Good As Sold, Inc134 West MidwestCasper, WY 82601

Phone: 307-251-0863, Fax: 307-315-6292

SELLER'S PROPERTY DISCLOSURETO PROSPECTIVE BUYERS

(RESIDENTIAL ADDENDUM)

TO BE COMPLETED BY SELLERAND DELIVERED TO BUYER

Property Addressn/a

The undersigned Seller, having entered into a listing contract with n/a as Broker,completes and executes this Addendum to such listing contract in order to comply with Seller's obligation to fully disclose to the best of Seller's CURRENTACTUAL KNOWL¥E to all parties any and all information regarding the condition of such property, and does hereby make the following statement andrepresentation cO~ing the present description and condition of subject property:

THE FOLLOWI~RE IN THE CONDITION INDICATED (Please initial):

1a. APPLIANCES DtVlIPTION/MODEL # COLOR Approx. WORKING NOT DO

T Age WORKING NOTKNOW

Dishwasher NRange/Stove TOven

~C

RefrigeratorU m

1b. OTHER APPUANCES APE. WORKING NOT DO NOT KNOW

Age A WORKING

Disposal Yry"'I

Hood/Fan .1 ..•..Microwave Oven -1Sate IIite Dish/ IUl\. TAntenna/Control

Trash Compactor 1"1

Clothes Washer

Clothes Dryer SOther: AOther: M

nc. ELECTRICAL SYSTEMS Approx. WORKING NOT DO NOT

.1.

TAge WORKING KNOW

Ceiling Fan pGarage Door

.L..J

Opener/Control( s)

Sauna

Smoke/Fire Detector

220 Volt Servioe

PREPARED BY: Administrator, Administrator

WAR FORM 900R-0209, Seller's Property Disclosure To Prospective Buyers (Residential Addendum) 2009© . Wyoming Association of REALTORS®ReaIFA$T® Software, ©2011, Version 6.16. Software Registered to: Shelly Good, Good As Sold, IncBuyer(s) __ 04/15/11 11:49:29 Page 1 of 5

Seller(s) __

Other:

d. HEATING AND Approx. WORKING NOT DO NOT KNOWCOOLING SYSTEMS Age WORKING

Air Conditioning

Evaporative Coo ler

Heating System:

Gas/Electric/Coal

Hot Water

Baseboard

Forced Air

Radiant-Ceiling /Floor

Heat pumA

Other: f)Humidifier MPropane Tank I(leased/owned)(Delete One)

NGas Supplier:

Attic Fan T~C1Woodbuming Stove

Other: U .rr'.1.

e. WATER SYSTEMS APK WORKING NOT DO NOT KNOWAge ~ WORKING

Drain TileJ.~rr'

Hot Tub .1. T

Septic/Leach Field 1 -Sump Pump JAutomatic Lawn Sprinkling NSystem

Water Heater (Gas/Electric),-

Water Purifieri~

Water Softener,

Al\/f(owned/leased) (De/eteone) Vendor ______

Well I ~DOther:

..I..

TDescribe any known problems with Interior Plumbing System: L(ie: leaks, flooding, slow drains, faucets, toilets) E

2. ROOF Yes No Do NotKnow

Approximate Age of present roofing (if

PREPARED BY: Administrator, Administrator

WAR FORM 900R-0209, Seller's Property Disclosure To Prospective Buyers (Residential Addendum) 2009© . Wyoming Association of REALTORS®ReaIFA$T® Software, ©2011, Version 6.16. Software Registered to: Shelly Good, Good As Sold, Inc

04/15/11 11 :49:29 Page 2 of 5Seller(s) __

Buyer(s) __

known): -years

a. Does the roof leak?

b. Is there present damage to the roof?

c. Is the roof under warranty?

Is the warranty transferable?

Expiration date of warranty: _ -d. Has Seller received roof damage

payments from insurance?

e. Has the roof ever been repaired?Date: -----

f. Nature of repairs and by whom?

g. Type of roofing?

h. Is mone~ed to Seller for roofdamage m insurance?

I)3. HAZARDOUS COMNS Ves No Do Not Know

Are there any existing Ihazardous conditions on theproperty such as: l\..TAsbestos insulation, siding,

.1"1rrsh ingles, or other materialsfA-

Lead-based paint (built before S1978)

Methane gas

Expansive Soils ~Radioactive material f\Radon gas

.J. .1.~

Toxic Materials .1. ...•...

Toxic Mold 1Ureaformaldehyde foam Uinsulation ~Other: IINOTE: If yes is marked for any of the above, explain thecondition below and attach relevant documents includinginspection reports. NOTE: THE EPA ENCOURAGES ALLBUYERS TO TEST THE PROPERTY FOR RADON.

4. OTHER DISCLOSURES: Yes No Do Not Know

a. Are the improvementsconnected to a (public)(private), (community), watersystem? (Delete all exceptone.)

b. Are there anyencroachments?

c. Is the present use anon-conforming use?

d. Are there any variances?

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PREPARED BY: Administrator, AdministratorWAR FORM 900R-0209, Seller's Property Disclosure To Prospective Buyers (Residential Addendum) 2009© . Wyoming Association of REALTORS®ReaIFA$T® Software, ©2011, Version 6.16. Software Registered to: Shelly Good, Good As Sold, Inc

04/15/11 11:49:29Buyer(s) __Page 3 of 5

Seller(s) __

e. Are there anystructuralproblems with theimprovements?

f. Have you reported anyproblems or made anyclaims to yourhomeowners' insurance?

g. Have a ny additions oralterations been madewithout a buildingpermit?

h. Are there water leaks, waterdamage, moisture problems,flooding orflood-damaged areasin anyareasofthe home, forexa mple , in the base mentlcrawlspace, in the attic, in the kitchenor bathroom ,nearthetub/showeroranYO~athroomOrkitChenapplian fixture? (If yes,please escri11deradditionalcomments.)

i. Are there musty oreModors in the home stainingor discoloration of walls, I"coverings, or floors or flocoverings? Are there any amNor moist areas in the home?

j. Is there any damage Idue to wind, fire, flood, termites,

Cpests or rodents?

k. When was chimney or U r:rflue last cleaned?Date ~y".

I. Does the property orK.

neighborhood have any

~Tknown or suspected 1subsidence problems?

m. Is flood insurance .L Trequired?

~NOTE: If yes to any of above, please describe below. 0

N

5. COMMENTS:A

Ma. Describe any structural changes, such as, but not limited to those resulting from roof problems or waterDoblems, and any repairs and/or

improvements which have been made to the property during your ownership. (Indicate date and nature of repaf~ o~· provements, and by whom.)n a

b. If a water \\ell is located on the property, provide documentation addressing location, Wyom ing Registration n umber, depth, fE potability, etc.n/a

c. Are septic system documents and/or Health Department documents available?n/a

d. If you have had or currently have any pets inside the home, describe how many and species.n/a

PREPARED BY: Administrator, Administrator

WAR FORM 900R-0209, Seller's Property Disclosure To Prospective Buyers (Residential Addendum) 2009©. Wyoming Association of REALTORS®ReaIFA$T® Software, ©2011, Version 6.16. Software Registered to: Shelly Good, Good As Sold, Inc

04f15/11 11:49:29Buyer(s) _Page 4 of 5

Seller(s) _

SELLER

The above description and statement of cond ilion ofthe subject property is based on my knowledge of the property and all representations are made tothe best of my current actual knowledge. I ACKNOWLEDGE AND AGREE THAT I SHALL IMMEDIATELY INFORM BUYER AND BROKER OF ANYCHANGE INl!H CONDITIONS THAT MAY APPEAR OR BECOME KNOWN TO ME AFTER THIS DATE. I FURTHER AGREE TO INDEMNIFYAND HOLD MLESS ALL BROKERS INVOLVED IN ANY SALE OF THE SUBJECT PROPERTY FROM ANY AND ALL CLAIMS, INCLUDINGDAMAGES, 0 ~OSTS AND ATTORNEY'S FEES, ARISING FROM MY FAILURE TO COMPLETELY AND TRUTHFULLY DISCLOSE THECONDITIONS OF f:TROPERTY AS SET FORTH ABOVE. THE INFORMATION CONTAINED IN THIS DISCLOSURE HAS BEEN FURNISHED BYSELLER.

I have read the above Mntations and hereby expressly confirm them.

The undersigned Seller herebLcknOWledgeS receipt of this Addendum this •.•nJ...;!a",--_day of a•...!-=a'-- , 20 .sus:N

-------I------,Sn------------- DATE

e. Are there any other known defects?n/a

f. Are there any manufacturer warranties or other warranties that will be transferred to buyer?n!a

g. Assessments (District, contact person, payment, SID#).n!a

h. Describe the number and nature of problems and/or claims made to your homeowner's insurance.n!a

i. Please provide the name of your insurance carrier.n!a

6. ADDITIONAL COMMENTS:n!a

ANY REPRESENTATION AS TO SQUARE FOOTAG OF SUBJECT PROPERTY IS APPROXIMATE ONLY. IT IS BUYER'S RESPONSIBILITY TOVERIFY THE ACCURACY OF SAID APPROXIMATH_QUARE FOOTAGE. BUYER HEREBY ACKNOWLEDGES THAT BUYER HASINDEPENDENTLY VERIFIED, TO BUYER'S SATISFACTIKTHE SQUARE FOOTAGE OF THE PROPERTY.

The undersigned prospective Buyer hereby acknowledges rece* this Addendum.

TBUYER --------------------------------------------1------------------------ DATEo

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PREPARED BY: Administrator, AdministratorWAR FORM 900R-0209, Seller's Property Disclosure To Prospective Buyers (Residential Addendum) 2009© . Wyoming Association of REALTORS®ReaIFA$T® Software, ©2011, Version 6.16. Software Registered to: Shelly Good, Good As Sold, Inc

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