2015_SellersDisclosureAddendum

7/23/2019 2015_SellersDisclosureAddendum

1/8

Sellers Disclosure and Condition of Property AddendumResidentialPage 1of 8

SELLER:___________________________________________________________________________1

PROPERTY:________________________________________________________________________23

1. NOTICE TO SELLER.4

Be as complete and accurate as possible when answering the questions in this disclosure. Attach5additional sheets if space is insufficient for all applicable comments. SELLER understands that the law6requires disclosure of any material defects, known to SELLER, in the Property to prospective Buyer(s7and that failure to do so may result in civil liability for damages. Non-occupant SELLERS are no8relieved of this obligation. This disclosure statement is designed to assist SELLER in making these9disclosures. Licensee(s), prospective buyers and buyers will rely on this information.10

112. NOTICE TO BUYER.12This is a disclosure of SELLERS knowledge of the Property as of the date signed by SELLER and is not13a substitute for any inspections or warranties that BUYER may wish to obtain. It is not a warranty of any14kind by SELLER or a warranty or representation by the Broker(s) or their licensees.15

16

3. OCCUPANCY.17Approximate age of Property? ___________________ How long have you owned? ________________18Does SELLER currently occupy the Property? ................................................................. Yes No19If No,how long has it been since SELLER occupied the Property? _____________ years/months20

214. LAND (SOILS, DRAINAGE AND BOUNDARIES). (IF RURAL OR VACANT LAND, ATTACH22

SELLERS LAND DISCLOSURE ALSO.) ARE YOU AWARE OF:23(a) Any fill or expansive soil on the Property? ..................................................... Yes No24(b) Any sliding, settling, earth movement, upheaval or earth stability problems25

on the Property? ............................................................................................ Yes No26(c) The Property or any portion thereof being located in a flood zone, wetlands27

area orproposedto be located in such as designated by FEMA which28

requires flood insurance? .............................................................................. Yes No29(d) Any drainage or flood problems on the Property or adjacent properties? ...... Yes No30(e) Any flood insurance premiums that you pay? ................................................ Yes No31(f) Any need for flood insurance on the Property? .............................................. Yes No32(g) Any boundaries of the Property being marked in any way? ........................... Yes No33(h) The Property having had a stake survey? If Yes, attach copy. ................... Yes No34(i) Any encroachments, boundary line disputes, or non-utility easements35

affecting the Property? .................................................................................. Yes No36(j) Any fencing on the Property? ........................................................................ Yes No37

If Yes, does fencing belong to the Property? ....................................... N/A Yes No38(k) Any diseased, dead, or damaged trees or shrubs on the Property? .............. Yes No39(l) Any gas/oil wells, lines or storage facilities on Property or adjacent40

property? ....................................................................................................... Yes No41(m) Any oil/gas leases, mineral, or water rights tied to the Property? .................. Yes No42

If any of the answers in this section are Yes(except h), explain in detail (attach other43documentation):_____________________________________________________________________44

___________________________________________________________________________________45___________________________________________________________________________________46___________________________________________________________________________________47

SELLERS DISCLOSURE AND

CONDITION OF PROPERTY ADDENDUM

(Residential)


2/8

Sellers Disclosure and Condition of Property Addendum Residential

Page 2 of 8

5. ROOF.48(a) Approximate Age: ______years Unknown Type: _____________________________49(b) Have there been any problems with the roof, flashing or rain gutters? .......... Yes No50

If Yes, what was the date of the occurrence? ______________________51(c) Have there been any repairs to the roof, flashing or rain gutters? ................. Yes No52

Date of and company performing such repairs___________/__________________________53(d) Has there been any roof replacement? ......................................................... Yes No54

If Yes, was it: Complete or Partial55(e) What is the number of layers currently in place? _________layers or Unknown.56

If any of the answers in this section are Yes, explain in detail(attach all warranty information57and other documentation):______________________________________________________________58

_____________________________________________________________________________________59_____________________________________________________________________________________60

616. INFESTATION. ARE YOU AWARE OF:62

(a) Any termites, wood destroying insects, or otherpests on the Property? ....... Yes No63(b) Any damage to the Property by termites, wood destroying insects orother64

pests? ........................................................................................................... Yes No65(c) Any termite, wood destroying insects or otherpest control treatments on the66

Property in the last five (5) years? ................................................................. Yes No67

If Yes, list company, whenand wheretreated ______________________68 (d) Any current warranty, bait stations or other treatment coverage by a licensed69pest control company on the Property? ......................................................... Yes No70If Yes, the annual cost of service renewal is $___________ and the time71remaining on the service contract is _________________.(Check one) The treatment72system stays with the Property or the treatment system is subject to removal by the73treatment company if annual service fee is not paid.74

If any of the answers in this section are Yes,explain in detail (attach all warranty information and75other documentation):_______________________________________________________________76

___________________________________________________________________________________77___________________________________________________________________________________78___________________________________________________________________________________79

80 7. STRUCTURAL, BASEMENT/CRAWL SPACE, FIREPLACE AND EXTERIOR ITEMS.81ARE YOU AWARE OF:82

(a) Any movement, shifting, deterioration, or other problems with walls,83foundations, crawl space or slab? ................................................................. Yes No84

(b) Any cracks or flaws in the walls, ceilings, foundations, concrete slab,85crawl space, basement floor or garage? ....................................................... Yes No86

(c) Any corrective action taken including, but not limited to piering or bracing? .. Yes No87(d) Any water leakage or dampness in the house, crawl space or basement? .... Yes No88(e) Any dry rot, wood rot or similar conditions on the wood of the Property? ...... Yes No89(f) Any problems with driveways, patios, decks, fences or retaining walls on90

the Property? ................................................................................................. Yes No91

(g) Any problems with fireplace including, but not limited to firebox, chimney,92 chimney cap and/or gas line? ........................................................................ Yes No93Date of any repairs, inspection(s) or cleaning? ________________________94Date of last use? ___________________________________95

(h) Does the Property have a sump pump? ........................................................ Yes No96If Yes, location: ________________________________________________97

(i) Any repairs or other attempts to control the cause or effect of any problem98described above? .......................................................................................... Yes No99


3/8


Page 3 of 8

If any of the answers in this section are Yes(except h), explain in detail (attach all warranty00information and other documentation): _________________________________________________01

_____________________________________________________________________________________02_____________________________________________________________________________________03_______________________________________________________________________________04

058. ADDITIONS AND/OR REMODELING.06

(a) Are you aware of any additions, structural changes, or other material07alterations to the Property? ........................................................................... Yes No08If Yes, explain in detail: ______________________________________________________09

__________________________________________________________________________10(b) If Yes, were all necessary permits and approvals obtained, and was all11

work in compliance with building codes? ............................................. N/A Yes No12If No,explain in detail: ______________________________________________________13

__________________________________________________________________________1415

9. PLUMBING RELATED ITEMS.16(a) What is the drinking water source? Public Private Well Cistern17

If well water, state type __________________ depth_____________18diameter ___________ age_________19

(b) If the drinking water source is a well, when was the water last checked for20safety and what was the result of the test?___________________________21

(c) Is there a water softener on the Property? .................................................... Yes No22If Yes, is it: Leased Owned?23

(d) Is there a water purifier system? ................................................................... Yes No24If Yes, is it: Leased Owned?25

(e) What type of sewage system serves the Property? Public Sewer Private Sewer26Septic System Cesspool Lagoon Other _____________________27

(f) The location of the sewer line clean out trap is: ___________________________28(g) Is there a sewage pump on the septic system? ......................................... N/A Yes No29(h) Is there a grinder pump system? ................................................................... Yes No30(i) If there is a privately owned system, when was the septic tank, cesspool, or sewage31

system last serviced?_________ By whom? ___________________________32(j) Is there a sprinkler system? .......................................................................... Yes No33

Does sprinkler system cover full yard and landscaped areas? ................ N/A Yes No34If No, explainin detail: __________________________________________35

(k) Are you aware of any leaks, backups, or other problems relating to any of the,36plumbing, water, and sewage related systems? ............................................ Yes No37

(l) Type of plumbing material currently used in the Property:38Copper Galvanized Other ____________________________________________39

The location of the main water shut-off is: ________________________________________40(m) Is there a back flow prevention device on the lawn sprinkling system,41

sewer or pool? .................................................................................... N/A Yes No42If your answer to (k) in this section is Yes, explain in detail (attach available43

documentation):_____________________________________________________________________44 _____________________________________________________________________________________45_____________________________________________________________________________________46_______________________________________________________________________________47


4/8


Page 4 of 8

10. HEATING AND AIR CONDITIONING.48(a) Does the Property have air conditioning? ...................................................... Yes No49

Central Electric Central Gas Heat Pump Window Unit(s)50Unit Age of Unit Leased Owned Location __Last Date Serviced/By Whom?511.________________________________________________________________________522.________________________________________________________________________53

(b) Does the Property have heating systems? .................................................... Yes No54Electric Fuel Oil Natural Gas Heat Pump Propane55Fuel Tank Other_______________56

Unit Age of Unit Leased Owned Location __Last Date Serviced/By Whom?571.________________________________________________________________________582.________________________________________________________________________59

(c) Are there rooms without heat or air conditioning? ......................................... Yes No60If Yes, which room(s)? ______________________________________________________61

(d) Does the Property have a water heater? ....................................................... Yes No62Electric Gas Solar Tankless63

Unit Age of Unit Leased Owned Location Capacity__Last Date Serviced/By Whom?_641.________________________________________________________________________652.________________________________________________________________________66

(e) Are you aware of any problems regarding these items? ................................ Yes No67If Yes, explain in detail: _____________________________________________________68

___________________________________________________________________________69___________________________________________________________________________70________________________________________________________________________71

7211.ELECTRICAL SYSTEM.73

(a) Type of material used: Copper Aluminum Unknown74(b) Type of electrical panel(s): Breaker Fuse75

Location of electrical panel(s): _________________________________________________76Size of electrical panel (total amps), if known: _____________________________________77

(c) Are you aware of any problem with the electrical system? ............................ Yes No78If Yes, explain in detail: ______________________________________________________79

__________________________________________________________________________80__________________________________________________________________________81

8212. HAZARDOUS CONDITIONS. ARE YOU AWARE OF:83

(a) Any underground tanks on the Property? ...................................................... Yes No84(b) Any landfill on the Property? .......................................................................... Yes No85(c) Any toxic substances on the Property, (e.g. tires, batteries, etc.)? ................ Yes No86(d) Any testing for any of the above-listed items on the Property? ...................... Yes No87(e) Any professional testing/mitigation for radon on the Property? ...................... Yes No88(f) Any professional testing/mitigation for mold on the Property? ....................... Yes No89(g) Any other environmental issues? ................................................................... Yes No90(h) Any methamphetamine or controlled substances ever being91

used or manufactured on the Property? ........................................................ Yes No92 (In Missouri, a separate disclosure is required if methamphetamine or93other controlled substances have been present on or in the Property.)94


5/8


Page 5 of 8

If any of the answers in this section are Yes, explain in detail(attach test results and other95documentation):____________________________________________________________________96

_____________________________________________________________________________________97_________________________________________________________________________________98___________________________________________________________________________________99

0013. NEIGHBORHOOD INFORMATION & HOMEOWNERS ASSOCIATION. ARE YOU AWARE OF:01

(a) Any current/pending bonds, assessments, or special taxes that02apply to Property? .............................................................................................. Yes No03If Yes, what is the amount? $______________________04

(b) Any condition or proposed change in your neighborhood or surrounding05area or having received any notice of such? ................................................. Yes No06

(c) Any defect, damage, proposed change or problem with any07common elements or common areas? .......................................................... Yes No08

(d) Any condition or claim which may result in any change to09assessments or fees? ................................................................................... Yes No10

(e) Any streets that are privately owned? ............................................................ Yes No11(f) The Property being in a historic, conservation or special review district that12

requires any alterations or improvements to the Property be approved by a13board or commission? ................................................................................... Yes No14

(g) The Property being subject to tax abatement? ............................................... Yes No15(h) The Property being subject to a right of first refusal? ..................................... Yes No16

If Yes, number of days required for notice: ___________17(i) The Property being subject to covenants, conditions, and restrictions of a18

HomeownersAssociation or subdivision restrictions? ................................... Yes No19(j) Any violations of such covenants and restrictions? .................................. N/A Yes No20(k) The HomeownersAssociation imposing its own transfer fee and/or21

initiation fee when the Property is sold? ................................................... N/A Yes No22If Yes, what is the amount? $____________________23

24Homeowners Associationdues are paid in full until _______________ in the amount of $____________25payable yearly semi-annually monthly quarterly, sent to ___________________________and26such includes:________________________________________________________________________27HomeownersAssociation/Management Company contact name, phone number, website, or email28address: ____________________________________________________________________________29

___________________________________________________________________________________30___________________________________________________________________________________31If any of the answers in this section are Yes (except i and k), explain in detail (attach other32documentation):_______________________________________________________________________33

_____________________________________________________________________________________34_____________________________________________________________________________35

3614. PREVIOUS INSPECTION REPORTS.37

(a) Has Property been inspected in the last twelve (12) months? ...................... Yes No38

If Yes, a copy of inspection report(s) are available upon request.394015. OTHER MATTERS. ARE YOU AWARE OF:41

(a) Any of the following?42Party walls Common areas Easement Driveways ............................. Yes No43

(b) Any fire damage to the Property? .................................................................. Yes No44(c) Any liens, other than mortgage(s)/deeds of trust currently on the Property? . Yes No45(d) Any violations of laws or regulations affecting the Property? .......................... Yes No46


6/8


Page 6 of 8

(e) Any other conditions that may materially affect the value47or desirability of the Property? ....................................................................... Yes No48

(f) Any other condition, including but not limited to financial, that may prevent49you from completing the sale of the Property? .............................................. Yes No50

(g) Any general stains or pet stains to the carpet, the flooring or sub-flooring? .. Yes No51(h) Missing keys for any exterior doors, including garage doors to the Property? Yes No52

List locks without keys __________________________________________53(i) Any violations of zoning, setbacks or restrictions, or non-conforming uses? . Yes No54(j) Any unrecorded interests affecting the Property? .......................................... Yes No55(k) Anything that would interfere with giving clear title to the BUYER? .............. Yes No56(l) Any existing or threatened legal action pertaining to the Property? ............... Yes No57(m) Any litigation or settlement pertaining to the Property? .................................. Yes No58(n) Any added insulation since you have owned the Property? ........................... Yes No59(o) Having replaced any appliances that remain with the Property in the60

past five (5) years? ........................................................................................ Yes No61(p) Any transferable warranties on the Property or any of its62

components?............................................................................................ Yes No63(q) Having made any insuranceor other claims pertaining to the Property64

in the past five (5) years? .............................................................................. Yes No65If Yes, were repairs from claim(s) completed? ....................................... N/A Yes No66

(r) Any use of synthetic stucco on the Property? ................................................ Yes No67If any of the answers in this section are Yes, explain in detail: __________________68

___________________________________________________________________________________69___________________________________________________________________________________70___________________________________________________________________________________71___________________________________________________________________________________72

7316. UTILITIES. Identify the name and phone number for utilities listed below.74

Electric Company Name: __________________________ Phone #______________________75Gas Company Name: ___________________________ Phone #______________________76Water Company Name: ___________________________ Phone #______________________77

7817.FIXTURES, EQUIPMENT AND APPLIANCES (FILL IN ALL BLANKS).79

The Residential Real Estate Sale Contract, including this paragraph of the residential Sellers80Disclosure and Condition of Property Addendum (Sellers Disclosure), not the MLS, or othe81promotional material, provides for what is included in the sale of the Property. Items listed in the82Additional Inclusions or Exclusions in Subparagraphs 1a and 1b of the Contract supersede the83Sellers Disclosureand the pre-printed list in Paragraph 1 of the Contract. If there are no Additiona84Inclusions or Exclusions listed,the Sellers Disclosure and the pre-printed list govern what is or is not85included in this sale. If there are differences between the Sellers Disclosure and the Paragraph 1 list86the Sellers Disclosure governs. Unless modified by the Sellers Disclosure and/or the Additiona87Inclusions and/or the Exclusions in Paragraph 1a and/or 1b, all existing improvements on the88Property (if any) and appurtenances, fixtures and equipment (which seller agrees to own free and89clear), whether buried, nailed, bolted, screwed, glued or otherwise permanently attached to Property90are expected to remain with Property, including, but not limited to:91

92Bathroom mirrors Lighting and light fixtures Shelving, racks and towel bars93Fences Mounted entertainment brackets (if attached)94Fireplace grates, screens and/or Other mirrors (if attached) Storm windows, doors & screens95

glass doors (if attached) Plumbing equipment and fixtures Window blinds, curtains, coverings96Floor coverings (if attached) and mounting components97


7/8


Page 7 of 8

Fil l in al l blanks using o ne of the abbreviat ions l is ted below.98OS =Operating and Staying with the Property (any item that is performing its intended99

function).00EX = Staying with the Property but Excluded from Mechanical Repairs; cannot be an01

Unacceptable Condition.02NA = Not applicable (any item not present).03NS= Not staying with the Property (item should be identified as NS below.)04

0506

___Air Conditioning Window Units, #___ ___Laundry - Washer07___Air Conditioning Central System ___Laundry - Dryer08___Attic Fan ___Elec. ___Gas09___Ceiling Fan(s), #___ MOUNTED ENTERTAINMENT EQUIPMENT10___Central Vac and Attachments ___ Item #1 ________________11___Doorbell Location________________12___Electric Air Cleaner or Purifier ___ Item #2 ________________13___Exhaust Fan(s)Baths Location________________14___FencesInvisible & Controls ___ Item #3 ________________15Fireplace(s), #________ Location________________16

Location #1 ___________ Location #2___________ ___ Item #4 ________________17___ Chimney ___ Chimney Location________________18___ Gas Logs ___ Gas Logs ___Outside Cooking Unit19

___ Gas Starter ___ Gas Starter ___Propane Tank20___ Heat Re-circulator ___ Heat Re-circulator ___Owned __Leased21___ Insert ___ Insert ___Security System22___ Wood Burning Stove ___ Wood Burning Stove ___Owned __Leased23___ Other ___ Other ___Smoke/Fire Detector(s), #___24

___Fountain(s) ___Spa/Hot Tub25___Furnace/Heat Pump/Other Htg System ___Spa/Sauna26___Garage Door Keyless Entry ___Spa Equipment27___Garage Door Opener(s), #___ ___Sprinkler System Auto Timer28___Garage Door Transmitter(s), #___ ___Sprinkler System Back Flow Valve29___Gas Yard Light ___Sprinkler System (Components & Controls)30___Humidifier ___Statuary/Yard Art31___Intercom ___Sump Pump32___Jetted Tub ___Swimming Pool

33 KITCHEN APPLIANCES ___Swimming Pool Heater34Cooking Unit ___Swimming Pool Equipment35

___Cooktop ___Elec. ___Gas ___ TV Antenna/Receiver/Satellite Dish36___Microwave Oven __Owned __Leased37___Oven ___Water Softener and/or Purifier38

___Elec. ___Gas ___Convection __Owned __Leased39___Stove/Range ___Other ________________________40

___Elec. ___Gas ___Convection ___Other ________________________41___Dishwasher ___Other ________________________42___Disposal ___Other ________________________43___Freezer ___Other ________________________44

Location _____________ ___Other ________________________45___Icemaker ___Other________________________46

___Refrigerator (#1) ___Other ________________________47Location______________ ___Other ________________________48

___Refrigerator (#2) ___Other ________________________49Location _____________ ___Other ________________________50

___Trash Compactor ___Other ________________________51


8/8


Page 8 of 8

Disclose any material information and describe any significant repairs, improvements or alterations to the52Property not fully revealed above. If applicable, state who did the work. Attach to this disclosure any repair53estimates, reports, invoices, notices or other documents describing or referring to the matters revealed54herein: _______________________________________________________________________________55

_____________________________________________________________________________________56_____________________________________________________________________________________57

58The undersigned SELLER represents, to the best of their knowledge, the information set forth in the59foregoing Disclosure Statement is accurate and complete. SELLER does not intend this Disclosure60Statement to be a warranty or guarantee of any kind. SELLER hereby authorizes the Licensee assisting61SELLER to provide this information to prospective BUYER of the Property and to real estate brokers and62salespeople. SELLER will promptly notify Licensee assisting the SELLER, in writing, if any63information in this disclosure changes prior to Closing, and Licensee assisting the SELLER wil64promptly notify Licensee assisting the BUYER, in writing, of such changes. (SELLER and BUYER65initial and date any changes and/or attach a list of additional changes. If attached, #_____ of66pages).67

68CAREFULLY READ THE TERMS HEREOF BEFORE SIGNING. WHEN SIGNED BY ALL PARTIES,69

THIS DOCUMENT BECOMES PART OF A LEGALLY BINDING CONTRACT.70IF NOT UNDERSTOOD, CONSULT AN ATTORNEY BEFORE SIGNING.71

7273________________________________________ ________________________________________74SELLER DATE SELLER DATE75

76BUYER ACKNOWLEDGEMENT AND AGREEMENT77

781. I understand and agree the information in this form is limited to information of which SELLER has79

actual knowledge and SELLER need only make an honest effort at fully revealing the information80requested.81

2. This Property is being sold to me without warranties or guaranties of any kind by SELLER, Broker(s) o82agents concerning the condition or value of the Property.83

3. I agree to verify any of the above information, and any other important information provided by84SELLER or Broker (including any information obtained through the Multiple Listing Service) by an85independent investigation of my own. I have been specifically advised to have Property examined by86professional inspectors.87

4. I acknowledge neither SELLER nor Broker is an expert at detecting or repairing physical defects in88Property.89

5. I specifically represent there are no important representations concerning the condition or value o90Property made by SELLER or Broker on which I am relying except as may be fully set forth in writing91and signed by them.92

9394

________________________________________ ________________________________________95

BUYER DATE BUYER DATE96

Approved by Legal Counsel of the Kansas City Regional Association of REALTORS for exclusive use by its REALTOR members. Nowarranty is made or implied as to the legal validity or adequacy of this Contract, or that it complies in every respect with the law or that itsuse is appropriate for all situations. Local law, customs and practices, and differing circumstances in each transaction may dictate thatamendments to this Contract be made. Last revised 10/14. All previous versions of this document may no longer be valid. CopyrightJanuary 2015.

2015_SellersDisclosureAddendum

Documents

Transcript of 2015_SellersDisclosureAddendum