |
________ ________Buyer’s Initials |
Page 1 of 2 |
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Rev. 1/06 |
Seller’s Disclosure Statement
MICHIGAN Property Address: ______________________________________________________________________________________________________________
Street |
City, Village or Township |
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.
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unknown______ |
yes______ |
no______ |
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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,
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roads and driveways, or other features whose use or responsibility for maintenance may have an |
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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 |
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others), or a homeowners’ association that has any authority over the property? |
unknown______ |
yes______ |
no______ |
4. |
Structural modifications, alterations, or repairs made without necessary permits or licensed |
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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.
BUYER IS 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 ENFORCE- MENT AGENCY OR SHERIFF’S DEPARTMENT DIRECTLY.
BUYER IS ALSO 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 PROP- ERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED.
Seller ________________________________________________________ |
Date |
______________________________________________________ |
Seller ________________________________________________________ |
Date |
______________________________________________________ |
Buyer has read and acknowledges receipt of this statement. |
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Buyer |
______________________________________________ |
Date ____________________________ |
Time ______________________________ |
Buyer |
______________________________________________ |
Date ____________________________ |
Time ______________________________ |
Disclaimer: This form is provided as a service of the Michigan Association of REALTORS®. Please review both the form and details of the particular transaction to ensure that each section is appropriate for the transaction. The Michigan Association of REALTORS® is not responsible for use or misuse of the form for misrepresentation for for warranties made in connection with the form.
Made Fillable by eForms |
PAGE 2 OF 2 |
Rev. 1/06 |
