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In addition to the federal requirement to disclose information regarding lead in a home, many states have adopted laws requiring some form of disclosure regarding sales of residential real estate, most often in the form of a Real Estate Disclosure Statement (also referred to as a Property Condition Disclosure Report, Disclosure Document and Condition Report).

Under the strictest laws, the seller is required to disclose all facts that materially affect the value or desirability of the property which are known or are accessible only to him or her.

This kit includes:
i) a questionnaire that will help you prepare for your disclosure statement;
ii) a basic real estate disclosure form for use in states that do not have specific statutory requirements or have not provided official forms; and
iii) links to official forms for those states that have specific statutory requirements or a state supplied form. These forms are provided at no additional charge.

This kit can be used in all states.
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.












Real Estate Disclosure Statement Kit Residential







This Packet Includes:
1. Information
2. Real Estate Disclosure Statement Kit - Residential





Information
Real Estate Disclosure Statement Kit - Residential

This kit provides tools and guidelines to assist you in preparing, drafting, and finalizing a Real Estate Disclosure Form.  

Instructions:

In addition to the federal requirement to disclose information regarding lead in a home, many states have adopted laws requiring some form of disclosure regarding sales of residential real estate, most often in the form of a Real Estate Disclosure Statement (also referred to as a Property Condition Disclosure Report, Disclosure Document and Condition Report).  In general, sales of commercial, industrial, or multi-family residences do not require disclosure statements.  In addition, condominiums, vacation properties or time-share properties may require additional disclosures.  About 33 states have varying requirements for disclosure regarding residential real estate and 31 states have specific forms.  

Under the strictest laws, the seller is required to disclose all facts that materially affect the value or desirability of the property which are known or are accessible only to him or her.  Please note that there may also be local or municipal disclosure requirements.  You are cautioned to consult a local real estate professional, lawyer, or your states following basic disclosure statement provides a detailed statement regarding most provisions required by most states.  The provided sample statement covers questions relating to ownership of the property, water/sewer issues, possible site problems, possible defects in the home itself, and any prior inspections which may have been performed.






DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice.  The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  

THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS. 




Real Estate Disclosure Forms


Basic Real Estate Disclosure Statement:  For those states that do not have an official disclosure statement, sellers may use the following form.  To complete the following form, you will need the following information:

1.    Provide a legal description of the property
2.    Do you have the legal right to sell this property?
3.    Are there any leases or rental agreements?
4.    Is there a survey for this property available?
5.    Are there any encroachments or boundary disputes?
6.    Any written easement or rights of way?
7.    Any assessments against the property?
8.    Any zoning or code violations or non-conforming uses?
9.    Any covenants, conditions, or restrictions?
10.    Any legal disputes?
11.    Any liens?
12.    Any planned zoning or use changes?
13.    Any planned changes in adjacent property?
14.    Any landslides or erosion present?
15.    Any landfill or dumps present?
16.    Any hazards or hazardous waste present?
17.    Any soil or drainage problems?
18.    Any fill material present?
19.    Any damage from fire, wind, floods, earthquakes, or landslides?
20.    Any environmental hazards present?
21.    Any storage tanks present?
22.    Any greenbelt or utility easement present?
23.    Is there a homeowners association?  Provide details.
24.    Has the property been flooded?
25.    Is it in a flood plain?
26.    What is the source of household water?  Any problems?
27.    If serviced by well, provide details.
28.    Are there any irrigation rights?
29.    Is there an outdoor sprinkler system?  Provide details.
30.    What is the sewage disposal system for property?  Provide details.
31.    What is the age of roof?  Provide details.
32.    Any additions, conversions, or remodeling?  Provide details.
33.    What is the age of the home?  Provide details.
34.    Are you aware of any defects in the structure or of any other improvements?
35.    Has there been a termite or pest inspection?  Provide details.
36.    Has there been a dry rot or structural inspection?  Provide details.
37.    Are you aware of any other conditions or defects to the property?
38.    Date of sellers signing of disclosure statement
39.    Signature of seller
40.    Printed name of seller
41.    Date of buyers receipt of disclosure statement
42.    Signature of buyer
43.    Printed name of buyer






Real Estate Disclosure Statement

Notice to the Buyer:

The following disclosures are made by the seller concerning the condition of the property and are provided on the basis of the sellers actual knowledge of the property on the date of this disclosure.  These disclosures are not the representations of any real estate agent or other party.  These disclosures are not intended to be a part of any written agreement between the buyer and seller.  Unless you have waived the right of cancellation in your real estate sales agreement, you have five (5) business days from the date you receive this statement canceling your agreement.  For a more comprehensive examination of this property, you are advised to obtain the services of a qualified specialist to inspect the property on your behalf.  Examples of specialists are: architects, engineers, surveyors, plumbers, electricians, roofers, or real estate inspection services.  The buyer and seller may wish to provide appropriate provisions in the sales agreement regarding any defects, repairs, or warranties.  This disclosure shall not be construed to be a warranty of any kind by the seller.

This disclosure concerns the following property:



This disclosure is intended to satisfy the real estate disclosure requirements of the state in which this property is located.  If additional information is required, I have attached an explanation or information to this statement and or information to this statement and intend that such attachments be considered as part of this disclosure statement.  


Yes
No
1. Do you have legal authority to sell this property?


2. Is the title to this property subject to any leases or rental agreements?


                       a.  If yes, explain:





3.  Is there a boundary survey available for this property?


                       a.  If yes, explain





4.  Are you aware of any of the following:


             If yes to any, please explain on an attachment


                       a.  Encroachments or boundary disputes?


                       b.  Any written agreements for easements or rights of way?


                       c.  Pending or existing assessments against the property?


                       d.  Zoning or building code violations, or non-conforming uses?


                       e.  Covenants, conditions, or restrictions that affect the property?


                       f.  Any pending or anticipated legal disputes concerning the property?


                       g.  Any liens against the property?


                       h.  Any major changes planned in neighborhood zoning or uses?


                       i.  Any planned or anticipated changes in adjacent properties?


                       j.  Any landslides or erosion on this or adjacent property?


                       k.  Any landfills or dumps within one mile of the property?


                       l.  Any hazards or hazardous materials on or near the property?


                       m.  Any soil settling, standing water, or drainage problems on the property?


                       n.  Any fill material in or under the property?


                       o.  Any damage to property from fire, wind, floods, earthquakes, or landslides?


                       p.  Any environmental hazards on or near the property?


                       q.  Any underground or aboveground storage tanks on the property?


                       r.  Any greenbelt or utility easements affecting the property?





5.  Is there a Home Owners Association?


                       a.  If yes, the name of it is:


                       b.  Are there any regular assessments?


                                  Amount: ?


                       c.  Are there any pending special assessments?


                       d.  Are there any association or other joint maintenance agreements?


                                   If yes, explain or attach:


6.  Has the property ever been flooded?


7.  Is the property within a designated flood plain or flood way?


8.  The source of household water is:


                       a.  Are there any water pressure problems?





9.  If the property is serviced by a water well:


                       a.  Is the well solely owned or shared?


                       b.  Are there any written agreements regarding well usage?


                                   If yes, explain or attach:


                       c.  Are there any known problems or repairs needed?


                       d.  Does the well provide adequate year-round water supply?


                       e.  Has water been tested recently?


                       f .  Is water treated before use?





10.  Are there any irrigation water rights for the property?


11.  Is there an outdoor sprinkler system for the property?


                       a.  Are there any defects in the system?





12.  The sewage disposal system for this property is:


                       a.  Are there any known problems with this system?


                       b.  Do all plumbing fixtures, including floor or laundry drains, go to this        system?


                       c.  If a septic tank system, when was it last pumped?


                       d.  If a septic tank system, when was it last inspected?


                       e.  If a septic tank system, is the drainfield located entirely on this property?


                       f.  If a septic tank system, was it approved and is the permit available?





13.  What is the approximate age of the roof?


                       a.  Is there a roof warranty?


                                If yes, explain or attach:


                       b.  If yes, is the warranty transferable?


                       c.  Does the roof leak?


                       d.  Has the roof ever been repaired?





14.  Have there been any additions, conversions, or remodeling of the property?


                       a.  If yes, were all building permits and inspections obtained?





15.  What is the age of the house?


                       a.  Has there been any settling or sliding of the house or any other structures?





16.  Are you aware of any defects in any of the following:


                       If yes to any, please explain:


                            a.  Foundations?


                            b.  Decks or patios?


                            c.  Exterior walls?


                            d.  Chimneys and fireplaces?


                            e.  Interior walls?


                            f.  Fire alarms and smoke detectors?


                            g.  Windows or doors?


                            h.  Pools, hot tubs, or saunas?


                            i .  Sidewalks?


                            j.  Garage?


                            k.  Floors or walkways?


                            l.  Wood stoves?


                            m.  Electrical system?


                            n.  Plumbing systems?


                            o.  Hot water tanks?


                            p.  Garbage disposal?


                            q.  Appliances?


                            r.  Sump pump?


                            s.  Heating and cooling system?


                            t.  Security system?


                            u.  Other (explain)?





17.  Has a termite and/or pest inspection been performed recently


                            a.  If yes, when:





18.  Has a dry rot or structural inspection been performed recently?


                            a.  If yes, when:





19.  Are you aware of any other conditions or defects which affect this property?




The foregoing answers and attached explanations (if any) are complete and correct to the best of my knowledge on the date signed.  I authorize all of my real estate licensees or agents to deliver a copy of this disclosure statement to other real estate licensees or agents and to all prospective buyers of the property.


_________________________________________      
Date of Sellers signing               


_________________________________________
_________________________________________
Signature of seller                  Signature of seller


_________________________________________
_________________________________________
Printed Name of seller               Printed Name of seller

Buyers Acknowledgment

1. As buyer, I acknowledge my duty to pay diligent attention to any material defects which are known to me or can be known to me by using diligent attention and observation.
2. I understand that the disclosures set forth in this statement and any amendments and attachments are made only by the seller.  
3. I hereby acknowledge receipt of a copy of this disclosure statement and any attachments bearing sellers signature.

Unless you have waived the right of cancellation in your real estate sales agreement, you have five (5) business days from the date you receive this disclosure form to cancel your agreement by delivering to the seller a separate signed statement canceling your agreement.

_________________________________________
Date of receipt by Buyer

_________________________________________
_________________________________________
Signature of buyer                  Signature of buyer

_________________________________________
_________________________________________
Printed Name of buyer               Printed Name of buyer
APPENDIX A
Explanation of Real Estate Disclosure Statement

(Explanation or information for “Yes” answers on the Real Estate Disclosure Statement)
FindLegalForms.com
Real Estate Disclosure Statement for States with Specific Statutory Requirements or State Supplied Forms.

(Click on the appropriate state link below to access the states property seller disclosure statement.  If your state has no state specific statutory requirements, you can use the Basic Real Estate Disclosure Statement provided above.)

ALABAMA
No state specific statutory requirement
ALASKA
ARIZONA
ARKANSAS
No state specific statutory requirement
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
No state specific statutory requirement
FLORIDA
No state specific statutory requirement
GEORGIA
No state specific statutory requirement
HAWAII
No state specific statutory requirement
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
No state specific statutory requirement
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
No state specific statutory requirement
MICHIGAN
MINNESOTA
No state specific statutory requirement
MISSISSIPPI
MISSOURI
No state specific statutory requirement
MONTANA
No state specific statutory requirement
NEBRASKA
NEVADA
NEW HAMPSHIRE
No state specific statutory requirement
NEW JERSEY
No state specific statutory requirement
NEW MEXICO
No state specific statutory requirement
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
No state specific statutory requirement
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
No state specific statutory requirement
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
No state specific statutory requirement
VERMONT
No state specific statutory requirement
VIRGINIA
WASHINGTON
WEST VIRGINIA
No state specific statutory requirement
WISCONSIN
WYOMING
No state specific statutory requirement

Number of Pages9
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#28884
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.












Real Estate Disclosure Statement Kit Residential







This Packet Includes:
1. Information
2. Real Estate Disclosure Statement Kit - Residential





Information
Real Estate Disclosure Statement Kit - Residential

This kit provides tools and guidelines to assist you in preparing, drafting, and finalizing a Real Estate Disclosure Form.  

Instructions:

In addition to the federal requirement to disclose information regarding lead in a home, many states have adopted laws requiring some form of disclosure regarding sales of residential real estate, most often in the form of a Real Estate Disclosure Statement (also referred to as a Property Condition Disclosure Report, Disclosure Document and Condition Report).  In general, sales of commercial, industrial, or multi-family residences do not require disclosure statements.  In addition, condominiums, vacation properties or time-share properties may require additional disclosures.  About 33 states have varying requirements for disclosure regarding residential real estate and 31 states have specific forms.  

Under the strictest laws, the seller is required to disclose all facts that materially affect the value or desirability of the property which are known or are accessible only to him or her.  Please note that there may also be local or municipal disclosure requirements.  You are cautioned to consult a local real estate professional, lawyer, or your states following basic disclosure statement provides a detailed statement regarding most provisions required by most states.  The provided sample statement covers questions relating to ownership of the property, water/sewer issues, possible site problems, possible defects in the home itself, and any prior inspections which may have been performed.






DISCLAIMER:

FindLegalForms, Inc. (“FLF”) is not a law firm and does not provide legal advice.  The use of these materials is not a substitute for legal advice. Only an attorney can provide legal advice.  An attorney should be consulted for all serious legal matters.  No Attorney-Client relationship is created by use of these materials.  

THESE MATERIALS ARE PROVIDED “AS-IS.  FLF DOES NOT GIVE ANY EXPRESS OR IMPLIED WARRANTIES OF MERCHANTABILITY, SUITABILITY OR COMPLETENESS FOR ANY OF THE MATERIALS FOR YOUR PARTICULAR NEEDS.  THE MATERIALS ARE USED AT YOUR OWN RISK.  IN NO EVENT WILL:  I) FLF, ITS AGENTS, PARTNERS, OR AFFILIATES; OR II) THE PROVIDERS, AUTHORS OR PUBLISHERS OF ITS MATERIALS, BE RESPONSIBLE OR LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATE OR PROFITS; OR BUSINESS INTERRUPTION) HOWEVER USED AND ON ANY THEORY OF LIABILITY, WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) ARISING IN ANY WAY OUT OF THE USE OF THESE MATERIALS. 




Real Estate Disclosure Forms


Basic Real Estate Disclosure Statement:  For those states that do not have an official disclosure statement, sellers may use the following form.  To complete the following form, you will need the following information:

1.    Provide a legal description of the property
2.    Do you have the legal right to sell this property?
3.    Are there any leases or rental agreements?
4.    Is there a survey for this property available?
5.    Are there any encroachments or boundary disputes?
6.    Any written easement or rights of way?
7.    Any assessments against the property?
8.    Any zoning or code violations or non-conforming uses?
9.    Any covenants, conditions, or restrictions?
10.    Any legal disputes?
11.    Any liens?
12.    Any planned zoning or use changes?
13.    Any planned changes in adjacent property?
14.    Any landslides or erosion present?
15.    Any landfill or dumps present?
16.    Any hazards or hazardous waste present?
17.    Any soil or drainage problems?
18.    Any fill material present?
19.    Any damage from fire, wind, floods, earthquakes, or landslides?
20.    Any environmental hazards present?
21.    Any storage tanks present?
22.    Any greenbelt or utility easement present?
23.    Is there a homeowners association?  Provide details.
24.    Has the property been flooded?
25.    Is it in a flood plain?
26.    What is the source of household water?  Any problems?
27.    If serviced by well, provide details.
28.    Are there any irrigation rights?
29.    Is there an outdoor sprinkler system?  Provide details.
30.    What is the sewage disposal system for property?  Provide details.
31.    What is the age of roof?  Provide details.
32.    Any additions, conversions, or remodeling?  Provide details.
33.    What is the age of the home?  Provide details.
34.    Are you aware of any defects in the structure or of any other improvements?
35.    Has there been a termite or pest inspection?  Provide details.
36.    Has there been a dry rot or structural inspection?  Provide details.
37.    Are you aware of any other conditions or defects to the property?
38.    Date of sellers signing of disclosure statement
39.    Signature of seller
40.    Printed name of seller
41.    Date of buyers receipt of disclosure statement
42.    Signature of buyer
43.    Printed name of buyer






Real Estate Disclosure Statement

Notice to the Buyer:

The following disclosures are made by the seller concerning the condition of the property and are provided on the basis of the sellers actual knowledge of the property on the date of this disclosure.  These disclosures are not the representations of any real estate agent or other party.  These disclosures are not intended to be a part of any written agreement between the buyer and seller.  Unless you have waived the right of cancellation in your real estate sales agreement, you have five (5) business days from the date you receive this statement canceling your agreement.  For a more comprehensive examination of this property, you are advised to obtain the services of a qualified specialist to inspect the property on your behalf.  Examples of specialists are: architects, engineers, surveyors, plumbers, electricians, roofers, or real estate inspection services.  The buyer and seller may wish to provide appropriate provisions in the sales agreement regarding any defects, repairs, or warranties.  This disclosure shall not be construed to be a warranty of any kind by the seller.

This disclosure concerns the following property:



This disclosure is intended to satisfy the real estate disclosure requirements of the state in which this property is located.  If additional information is required, I have attached an explanation or information to this statement and or information to this statement and intend that such attachments be considered as part of this disclosure statement.  


Yes
No
1. Do you have legal authority to sell this property?


2. Is the title to this property subject to any leases or rental agreements?


                       a.  If yes, explain:





3.  Is there a boundary survey available for this property?


                       a.  If yes, explain





4.  Are you aware of any of the following:


             If yes to any, please explain on an attachment


                       a.  Encroachments or boundary disputes?


                       b.  Any written agreements for easements or rights of way?


                       c.  Pending or existing assessments against the property?


                       d.  Zoning or building code violations, or non-conforming uses?


                       e.  Covenants, conditions, or restrictions that affect the property?


                       f.  Any pending or anticipated legal disputes concerning the property?


                       g.  Any liens against the property?


                       h.  Any major changes planned in neighborhood zoning or uses?


                       i.  Any planned or anticipated changes in adjacent properties?


                       j.  Any landslides or erosion on this or adjacent property?


                       k.  Any landfills or dumps within one mile of the property?


                       l.  Any hazards or hazardous materials on or near the property?


                       m.  Any soil settling, standing water, or drainage problems on the property?


                       n.  Any fill material in or under the property?


                       o.  Any damage to property from fire, wind, floods, earthquakes, or landslides?


                       p.  Any environmental hazards on or near the property?


                       q.  Any underground or aboveground storage tanks on the property?


                       r.  Any greenbelt or utility easements affecting the property?





5.  Is there a Home Owners Association?


                       a.  If yes, the name of it is:


                       b.  Are there any regular assessments?


                                  Amount: ?


                       c.  Are there any pending special assessments?


                       d.  Are there any association or other joint maintenance agreements?


                                   If yes, explain or attach:


6.  Has the property ever been flooded?


7.  Is the property within a designated flood plain or flood way?


8.  The source of household water is:


                       a.  Are there any water pressure problems?





9.  If the property is serviced by a water well:


                       a.  Is the well solely owned or shared?


                       b.  Are there any written agreements regarding well usage?


                                   If yes, explain or attach:


                       c.  Are there any known problems or repairs needed?


                       d.  Does the well provide adequate year-round water supply?


                       e.  Has water been tested recently?


                       f .  Is water treated before use?





10.  Are there any irrigation water rights for the property?


11.  Is there an outdoor sprinkler system for the property?


                       a.  Are there any defects in the system?





12.  The sewage disposal system for this property is:


                       a.  Are there any known problems with this system?


                       b.  Do all plumbing fixtures, including floor or laundry drains, go to this        system?


                       c.  If a septic tank system, when was it last pumped?


                       d.  If a septic tank system, when was it last inspected?


                       e.  If a septic tank system, is the drainfield located entirely on this property?


                       f.  If a septic tank system, was it approved and is the permit available?





13.  What is the approximate age of the roof?


                       a.  Is there a roof warranty?


                                If yes, explain or attach:


                       b.  If yes, is the warranty transferable?


                       c.  Does the roof leak?


                       d.  Has the roof ever been repaired?





14.  Have there been any additions, conversions, or remodeling of the property?


                       a.  If yes, were all building permits and inspections obtained?





15.  What is the age of the house?


                       a.  Has there been any settling or sliding of the house or any other structures?





16.  Are you aware of any defects in any of the following:


                       If yes to any, please explain:


                            a.  Foundations?


                            b.  Decks or patios?


                            c.  Exterior walls?


                            d.  Chimneys and fireplaces?


                            e.  Interior walls?


                            f.  Fire alarms and smoke detectors?


                            g.  Windows or doors?


                            h.  Pools, hot tubs, or saunas?


                            i .  Sidewalks?


                            j.  Garage?


                            k.  Floors or walkways?


                            l.  Wood stoves?


                            m.  Electrical system?


                            n.  Plumbing systems?


                            o.  Hot water tanks?


                            p.  Garbage disposal?


                            q.  Appliances?


                            r.  Sump pump?


                            s.  Heating and cooling system?


                            t.  Security system?


                            u.  Other (explain)?





17.  Has a termite and/or pest inspection been performed recently


                            a.  If yes, when:





18.  Has a dry rot or structural inspection been performed recently?


                            a.  If yes, when:





19.  Are you aware of any other conditions or defects which affect this property?




The foregoing answers and attached explanations (if any) are complete and correct to the best of my knowledge on the date signed.  I authorize all of my real estate licensees or agents to deliver a copy of this disclosure statement to other real estate licensees or agents and to all prospective buyers of the property.


_________________________________________      
Date of Sellers signing               


_________________________________________
_________________________________________
Signature of seller                  Signature of seller


_________________________________________
_________________________________________
Printed Name of seller               Printed Name of seller

Buyers Acknowledgment

1. As buyer, I acknowledge my duty to pay diligent attention to any material defects which are known to me or can be known to me by using diligent attention and observation.
2. I understand that the disclosures set forth in this statement and any amendments and attachments are made only by the seller.  
3. I hereby acknowledge receipt of a copy of this disclosure statement and any attachments bearing sellers signature.

Unless you have waived the right of cancellation in your real estate sales agreement, you have five (5) business days from the date you receive this disclosure form to cancel your agreement by delivering to the seller a separate signed statement canceling your agreement.

_________________________________________
Date of receipt by Buyer

_________________________________________
_________________________________________
Signature of buyer                  Signature of buyer

_________________________________________
_________________________________________
Printed Name of buyer               Printed Name of buyer
APPENDIX A
Explanation of Real Estate Disclosure Statement

(Explanation or information for “Yes” answers on the Real Estate Disclosure Statement)
FindLegalForms.com
Real Estate Disclosure Statement for States with Specific Statutory Requirements or State Supplied Forms.

(Click on the appropriate state link below to access the states property seller disclosure statement.  If your state has no state specific statutory requirements, you can use the Basic Real Estate Disclosure Statement provided above.)

ALABAMA
No state specific statutory requirement
ALASKA
ARIZONA
ARKANSAS
No state specific statutory requirement
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
No state specific statutory requirement
FLORIDA
No state specific statutory requirement
GEORGIA
No state specific statutory requirement
HAWAII
No state specific statutory requirement
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
No state specific statutory requirement
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
No state specific statutory requirement
MICHIGAN
MINNESOTA
No state specific statutory requirement
MISSISSIPPI
MISSOURI
No state specific statutory requirement
MONTANA
No state specific statutory requirement
NEBRASKA
NEVADA
NEW HAMPSHIRE
No state specific statutory requirement
NEW JERSEY
No state specific statutory requirement
NEW MEXICO
No state specific statutory requirement
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
No state specific statutory requirement
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
No state specific statutory requirement
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
No state specific statutory requirement
VERMONT
No state specific statutory requirement
VIRGINIA
WASHINGTON
WEST VIRGINIA
No state specific statutory requirement
WISCONSIN
WYOMING
No state specific statutory requirement

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