TEXAS ASSOCIATION OF REALTORS® SELLER'S DISCLOSURE...

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~~ TEXAS ASSOCIATION OF REALTORS® SELLER'S DISCLOSURE NOTICE ©Texas Association of REAL TORS®, Inc. 2016 Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Seller's Disclosure Notice to a buyer on or before the effective date of a contract. This form complies with and contains additional disclosures which exceed the minimum disclosures required by the Code. CONCERNINGTHEPROPERTYAT~~66_1_9_H~ig~h_w_a~y_6~,_C_I_ift_o_n_T_x~~G_u_e_s_t_H_o_u_s_e~~~~~~~ THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO OBTAIN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER, SELLER'S AGENTS, OR ANY OTHER AGENT. Seller 0 is 0 is not occupying the Property. If unoccupied (by Seller), how long since Seller has occupied the Property? o or 0 never occupied the Property Section 1. The Property has the items marked below: (Mark Yes (Y), No (N), or Unknown (U).) This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey. Item Y N U Item Y N U Item Y N U Cable TV Wiring X Liquid Propane Gas: X Pump: 0 sump 0 grinder )( Carbon Monoxide Det. X -LP Community (Captive) X Rain Gutters X Ceiling Fans X -LP on Property X Range/Stove )( Cooktop X Hot Tub X Roof/Attic Vents v Dishwasher )( Intercom System X Sauna x Disposal X Microwave )( Smoke Detector )( Emergency Escape Outdoor Grill Smoke Detector - Hearing Ladder(s) X X Impaired x Exhaust Fans x Patio/Decking x Spa x Fences x Plumbing System ) Trash Compactor ) Fire Detection Equip. ) Pool V TV Antenna )( French Drain x Pool Equipment )( Washer/Dryer Hookup )( Gas Fixtures V. Pool Maint. Accessories X Window Screens X Natural Gas Lines X Pool Heater X Public Sewer System X Item Y N U Additional Information Central NC x l5lelectric Ogas number of units: Evaporative Coolers x number of units: Wall/Window AC Units V number of units: Attic Fan(s) )( if yes, describe: Central Heat V. ~Iectric Ogas number of units: 1 Other Heat x if yes, describe: Oven x number of ovens: 1 l2!electric o gas o other: Fireplace & Chimney x Owood Ogas logs o mock o other: Carport V o attached o not attached Garage V o attached o not attached Garage Door Openers )( number of units: number of remotes: Satellite Dish & Controls IX' o owned o leased from Security System IX' o owned o leased from Water Heater )( gelectric 0 gas o other: number of units: 2 Water Softener )( gowned o leased from Underqround Lawn Sprinkler X I'll automatic o manual areas covered: front & back yard - nlohwav 01. Septic / On-Site Sewer Facility )( if yes, attach Information About On-Site Sewer Facility (TAR-1407) (TAR-1406) 01-01-16 Initialed by: Buyer: , and Seller: ~, Page 1 of 5 COBB PROPERTIES, 10156 FM 219 Clifton, TX 76634 Phone: 972-989-521fi I Fax: 972-534-1732 FORMS Stefanic Cobb Produced with zipForm@by zipLogix 18070 Rfteen Mile Road, Fraser, Michigan 48026 www zjpLoojx.com

Transcript of TEXAS ASSOCIATION OF REALTORS® SELLER'S DISCLOSURE...

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~~

TEXAS ASSOCIATION OF REALTORS®SELLER'S DISCLOSURE NOTICE

©Texas Association of REAL TORS®, Inc. 2016

Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Seller's DisclosureNotice to a buyer on or before the effective date of a contract. This form complies with and contains additional disclosures which

exceed the minimum disclosures required by the Code.

CONCERNINGTHEPROPERTYAT~~66_1_9_H~ig~h_w_a~y_6~,_C_I_ift_o_n_T_x~~G_u_e_s_t_H_o_u_s_e~~~~~~~

THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THEDATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYERMAY WISH TO OBTAIN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER, SELLER'S AGENTS, OR ANY OTHERAGENT.Seller 0 is 0 is not occupying the Property. If unoccupied (by Seller), how long since Seller has occupied the Property?o or 0 never occupied the Property

Section 1. The Property has the items marked below: (Mark Yes (Y), No (N), or Unknown (U).)This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey.

Item Y N U Item Y N U Item Y N UCable TV Wiring X Liquid Propane Gas: X Pump: 0 sump 0 grinder )(Carbon Monoxide Det. X -LP Community (Captive) X Rain Gutters XCeiling Fans X -LP on Property X Range/Stove )(Cooktop X Hot Tub X Roof/Attic Vents vDishwasher )( Intercom System X Sauna xDisposal X Microwave )( Smoke Detector )(Emergency Escape Outdoor Grill Smoke Detector - HearingLadder(s) X X Impaired xExhaust Fans x Patio/Decking x Spa xFences x Plumbing System ) Trash Compactor )Fire Detection Equip. ) Pool V TV Antenna )(

French Drain x Pool Equipment )( Washer/Dryer Hookup )(Gas Fixtures V. Pool Maint. Accessories X Window Screens XNatural Gas Lines X Pool Heater X Public Sewer System XItem Y N U Additional InformationCentral NC x l5lelectric Ogas number of units:Evaporative Coolers x number of units:Wall/Window AC Units V number of units:Attic Fan(s) )( if yes, describe:Central Heat V. ~Iectric Ogas number of units: 1

Other Heat x if yes, describe:Oven x number of ovens: 1 l2!electric o gas o other:Fireplace & Chimney x Owood Ogas logs omock o other:Carport V o attached o not attachedGarage V o attached o not attachedGarage Door Openers )( number of units: number of remotes:Satellite Dish & Controls IX' o owned o leased fromSecurity System IX' o owned o leased fromWater Heater )( gelectric 0 gas o other: number of units: 2Water Softener )( gowned o leased fromUnderqround Lawn Sprinkler X I'llautomatic o manual areas covered: front & back yard - nlohwav 01.

Septic / On-Site Sewer Facility )( if yes, attach Information About On-Site Sewer Facility (TAR-1407)

(TAR-1406) 01-01-16 Initialed by: Buyer: , and Seller: ~, Page 1 of 5COBB PROPERTIES, 10156 FM 219 Clifton, TX 76634 Phone: 972-989-521fi I Fax: 972-534-1732 FORMSStefanic Cobb Produced with zipForm@by zipLogix 18070 Rfteen Mile Road, Fraser, Michigan 48026 www zjpLoojx.com

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Concerning the Property at 6619 Highway6, CliftonTx - Guest Housee

Water supply provided by: 0 city Mwell 0 MUD 0 co-op 0 unknown 0 other: _Was the Property built before 1978? 0 yes 0 no ~unknown

(If yes, complete, sign, and attach TAR-1906 concerning lead-based paint hazards).Roof Type:_metal Age: IJOknown (approximate)Is there an overlay roof covering on the Property (shingles or roof covering placed over existing shingles or roof covering)?Dyes I;5lno 0 unknownAre you (Seller) aware of any of the items listed in this Section 1 that are not in working condition, that have defects, or areneed of repair? 0 yes IX'no If yes, describe (attach additional sheets if necessary): _

Section 2. Are you (Seller) aware of any defects or malfunctions in any of the following?: (Mark Yes (V) if you areaware and No (N) if you are not aware.)

Item V NBasement ')(Ceilings i'){

Doors xDriveways 1)(Electrical Systems 1)(Exterior Walls X

Item V NFloors XFoundation / Slab(s) ~Interior Walls ')(

Lighting Fixtures XPlumbing Systems xRoof X

Item V NSidewalks XWalls / Fences xWindows )Other Structural Comoonents )C

If the answer to any of the items in Section 2 is yes, explain (attach additional sheets if necessary): _

Section 3. Are you (Seller) aware of any of the following conditions: (Mark Yes (V) if you are aware and No (N) ifyou are not aware.)

Condition V NAluminum Wiring ~Asbestos Components xDiseased Trees: o oak wilt 0Endangered Species/Habitat on PropertyFault Lines J

Hazardous or Toxic Waste )C

Improper Drainage -)<Intermittent or Weather Springs 'Ji

Landfill 'Ji

Lead-Based Paint or Lead-Based Pt. Hazards -,Encroachments onto the Property )Improvements encroaching on others' property IV'Located in 100-year Floodplain r'.jLocated in Floodway VPresent Flood Ins. Coverage

)((If yes, attach TAR-1414)Previous Flooding into the Structures "Previous Flooding onto the Property vLocated in Historic District \Historic Property Designation ~Previous Use of Premises for Manufacture xof Methamphetamine

(TAR-1406) 01-01-16 Initialed by: Buyer: :l<L.. . "'.7.

Condition V NPrevious Foundation Repairs ~Previous Roof Repairs ~Other Structural Reoairs )Radon Gas \j

Settlina ~Soil Movement )(Subsurface Structure or Pits )Underground Storage Tanks l\jUnolatted Easements l\jUnrecorded Easements I~Urea-formaldehyde Insulation hiWater Penetration 1)(Wetlands on Property 'VWood Rot VActive infestation of termites or other wooddestroying insects (WDI) )CPrevious treatment for termites or WDI IXPrevious termite or WDI damage reoaired 'lII!

Previous Fires XTermite or WDI damage needina repair IV'Single Blockable Main Drain in Pool/HotTub/Spa* )C

___ and Seller: _ Page 2 of 5FORMSProduced with zlpForm® by zipl.oqix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLooix.com

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Concerning the Property at _~6!l'6,,-1.!j92..J:.H!.Yw~YL6,,-....;C>.!.!..!Jliftwo,l!n-L..LT.Ax-=-~G,2Jul!..!e~s~t..!h.!),o!.J,u!;;ls,s;;e _

If the answer to any of the items in Section 3 is yes, explain (attach additional sheets if necessary): _

*A single blockable main drain may cause a suction entrapment hazard for an individual.

Section 4. Are you (Seller) aware of any item, equipment, or system in or on the Property that is in need of repair,which has not been previously disclosed in this notice? 0yes Dl no If yes, explain (attach additional sheets ifnecessary): _

Section 5. Are you (Seller) aware of any of the following (Mark Yes (Y) if you are aware. Mark No (N) if you arenot aware.)

Y-Mo I2L' Room additions, structural modifications, or other alterations or repairs made without necessary permits or not

in compliance with building codes in effect at the time.

o ex"

o r>l

o (](

o or

o fX'

o ~

o ~

o c;(

o ex

Homeowners' associations or maintenance fees or assessments. If yes, complete the following:Name of association: _Manager's name: Phone: _Fees or assessments are: $ per and are: 0 mandatory 0 VOluntaryAny unpaid fees or assessment for the Property? 0 yes ($ ) 0 noIf the Property is in more than one association, provide information about the other associations below orattach information to this notice.

Any common area (facilities such as pools, tennis courts, walkways, or other) co-owned in undivided interestwith others. If yes, complete the following:

Any optional user fees for common facilities charged? 0 yes 0 no If yes, describe: _

Any notices of violations of deed restrictions or governmental ordinances affecting the condition or use of theProperty.

Any lawsuits or other legal proceedings directly or indirectly affecting the Property. (Includes, but is not limitedto: divorce, foreclosure, heirship, bankruptcy, and taxes.)

Any death on the Property except for those deaths caused by: natural causes, suicide, or accident unrelated tothe condition of the Property.

Any condition on the Property which materially affects the health or safety of an individual.

Any repairs or treatments, other than routine maintenance, made to the Property to remediate environmentalhazards such as asbestos, radon, lead-based paint, urea-formaldehyde, or mold.

If yes, attach any certificates or other documentation identifying the extent of the remediation (for example,certificate of mold remediation or other remediation).

Any rainwater harvesting system located on the Property that is larger than 500 gallons and that uses apublic water supply as an auxiliary water source.

The Property is located in a propane gas system service area owned by a propane distribution systemretailer.

Any portion of the Property that is located in a groundwater conservation district or a subsidence district.

(TAR-1406) 01-01-16 Initialed by: Buyer: ':f(f , and Seller: _Produced with zipForm® by zipLogix 18070 Fifteen~aser. Michigan 48026 www.zipLogix.com

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Concerning the Property at __ ---=-66=-1.:....:9=--.:....:H..:..:wy.!.-:.6~,-=C-=li.:....:fto..::....n~T.:....:X_7-=6-=6...::..3_4_-_G.::...-ue_s_t_H_o_u_s_e _

If the answer to any of the items in Section 5 is yes, explain (attach additional sheets if necessary): _

Section 6. Seller ~has 0 has not attached a survey of the Property.

Section 7. Within the last 4 years, have you {Seller} received any written inspection reports from persons whoregularly provide inspections and who are either licensed as inspectors or otherwise permitted by law to performinspections? 0yes ~ no If yes, attach copies and complete the following:

Inspection Date Type Name of Inspector No. of Pages

Note: A buyer should not rely on the above-cited reports as a reflection of the current condition of theProperty. A buyer should obtain inspections from inspectors chosen by the buyer.

Section 8. Check any tax exemption{s} which you {Seller} currently claim for the Property:o Homestead 0 Senior Citizen 0 DisabledoWildlife Management ~ Agricultural 0 Disabled Veterano Other: 0 Unknown

Section 9. Have you (Seller) ever filed a claim for damage to the Property with any inli~r~n,eprovider? ~yes 0 no

Section 10. Have you (Seller) ever received proceeds for a claim for damage to the Property (for example, aninsurance claim or a settlement or award in a legal proceeding) and not used the proceeds to make the repairs forwhich the claim was made? 0yes • no If yes, explain: _

Section 11. Does the property have working smoke detectors installed in accordance with the smoke detectorrequirements of Chapter 766 of the Health and Safety Code?* 0 unknown 0 no ~yes. If no or unknown, explain.(Attachadd~on~shee~nnecess~~: _

*Chapter 766 of the Health and Safety Code requires one-family or two-family dwellings to have workingsmoke detectors installed in accordance with the requirements of the building code in effect in the area inwhich the dwelling is located, including performance, location, and power source requirements. If you do notknow the building code requirements in effect in your area, you may check unknown above or contact yourlocal building official for more information.

A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a memberof the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller writtenevidence of the hearing impairment from a licensed physician; and (3) within 10 days after the effective date,the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired andspecifies the locations for installation. The parties may agree who will bear the cost of installing the smokedetectors and which brand of smoke detectors to install.

(TAR-1406) 01-01-16 Initialed by: BUyer~, and Seller: , _Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

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Concerning the Property at __ -.l..IBl.lB..L1 ;:z.9....[Hlligy.huwllllaa:y...Y-1.Bt,..,.l.CdJljwft.uo!Un-.JTLlX~71.1B1.l6.J;34~-:...cGI.2.ULJ.t<e~stLJHUl..LQ.I.I.LJs;:,]e",-_

Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including thebroker(s), has instructed or influenced Seller to provide inaccurate information or to omit any material information.

f /) //-

~~A-aAA~

ADDITIONAL NOTICES TO BUYER:

(1) The Texas Department of Public Safety maintains a database that the public may search, at no cost, to determine ifregistered sex offenders are located in certain zip code areas. To search the database, visit www.txdps.state.tx.us .For information concerning past criminal activity in certain areas or neighborhoods, contact the local policedepartment.

(2) If the property is located in a coastal area that is seaward of the Gulf Intracoastal Waterway or within 1,000 feet of themean high tide bordering the Gulf of Mexico, the property may be subject to the Open Beaches Act or the DuneProtection Act (Chapter 61 or 63, Natural Resources Code, respectively) and a beachfront construction certificate ordune protection permit may be required for repairs or improvements. Contact the local government with ordinanceauthority over construction adjacent to public beaches for more information.

(3) If you are basing your offers on square footage, measurements, or boundaries, you should have those itemsindependently measured to verify any reported information.

(4) The following providers currently provide service to the property:

Electric: See list for main houseSewer: _

Water: n/a

Cable: o/aTrash: _

Natural Gas: n/aPhone Company: __ -'o...,/"'a'-- _Propane: n/a

phone#: _

phone#: _phone#: _

phone#: _phone#: _

phone#: _phone#: _

phone#: _

(5) This Seller's Disclosure Notice was completed by Seller as of the date signed. The brokers have relied on this noticeas true and correct and have no reason to believe it to be false or inaccurate. YOU ARE ENCOURAGED TO HAVEAN INSPECTOR OF YOUR CHOICE INSPECT THE PROPERTY.

The undersigned Buyer acknowledges receipt of the foregoing notice.

Signature of BuyerPrinted Name: _

DateDate Signature of BuyerPrinted Name: _

(TAR-1406) 01-01-16 Page 5 of 5

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Addendum to Seller's Disclosures - 6619 Highway. Clifton TX 5/20/17

Main house

Was purchased from original owner in 2007

In 2008-09, old existing shop was redone. New siding, concrete pad, electricity,including 220, and water were added.

In 2010, a concrete footing along the east side of the house was poured to replace thewood siding there, which came down into the dirt.

The house was painted in 2011

The old existing machine shed was blown down in a wind storm. It was replaced withthe existing 3-sided hay/machinery shed below the hill on the south side.

Miscellaneous improvements in house: painting, new flooring in bedroom, office and hallto kitchen, Storage cabinets installed in mud room. Entire kitchen, including cabinets,was painted in 2014/15.

A water purification and softer was installed in the well house and an additional purifierwas installed under the sink in the house. These systems are checked yearly byNations Pure, the company that installed them.

Within the last year: A new automatic gate opener was installed. It is a commercialunit with a 3-year warranty. A new pressure pump serving the community water systemwas installed at the well house and one of the H&AC units was replaced.

Guest House

The entire guest house was remodeled in 2013/14, a water purification system wasinstalled to service the well at the guest house. This well serves the guest house andit's sprinkler system and also the barn and shop. A new pump was installed in this wellwithin the last 5 years. I recently had the pump and pressure tank checked to insurethat all was working correctly.

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~~

TEXAS ASSOCIATION OF REALTORS®

INFORMATION ABOUT ON-SITE SEWER FACILITYUSE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS® IS NOT AUTHORIZED.

©Texas Association of REALTORS®, Inc., 2004

CONCERNING THE PROPERTY AT 6619 Hwy 6. Clifton TX - Guest HouseA. DESCRIPTION OF ON-SITE SEWER FACILITY ON PROPERTY:

(1) Type of Treatment System: !il'Septic Tank D Aerobic Treatment

D ---------------------------------------------------fitUnknown

(2) Type of Distribution System: _-"!:se~p"-"t'-"'ic'-"t""'an!...!..!k.>....w.!..!..!..!.!ith!...!....!..!<la'-"te"'-'r-""a-'-'''L!.!.in'-''e''''s--''is~as."s''-''u'-'-'mL!..>e...."d'--_ \2f Unknownfii Unknown(3) Approximate Location of Drain Field or Distribution System: _

unknown

(4) Installer: _

(5) Approximate Age: U_n_kn_o_w_n _

B. MAINTENANCE INFORMATION:

(1) Is Seller aware of any maintenance contract in effect for the on-site sewer facility? D Ves ~NoIf yes, name of maintenance contractor: _Phone: contract expiration date: _Maintenance contracts must be in effect to operate aerobic treatment and certain non-standard" on-sitesewer facilities.)

9Unknown

fii Unknown

(2) Approximate date any tanks were last pumped? _

(3) Is Seller aware of any defect or malfunction in the on-site sewer facility?If yes, explain: _

DVes fiiNo

(4) Does Seller have manufacturer or warranty information available for review?

C. PLANNING MATERIALS, PERMITS, AND CONTRACTS:

(1) The following items concerning the on-site sewer facility are attached:D planning materials D permit for original installation D final inspection when OSSF was installedD maintenance contract D manufacturer information D warranty information D _

none available

DVes ~No

(2) "Planning materials" are the supporting materials that describe the on-site sewer facility that aresubmitted to the permitting authority in order to obtain a permit to install the on-site sewer facility,

(3) It may be necessary for a buyer to have the permit to operate an on-site sewer facilitytransferred to the buyer.

(TAR-1407) 1-7-04

· ·1

Initialed for Identification by Buyer _ __ and Seller .df.L '=--__ Page 1 of 2

COBB PROPERTIES, 10156FM 219 Clifton, TX 76634Phone: 972-989-5220 Fax: 972-534-1732 Stefanie Cobb

Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

info on brokerage

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Information about On-Site Sewer Facility concerning __ 6_6_1_9_H_wy.--!!."--6....:..,_C_1 i_ft_o_n_T_x_-_G_u_e_s_t _h_o_u_s_e _

D. INFORMATION FROM GOVERNMENTAL AGENCIES: Pamphlets describing on-site sewer facilities areavailable from the Texas Agricultural Extension Service. Information in the following table was obtainedfrom Texas Commission on Environmental Quality (TCEO) on 10/24/2002. The table estimates dailywastewater usage rates. Actual water usage data or other methods for calculating may be used if accurateand acceptable to TCEO.

Usage (gal/day)without water-

Facility saving devices

Usage (gal/day)with water-

saving devices

Single family dwelling (1-2 bedrooms; less than 1,500 sf) 225Single family dwelling (3 bedrooms; less than 2,500 sf) 300Single family dwelling (4 bedrooms; less than 3,500 sf) 375Single family dwelling (5 bedrooms; less than 4,500 sf) 450Single family dwelling (6 bedrooms; less than 5,500 sf) 525Mobile home, condo, or townhouse (1-2 bedroom) 225Mobile home, condo, or townhouse (each add'i bedroom) 75

18024030036042018060

This document is not a substitute for any inspections or warranties. This document was completed tothe best of Seller's knowledge and belief on the date signed. Seller and real estate agents are notexperts about on-site sewer facilities. Buyer is encouraged to have the on-site sewer facility inspectedby an inspector of Buyer's choice.

,5--/1-1.7Date ( Signature of Seller Date

Receipt acknowledged by:

Signature of Buyer Date Signature of Buyer Date

(TAR-1407) 1-7-04 Page 2 of 2

Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com info on brokerage

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~~

TEXAS ASSOCIATION OF REAL TORS®

INFORMATION ABOUT ON-SITE SEWER FACILITYUSE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIATION OF REALTORS® IS NOT AUTHORIZED_

©Texas Association of REALTORS®, Inc., 2004

CONCERNING THE PROPERTY AT 6619 Highway 6, Clifton TX - Main house ;.A. DESCRIPTION OF ON-SITE SEWER FACILITY ON PROPERTY:

(1) Type of Treatment System: . ~ Septic Tank Q Aerobic Treatment

Q--------------------------------------------Q Unknown

(2) Type of Distribution System: _-:.::::la=te:.:..ra=I-'-'li"--'-ne-=--s=--- _

(3) Approximate Location of Drain Field or Distribution System: _assumed - rear of house east side

Q Unknown

iii'Unknown

(4) Installer: _

(5) Approximate Age: assumed, same age as house, about 17 yr.

B. MAINTENANCE INFORMATION:

(1) Is Seller aware of any maintenance contract in effect for the on-site sewer facility? Q Yes ~ NoIf yes, name of maintenance contractor: _Phone: contract expiration date: _Maintenance contracts must be in effect to operate aerobic treatment and certain non-standard" on-sitesewer facilities.)

!sa' Unknown!sa' Unknown

(2) Approximate date any tanks were last pumped? --=U..:..:n:..::kn.:.::o:..::w:.:.:n~ _

(3) Is Seller aware of any defect or malfunction in the on-site sewer facility?If yes, explain: _

QVes ~No

(4) Does Seller have manufacturer or warranty information available for review?

C. PLANNING MATERIALS, PERMITS, AND CONTRACTS:

(1) The following items concerning the on-site sewer facility are attached:Q planning materials Q permit for original installation Q final inspection when OSSF was installedQ maintenance contract Q manufacturer information Q warranty information Q _

noneavailable

QVes ~No

(2) "Planning materials" are the supporting materials that describe the on-site sewer facility that aresubmitted to the permitting authority in order to obtain a permit to install the on-site sewer facility.

(3) It may be necessary for a buyer to have the permit to operate an on-site sewer facilitytransferred to the buyer.

(TAR-1407) 1-7-04 Initialed for Identification by Buyer and Seller ~, _ Page 1 of 2

COBB PROPERTIES, 10156FM 219 Clifton, TX 76634Phone: 972-989-5220 Fax: 972-534-1732 Stefanie Cobb

Produced with ZipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www_zipLogix.com

info on brokerage

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Information about On-Site Sewer Facility concerning _---'6~6~1'.S!9~H.!.!:ig:i!.h.!.!w!.!:a!.1.y~6"_,C~lift~o~n.....!T.E.X~7~6~6:£34:!...-_2M~a::!.!.in~H~ou~s~e,---- _

D. INFORMATION FROM GOVERNMENTAL AGENCIES: Pamphlets describing on-site sewer facilities areavailable from the Texas Agricultural Extension Service. Information in the following table was obtainedfrom Texas Commission on Environmental Quality (TCEQ) on 10/24/2002. The table estimates dailywastewater usage rates. Actual water usage data or other methods for calculating may be used if accurateand acceptable to TCEQ.

Usage (gal/day)without water-

Facility saving devices

Usage (gal/day)with water-

saving devices

Single family dwelling (1-2 bedrooms; less than 1,500 sf) 225Single family dwelling (3 bedrooms; less than 2,500 sf) 300Single family dwelling (4 bedrooms; less than 3,500 sf) 375Single family dwelling (5 bedrooms; less than 4,500 sf) 450Single family dwelling (6 bedrooms; less than 5,500 sf) 525Mobile home, condo, or townhouse (1-2 bedroom) 225Mobile home, condo, or townhouse (each add'i bedroom) 75

18024030036042018060

This document is not a substitute for any inspections or warranties. This document was completed tothe best of Seller's knowledge and belief on the date signed. Seller and real estate agents are notexperts about on-site sewer facilities. Buyer is encouraged to have the on-site sewer facility inspectedby an inspector of Buyer's choice.

~4~Signature Ofeiier ' Signature of Seller Date

Receipt acknowledged by:

Signature of Buyer Date Signature of Buyer Date

(TAR-1407) 1-7-04 Page 2 of 2

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