SELLER'S PROPERTY CONDITION DISCLOSURE
This is a legally binding contract. If not understood, consult an attorney.
·
· If a question does not apply to your Property, WRITE "N/A" NEXT TO THE QUESTION.
1. OCCUPANCY
Does Seller currently occupy the Property? If "No", when did you last occupy the Property?
(Approx. Date);
[ ] Seller has never occupied the Property
[ ]Yes [ ]No
2. ROOF
A. Are you aware of any past or present leaks in the roof? If "Yes", please describe, to your knowledge, the
nature and location of any past or present leaks:
[ ]Yes [ ]No
B. Other than leaks, are you aware of any past or present problems or defects with the roof, for example,
structural issues, dry rot, moisture and/or ice damage, etc? If "Yes", please describe, to your knowledge,
the nature and location of any past or present problems or defects with the roof: [ ]Yes [ ]No
C. Has all or any portion of the roof been repaired or replaced during your ownership? If "Yes", please
describe, to your knowledge, the nature of any roof repairs or replacements:
[ ]Yes [ ]No
D. To your knowledge, are there any written warranties presently in place for the roof? If "Yes", please
attach copies of any warranties in your possession.
[ ]Yes [ ]No
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Buyer's Initials______________ Date_______________
3. NATURAL GAS, ELECTRICTY, TELEPHONE, CABLE TV
Are you aware of any past or present problems with utility service to the Property or with any of the utility
service systems, for example, poor telephone reception, etc. If "Yes", please describe, to your knowledge,
the nature of any past or present problems with utility service or utility systems: [ ]Yes [ ]No
4. WATER
Culinary water service for the Property is provided by (check applicable box): [ ]Public Water [ ]Private Water
Company [ ]Private Well
A. (Name of Public or Private water service provider): . If
water service is provided by a Private Water Company, please attach a copy of any water certificates in
your possession.
B. If water service is provided by a Private Water Company, to your knowledge, are water share
assessments paid in full? [ ]Yes [ ]No
C. Are you aware of any past or present problems with any water service provided to the Property by a
Public or Private Water service provider, for example, water quality, inadequate or excessive water
pressure, etc? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
D. Is a well presently located on the Property? [ ]Yes [ ]No
E. If a well is located on the Property, are you aware of any past or present problems with the well, for
example, water quality, inadequate water pressure, faulty pump, etc? If "Yes", please describe, to your
knowledge, the nature of any such problems: [ ]Yes [ ]No
F. To your knowledge, is your water right for the well represented by a contract with a special improvement
or water conservancy district? If "Yes", what is the number of the district contract? [ ]Yes [ ]No
G. If your water right for the well is not based on a contract with a special improvement or water
conservancy district, to your knowledge, what is the State Engineer "Index Number" for your water
right? −
5. SEWER/SEPTIC TANK
A. Sewer service for the Property will be provided by (check applicable box): [ ]Public Sewer [ ]Septic Tank
B. If Public Sewer, who is the Public Sewer provider?
C. With the exception of an occasional clogged drain or toilet, are you aware of any past or present
problems with the sewer or septic service or components, for example, broken sewer lines, consistently
slow or clogged drains, etc? If "Yes", please describe, to your knowledge, the nature of any such
problems:
[ ]Yes [ ]No
D. If the Property is serviced by a septic tank, to your knowledge, has the tank been inspected and/or
pumped within the past five years? [ ]Yes [ ]No
6. HEATING/COOLING
Are you aware of any past or present problems with any of the heating or air−conditioning equipment,
components or systems, for example, baseboard−heating unit doesn’t work, inadequate forced air from
specific vent, etc? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
7. EQUIPMENT
Are you aware of any past or present problems with any of the following: air purifier, audio system, central
vacuum, computer network, fire sprinkling system, automatic garage door opener, humidifier, intercom,
media system, satellite dish & components, security system, smoke alarm, tv antenna, water heater, water
purifier, water softener, range hood, attic vent fans, bathroom vent fans, or propane tanks? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, audio system doesn’t work,
central vacuum doesn’t work, etc?
[ ]Yes [ ]No
8. APPLIANCES
Are you aware of any past or present problems with any of the following: dishwasher, disposal, dryer,
freezer, indoor grill, microwave, oven, range, refrigerator, trash compactor, washer? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, disposal doesn’t work, etc? [ ]Yes [ ]No
Page 2 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
9. FIREPLACES/STOVES
Are you aware of any past or present problems with any of the following: fireplace insert, gas fireplace, gas
fireplace starter, woodburning fireplace, potbelly/wood stove, or pellet stove? If "Yes", please describe, to
your knowledge, the nature of any such problems, for example, gas fireplace starter doesn’t work, damper
not working, etc?
[ ]Yes [ ]No
10.INTERIOR FEATURES
Are you aware of any past or present problems with any of the following: ceiling fans, dumb waiter, elevator,
flooring (stone, marble, hardwood, etc.), jetted bathtub(s), indoor pool, spa/hot tub, sauna, skylights, steam
room/shower, or wet bar? If "Yes", please describe, to your knowledge, the nature of any such problems, for
example, pump for jetted bathtub doesn’t work, skylights leak, etc?
[ ]Yes [ ]No
11.EXTERIOR & EXTERIOR FEATURES
A. Are you aware of any past or present problems with any of the following: gas barbeque, heated driveway
or walkway, lawn sprinkler system, pool, spa/hot tub, roof heat tape, or rain gutters? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, spa/hot tub leaks, heated
driveway only works on portion of driveway, etc?
[ ]Yes [ ]No
B. With the exception of regular maintenance of the exterior surfaces of the Property (painting, staining,
etc.) are you aware of any past or present problems with any portion of the exterior, for example,
moisture damage behind stucco, etc? If "Yes", please describe, to your knowledge, the nature of any
such problems:
[ ]Yes [ ]No
12.TERMITES/DRY ROT/PESTS
A. Are you aware of any past or present problems with termites, dry rot, rodents, or pests on or affecting the
Property? If "Yes", please describe, to your knowledge, the nature and location of any such problems:
[ ]Yes [ ]No
B. Are you aware of any damage to the Property caused by termites, dry rot, rodents, or pests? If "Yes",
please describe, to your knowledge, the nature and location of any such damage and any efforts to
mitigate such damage:
[ ]Yes [ ]No
C. To your knowledge, are there any written warranties or other termite or pest control coverage presently in
place for the Property? If "Yes", please attach any copies of such warranties in your possession. [ ]Yes [ ]No
13.ADDITIONS/REMODELS
A. With the exception of cosmetic upgrades to the Property (such as carpet, paint, wallpaper, etc.), have
you remodeled, made any room additions, made structural modifications or other alterations or
improvements to the Property? If "Yes", please describe, to your knowledge, the nature of any such
remodel/alteration work:
[ ]Yes [ ]No
B. To your knowledge, did any former owners make any additions, structural changes, or other alterations to
the Property? If "Yes", please describe, to your knowledge, the nature of any such remodel/alteration
work:
[ ]Yes [ ]No
14.STRUCTURAL ITEMS & SOILS
A. Are you aware of any settlement or heaving of soil on the Property or on any adjoining Property
(collapsible or expansive soils, poorly compacted fill)? If "Yes", please describe, to your knowledge, the
nature and location of any settlement or heaving of soil: [ ]Yes [ ]No
B. Are you aware of any sliding or earth movement on the Property or on any adjoining Property (landslides,
falling rocks, debris or mud flows)? If "Yes", please describe, to your knowledge, the nature and location
of any sliding or earth movement: [ ]Yes [ ]No
C. Are you aware of any past or present movement, shifting, deterioration, or other problems with the walls
or foundation? If "Yes", please describe, to your knowledge, the nature and location of any such shifting,
[ ]Yes [ ]No
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Buyer's Initials______________ Date_______________
problems, etc:
D. To your knowledge, does any portion of the Property contain any subsurface, man−made debris that has
been buried, covered or abandoned, including without limitation, any discarded or abandoned
construction materials, concrete footings or foundations, trash, etc? If "Yes", please describe the nature
and location of such subsurface debris:
[ ]Yes [ ]No
E. Please describe, to your knowledge, any action taken to repair or mitigate any of the issues described in
14A through 14D:
F. Are you aware of any geologic, soils or engineering reports that have been prepared for the Property? If
"Yes", please attach a copy of any such reports in your possession.
[ ]Yes [ ]No
15.BOUNDARIES & EASEMENTS
A. Do you know if anything on your Property (such as a fence, deck, or any other improvement) encroaches
(extends) onto any adjoining property? If "Yes", please describe, to your knowledge, the nature and
approximate location of any such encroachment: [ ]Yes [ ]No
B. Do you know if anything on any adjoining property (such as a fence, deck, or any other improvements)
encroaches onto your Property? If "Yes", please describe, to your knowledge, the nature and
approximate location of any such encroachment: [ ]Yes [ ]No
C. Are you aware of any boundary disputes or conflicts involving your Property and any adjoining property
or properties? If "Yes", please describe, to your knowledge, the nature of any such boundary disputes or
conflicts: [ ]Yes [ ]No
D. Are you aware of any unrecorded easements affecting the Property? If "Yes", please describe, to your
knowledge, the nature and approximate location of any such easements: [ ]Yes [ ]No
16.USE OF PROPERTY
A. To your knowledge, is any portion of the Property presently assessed, for property tax purposes, as
"Greenbelt"? [ ]Yes [ ]No
B. Are you aware of any past or present non−conforming uses of the Property (such as renting the Property
as a triplex, but local zoning only permits a duplex)? If "Yes", please describe, to your knowledge, the
nature of any such non−conforming use(s): [ ]Yes [ ]No
C. Are you aware of any existing or threatened legal action affecting the Property? If "Yes", please describe,
to your knowledge, the nature of any such legal action: [ ]Yes [ ]No
D. Are you aware of any past or present violations of any local, state, or federal law or regulation, or of any
restrictive covenants relating to the Property? If "Yes", please describe, to your knowledge, the nature of
any such violations: [ ]Yes [ ]No
17.ELECTRICAL
Are you aware of any past or present problems with any electrical switches, outlets and/or any portion of the
electrical system? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
18.MOLD
A. With the exception of any occasional accumulation of mold and mildew in bathroom shower, tub and sink
areas, are you aware of any past or present mold on walls, ceilings, floors, or any other interior portion of
the Property? If "Yes", please describe, to your knowledge, the nature and location of any such mold: [ ]Yes [ ]No
B. [ ]Yes [ ]No
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Buyer's Initials______________ Date_______________
Have you had the Property inspected for the existence of any mold? If "Yes", please describe, to your
knowledge, the results of the inspection, and attach copies of any inspection reports in your possession:
19.OTHER MOISTURE CONDITIONS
A. In reference to the basement and/or crawlspace, are you aware of any past or present water leakage,
water accumulation or dampness? If "Yes", please describe, to your knowledge, the nature of any such
water leakage, accumulation or dampness: [ ]Yes [ ]No
B. Are you aware of any past or present water or moisture−related damage caused by: flooding; lot
drainage; moisture seepage or condensation; sewer overflow/backup; leaking or broken pipes, pipe
fittings, or plumbing fixtures; or leaking appliances, fixtures, or equipment? If "Yes", please describe, to
your knowledge, the nature and location of any such water or moisture−related damage:
[ ]Yes [ ]No
C. Please describe, to your knowledge, any attempts to repair any moisture−related damage and/or to
prevent any recurrence of water and moisture−related problems on the Property: [ ]Yes [ ]No
D. Are you aware of any wetlands located on the Property? If "Yes", please describe, to your knowledge,
the nature and location of any wetlands on the Property: [ ]Yes [ ]No
20.HAZARDOUS CONDITIONS
A. Are you aware of any past or present hazardous conditions, substances, or materials on the Property,
such as asbestos, lead−based paint, methane gas, radon gas, radioactive or toxic materials, or
ureaformaldehyde foam insulation, buried storage tanks and lines? If "Yes", please describe, to your
knowledge, the nature of any such hazardous conditions:
[ ]Yes [ ]No
B. Please describe, to your knowledge, any attempts to mitigate any such hazardous condition(s):
C. To your knowledge, is the Property currently contaminated from the storing or manufacturing of
methamphetamines?
[ ]Yes [ ]No
21.HOMEOWNERS ASSOCIATION
A. Is the Property part of a condominium or other homeowner’s association (HOA)? [ ]Yes [ ]No
B.
Does the HOA levy dues or assessments for maintenance of common areas and/or other common
expenses? [ ]Yes [ ]No
C. For questions regarding the HOA, including past, present or future dues or assessments, or regarding
financial statements, bylaws, HOA meetings and minutes, information may be obtained from the
following:
(Name)
(Address)
(Phone)
BY SIGNING THIS DISCLOSURE FORM, SELLER AUTHORIZES THE RELEASE OF HOA
INFORMATION TO BUYER AND/OR TO BUYER’S AGENT.
22.UNPAID ASSESSMENTS
A. Are you aware of any HOA, municipal, special improvement district or other assessments that are
presently owing against the Property? If "Yes", please describe, to your knowledge, the nature and
amount of any such unpaid assessments: [ ]Yes [ ]No
B. Are you aware of any HOA, municipal, or special improvement district assessments that have been
approved but not yet levied against the Property? If "Yes", please describe, to your knowledge, the
nature and amount of any such approved, but not yet levied, assessments: [ ]Yes [ ]No
23.INSURANCE
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Buyer's Initials______________ Date_______________
A. During your ownership of the Property, have you filed any insurance claims based on loss or damage to
the Property? If "Yes", please describe, to your knowledge, the nature of any such claims: [ ]Yes [ ]No
B. If the Property is part of a condominium or other homeowner’s association, do you know if the HOA has
filed any insurance claims for loss or damage to any portion of the development? If "Yes", please
describe, to your knowledge, the nature of any such claims: [ ]Yes [ ]No
SQUARE FOOTAGE/ACREAGE
Seller represents that any figures provided by Seller in any documents regarding the square footage or acreage of the Property
are not based on any personal measurement by Seller. If the square footage or acreage of the Property is of material concern
to Buyer, Buyer is advised to verify the square footage or acreage through any independent sources or means deemed
appropriate by Buyer. BUYER IS ADVISED NOT TO RELY ON SELLER, THE COMPANY, OR ANY AGENTS OF THE
COMPANY FOR A DETERMINATION REGARDING THE SQUARE FOOTAGE OR ACREAGE OF THE PROPERTY.
VERIFICATION BY SELLER
Seller verifies that Seller has prepared this disclosure form and that the information contained herein is accurate and
complete to the best of Seller’s actual knowledge as of the date signed by Seller below. SELLER UNDERSTANDS AND
AGREES THAT SELLER WILL UPDATE THIS DISCLOSURE FORM IF ANY INFORMATION CONTAINED HEREIN
BECOMES INACCURATE OR INCORRECT IN ANY WAY. Seller authorizes the Company to provide copies of this
disclosure form to prospective buyers, and to real estate brokers and agents. This disclosure form is not a warranty of any
kind. If Buyer and Seller enter into a sales contract for the Property, and such sales contract includes, excludes, or warrants
the condition of any item referenced herein, then to the extent there is a conflict between the sales contract and any
representations contained herein, the terms of the sales contract shall control.
Seller: Date: Seller: Date:
ACKNOWLEDGEMENT OF RECEIPT BY BUYER
Buyer’s signature below acknowledges Buyer’s receipt of a copy of this disclosure form.
Buyer: Date: Buyer: Date:
**********************************************************************
DISCLOSURE FORM UPDATE
The above disclosure form was reviewed and updated by Seller on the date signed by Seller below. (Check Applicable
Boxes) [ ] There are no changes in the above disclosure form; [ ] The above disclosure form has been changed as
follows:
and/or [ ] The above disclosure form has been changed as noted on an attached Addendum No. to this
disclosure form.
Seller: Date: Seller: Date:
This form is COPYRIGHTED by the UTAH ASSOCIATION OF REALTORS® for use solely by its members. Any unauthorized use, modification,
copying or distribution without written consent is prohibited. NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR ADEQUACY
OF ANY PROVISION OF THIS FORM IN ANY SPECIFIC TRANSACTION. IF YOU DESIRE SPECIFIC LEGAL OR TAX ADVICE, CONSULT AN
APPROPRIATE PROFESSIONAL.
COPYRIGHT© UTAH ASSOCIATION OF REALTORS® − 1994 − REVISED 7.8.04 − ALL RIGHTS RESERVED UAR FORM 10
Page 6 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
This is a legally binding contract. If not understood, consult an attorney.
·
· If a question does not apply to your Property, WRITE "N/A" NEXT TO THE QUESTION.
1. OCCUPANCY
Does Seller currently occupy the Property? If "No", when did you last occupy the Property?
(Approx. Date);
[ ] Seller has never occupied the Property
[ ]Yes [ ]No
2. ROOF
A. Are you aware of any past or present leaks in the roof? If "Yes", please describe, to your knowledge, the
nature and location of any past or present leaks:
[ ]Yes [ ]No
B. Other than leaks, are you aware of any past or present problems or defects with the roof, for example,
structural issues, dry rot, moisture and/or ice damage, etc? If "Yes", please describe, to your knowledge,
the nature and location of any past or present problems or defects with the roof: [ ]Yes [ ]No
C. Has all or any portion of the roof been repaired or replaced during your ownership? If "Yes", please
describe, to your knowledge, the nature of any roof repairs or replacements:
[ ]Yes [ ]No
D. To your knowledge, are there any written warranties presently in place for the roof? If "Yes", please
attach copies of any warranties in your possession.
[ ]Yes [ ]No
Page 1 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
3. NATURAL GAS, ELECTRICTY, TELEPHONE, CABLE TV
Are you aware of any past or present problems with utility service to the Property or with any of the utility
service systems, for example, poor telephone reception, etc. If "Yes", please describe, to your knowledge,
the nature of any past or present problems with utility service or utility systems: [ ]Yes [ ]No
4. WATER
Culinary water service for the Property is provided by (check applicable box): [ ]Public Water [ ]Private Water
Company [ ]Private Well
A. (Name of Public or Private water service provider): . If
water service is provided by a Private Water Company, please attach a copy of any water certificates in
your possession.
B. If water service is provided by a Private Water Company, to your knowledge, are water share
assessments paid in full? [ ]Yes [ ]No
C. Are you aware of any past or present problems with any water service provided to the Property by a
Public or Private Water service provider, for example, water quality, inadequate or excessive water
pressure, etc? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
D. Is a well presently located on the Property? [ ]Yes [ ]No
E. If a well is located on the Property, are you aware of any past or present problems with the well, for
example, water quality, inadequate water pressure, faulty pump, etc? If "Yes", please describe, to your
knowledge, the nature of any such problems: [ ]Yes [ ]No
F. To your knowledge, is your water right for the well represented by a contract with a special improvement
or water conservancy district? If "Yes", what is the number of the district contract? [ ]Yes [ ]No
G. If your water right for the well is not based on a contract with a special improvement or water
conservancy district, to your knowledge, what is the State Engineer "Index Number" for your water
right? −
5. SEWER/SEPTIC TANK
A. Sewer service for the Property will be provided by (check applicable box): [ ]Public Sewer [ ]Septic Tank
B. If Public Sewer, who is the Public Sewer provider?
C. With the exception of an occasional clogged drain or toilet, are you aware of any past or present
problems with the sewer or septic service or components, for example, broken sewer lines, consistently
slow or clogged drains, etc? If "Yes", please describe, to your knowledge, the nature of any such
problems:
[ ]Yes [ ]No
D. If the Property is serviced by a septic tank, to your knowledge, has the tank been inspected and/or
pumped within the past five years? [ ]Yes [ ]No
6. HEATING/COOLING
Are you aware of any past or present problems with any of the heating or air−conditioning equipment,
components or systems, for example, baseboard−heating unit doesn’t work, inadequate forced air from
specific vent, etc? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
7. EQUIPMENT
Are you aware of any past or present problems with any of the following: air purifier, audio system, central
vacuum, computer network, fire sprinkling system, automatic garage door opener, humidifier, intercom,
media system, satellite dish & components, security system, smoke alarm, tv antenna, water heater, water
purifier, water softener, range hood, attic vent fans, bathroom vent fans, or propane tanks? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, audio system doesn’t work,
central vacuum doesn’t work, etc?
[ ]Yes [ ]No
8. APPLIANCES
Are you aware of any past or present problems with any of the following: dishwasher, disposal, dryer,
freezer, indoor grill, microwave, oven, range, refrigerator, trash compactor, washer? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, disposal doesn’t work, etc? [ ]Yes [ ]No
Page 2 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
9. FIREPLACES/STOVES
Are you aware of any past or present problems with any of the following: fireplace insert, gas fireplace, gas
fireplace starter, woodburning fireplace, potbelly/wood stove, or pellet stove? If "Yes", please describe, to
your knowledge, the nature of any such problems, for example, gas fireplace starter doesn’t work, damper
not working, etc?
[ ]Yes [ ]No
10.INTERIOR FEATURES
Are you aware of any past or present problems with any of the following: ceiling fans, dumb waiter, elevator,
flooring (stone, marble, hardwood, etc.), jetted bathtub(s), indoor pool, spa/hot tub, sauna, skylights, steam
room/shower, or wet bar? If "Yes", please describe, to your knowledge, the nature of any such problems, for
example, pump for jetted bathtub doesn’t work, skylights leak, etc?
[ ]Yes [ ]No
11.EXTERIOR & EXTERIOR FEATURES
A. Are you aware of any past or present problems with any of the following: gas barbeque, heated driveway
or walkway, lawn sprinkler system, pool, spa/hot tub, roof heat tape, or rain gutters? If "Yes", please
describe, to your knowledge, the nature of any such problems, for example, spa/hot tub leaks, heated
driveway only works on portion of driveway, etc?
[ ]Yes [ ]No
B. With the exception of regular maintenance of the exterior surfaces of the Property (painting, staining,
etc.) are you aware of any past or present problems with any portion of the exterior, for example,
moisture damage behind stucco, etc? If "Yes", please describe, to your knowledge, the nature of any
such problems:
[ ]Yes [ ]No
12.TERMITES/DRY ROT/PESTS
A. Are you aware of any past or present problems with termites, dry rot, rodents, or pests on or affecting the
Property? If "Yes", please describe, to your knowledge, the nature and location of any such problems:
[ ]Yes [ ]No
B. Are you aware of any damage to the Property caused by termites, dry rot, rodents, or pests? If "Yes",
please describe, to your knowledge, the nature and location of any such damage and any efforts to
mitigate such damage:
[ ]Yes [ ]No
C. To your knowledge, are there any written warranties or other termite or pest control coverage presently in
place for the Property? If "Yes", please attach any copies of such warranties in your possession. [ ]Yes [ ]No
13.ADDITIONS/REMODELS
A. With the exception of cosmetic upgrades to the Property (such as carpet, paint, wallpaper, etc.), have
you remodeled, made any room additions, made structural modifications or other alterations or
improvements to the Property? If "Yes", please describe, to your knowledge, the nature of any such
remodel/alteration work:
[ ]Yes [ ]No
B. To your knowledge, did any former owners make any additions, structural changes, or other alterations to
the Property? If "Yes", please describe, to your knowledge, the nature of any such remodel/alteration
work:
[ ]Yes [ ]No
14.STRUCTURAL ITEMS & SOILS
A. Are you aware of any settlement or heaving of soil on the Property or on any adjoining Property
(collapsible or expansive soils, poorly compacted fill)? If "Yes", please describe, to your knowledge, the
nature and location of any settlement or heaving of soil: [ ]Yes [ ]No
B. Are you aware of any sliding or earth movement on the Property or on any adjoining Property (landslides,
falling rocks, debris or mud flows)? If "Yes", please describe, to your knowledge, the nature and location
of any sliding or earth movement: [ ]Yes [ ]No
C. Are you aware of any past or present movement, shifting, deterioration, or other problems with the walls
or foundation? If "Yes", please describe, to your knowledge, the nature and location of any such shifting,
[ ]Yes [ ]No
Page 3 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
problems, etc:
D. To your knowledge, does any portion of the Property contain any subsurface, man−made debris that has
been buried, covered or abandoned, including without limitation, any discarded or abandoned
construction materials, concrete footings or foundations, trash, etc? If "Yes", please describe the nature
and location of such subsurface debris:
[ ]Yes [ ]No
E. Please describe, to your knowledge, any action taken to repair or mitigate any of the issues described in
14A through 14D:
F. Are you aware of any geologic, soils or engineering reports that have been prepared for the Property? If
"Yes", please attach a copy of any such reports in your possession.
[ ]Yes [ ]No
15.BOUNDARIES & EASEMENTS
A. Do you know if anything on your Property (such as a fence, deck, or any other improvement) encroaches
(extends) onto any adjoining property? If "Yes", please describe, to your knowledge, the nature and
approximate location of any such encroachment: [ ]Yes [ ]No
B. Do you know if anything on any adjoining property (such as a fence, deck, or any other improvements)
encroaches onto your Property? If "Yes", please describe, to your knowledge, the nature and
approximate location of any such encroachment: [ ]Yes [ ]No
C. Are you aware of any boundary disputes or conflicts involving your Property and any adjoining property
or properties? If "Yes", please describe, to your knowledge, the nature of any such boundary disputes or
conflicts: [ ]Yes [ ]No
D. Are you aware of any unrecorded easements affecting the Property? If "Yes", please describe, to your
knowledge, the nature and approximate location of any such easements: [ ]Yes [ ]No
16.USE OF PROPERTY
A. To your knowledge, is any portion of the Property presently assessed, for property tax purposes, as
"Greenbelt"? [ ]Yes [ ]No
B. Are you aware of any past or present non−conforming uses of the Property (such as renting the Property
as a triplex, but local zoning only permits a duplex)? If "Yes", please describe, to your knowledge, the
nature of any such non−conforming use(s): [ ]Yes [ ]No
C. Are you aware of any existing or threatened legal action affecting the Property? If "Yes", please describe,
to your knowledge, the nature of any such legal action: [ ]Yes [ ]No
D. Are you aware of any past or present violations of any local, state, or federal law or regulation, or of any
restrictive covenants relating to the Property? If "Yes", please describe, to your knowledge, the nature of
any such violations: [ ]Yes [ ]No
17.ELECTRICAL
Are you aware of any past or present problems with any electrical switches, outlets and/or any portion of the
electrical system? If "Yes", please describe, to your knowledge, the nature of any such problems: [ ]Yes [ ]No
18.MOLD
A. With the exception of any occasional accumulation of mold and mildew in bathroom shower, tub and sink
areas, are you aware of any past or present mold on walls, ceilings, floors, or any other interior portion of
the Property? If "Yes", please describe, to your knowledge, the nature and location of any such mold: [ ]Yes [ ]No
B. [ ]Yes [ ]No
Page 4 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
Have you had the Property inspected for the existence of any mold? If "Yes", please describe, to your
knowledge, the results of the inspection, and attach copies of any inspection reports in your possession:
19.OTHER MOISTURE CONDITIONS
A. In reference to the basement and/or crawlspace, are you aware of any past or present water leakage,
water accumulation or dampness? If "Yes", please describe, to your knowledge, the nature of any such
water leakage, accumulation or dampness: [ ]Yes [ ]No
B. Are you aware of any past or present water or moisture−related damage caused by: flooding; lot
drainage; moisture seepage or condensation; sewer overflow/backup; leaking or broken pipes, pipe
fittings, or plumbing fixtures; or leaking appliances, fixtures, or equipment? If "Yes", please describe, to
your knowledge, the nature and location of any such water or moisture−related damage:
[ ]Yes [ ]No
C. Please describe, to your knowledge, any attempts to repair any moisture−related damage and/or to
prevent any recurrence of water and moisture−related problems on the Property: [ ]Yes [ ]No
D. Are you aware of any wetlands located on the Property? If "Yes", please describe, to your knowledge,
the nature and location of any wetlands on the Property: [ ]Yes [ ]No
20.HAZARDOUS CONDITIONS
A. Are you aware of any past or present hazardous conditions, substances, or materials on the Property,
such as asbestos, lead−based paint, methane gas, radon gas, radioactive or toxic materials, or
ureaformaldehyde foam insulation, buried storage tanks and lines? If "Yes", please describe, to your
knowledge, the nature of any such hazardous conditions:
[ ]Yes [ ]No
B. Please describe, to your knowledge, any attempts to mitigate any such hazardous condition(s):
C. To your knowledge, is the Property currently contaminated from the storing or manufacturing of
methamphetamines?
[ ]Yes [ ]No
21.HOMEOWNERS ASSOCIATION
A. Is the Property part of a condominium or other homeowner’s association (HOA)? [ ]Yes [ ]No
B.
Does the HOA levy dues or assessments for maintenance of common areas and/or other common
expenses? [ ]Yes [ ]No
C. For questions regarding the HOA, including past, present or future dues or assessments, or regarding
financial statements, bylaws, HOA meetings and minutes, information may be obtained from the
following:
(Name)
(Address)
(Phone)
BY SIGNING THIS DISCLOSURE FORM, SELLER AUTHORIZES THE RELEASE OF HOA
INFORMATION TO BUYER AND/OR TO BUYER’S AGENT.
22.UNPAID ASSESSMENTS
A. Are you aware of any HOA, municipal, special improvement district or other assessments that are
presently owing against the Property? If "Yes", please describe, to your knowledge, the nature and
amount of any such unpaid assessments: [ ]Yes [ ]No
B. Are you aware of any HOA, municipal, or special improvement district assessments that have been
approved but not yet levied against the Property? If "Yes", please describe, to your knowledge, the
nature and amount of any such approved, but not yet levied, assessments: [ ]Yes [ ]No
23.INSURANCE
Page 5 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
A. During your ownership of the Property, have you filed any insurance claims based on loss or damage to
the Property? If "Yes", please describe, to your knowledge, the nature of any such claims: [ ]Yes [ ]No
B. If the Property is part of a condominium or other homeowner’s association, do you know if the HOA has
filed any insurance claims for loss or damage to any portion of the development? If "Yes", please
describe, to your knowledge, the nature of any such claims: [ ]Yes [ ]No
SQUARE FOOTAGE/ACREAGE
Seller represents that any figures provided by Seller in any documents regarding the square footage or acreage of the Property
are not based on any personal measurement by Seller. If the square footage or acreage of the Property is of material concern
to Buyer, Buyer is advised to verify the square footage or acreage through any independent sources or means deemed
appropriate by Buyer. BUYER IS ADVISED NOT TO RELY ON SELLER, THE COMPANY, OR ANY AGENTS OF THE
COMPANY FOR A DETERMINATION REGARDING THE SQUARE FOOTAGE OR ACREAGE OF THE PROPERTY.
VERIFICATION BY SELLER
Seller verifies that Seller has prepared this disclosure form and that the information contained herein is accurate and
complete to the best of Seller’s actual knowledge as of the date signed by Seller below. SELLER UNDERSTANDS AND
AGREES THAT SELLER WILL UPDATE THIS DISCLOSURE FORM IF ANY INFORMATION CONTAINED HEREIN
BECOMES INACCURATE OR INCORRECT IN ANY WAY. Seller authorizes the Company to provide copies of this
disclosure form to prospective buyers, and to real estate brokers and agents. This disclosure form is not a warranty of any
kind. If Buyer and Seller enter into a sales contract for the Property, and such sales contract includes, excludes, or warrants
the condition of any item referenced herein, then to the extent there is a conflict between the sales contract and any
representations contained herein, the terms of the sales contract shall control.
Seller: Date: Seller: Date:
ACKNOWLEDGEMENT OF RECEIPT BY BUYER
Buyer’s signature below acknowledges Buyer’s receipt of a copy of this disclosure form.
Buyer: Date: Buyer: Date:
**********************************************************************
DISCLOSURE FORM UPDATE
The above disclosure form was reviewed and updated by Seller on the date signed by Seller below. (Check Applicable
Boxes) [ ] There are no changes in the above disclosure form; [ ] The above disclosure form has been changed as
follows:
and/or [ ] The above disclosure form has been changed as noted on an attached Addendum No. to this
disclosure form.
Seller: Date: Seller: Date:
This form is COPYRIGHTED by the UTAH ASSOCIATION OF REALTORS® for use solely by its members. Any unauthorized use, modification,
copying or distribution without written consent is prohibited. NO REPRESENTATION IS MADE AS TO THE LEGAL VALIDITY OR ADEQUACY
OF ANY PROVISION OF THIS FORM IN ANY SPECIFIC TRANSACTION. IF YOU DESIRE SPECIFIC LEGAL OR TAX ADVICE, CONSULT AN
APPROPRIATE PROFESSIONAL.
COPYRIGHT© UTAH ASSOCIATION OF REALTORS® − 1994 − REVISED 7.8.04 − ALL RIGHTS RESERVED UAR FORM 10
Page 6 of 6 Seller's Initials______________ Date_______________
Buyer's Initials______________ Date_______________
| Kirk Millson Plumb & Co. |
| 801.419.8912 |
| Sugar House Seller Disclosure |
| Home Why Kirk Millson? Kirk's Listings The Neighborhoods Old House Styles Salt Lake City Schools Buyer Tools - MLS Seller Tools Area Attractions Area Businesses Utah Economy Land in Utah Sugar House Weather Sitemap Other Salt Lake Valley Communities Communities Near Sugar House Kirk Millson Kirk@SugarHouseUtah.com 801-419-8912 Plumb & Co. Realtors 1001 E. 2100 South Salt Lake City, Utah 84106 ©2007 Kirk Millson |
