Free Real Estate House Disclosure Form Template

Real Estate House Disclosure Form

Please complete this form with accurate information regarding the condition and history of the property you are selling. Be thorough in your responses and provide additional details in the comments section where applicable.

Seller's Information

Name:

Contact Number:

Email Address:

Property Information

Year Built:

Total Living Area:

Number of Bedrooms:

Number of Bathrooms:

Lot Size:

Property Address:

Property Condition

Area/Item

Condition (Good/Fair/Poor/NA)

Comments

Roof

Foundation

Plumbing

Electrical Systems

Heating and Cooling

Walls and Ceilings

Floors

Windows and Doors

Exterior Siding

Kitchen Appliances

Bathroom Fixtures

Outdoor Structures

Disclosure Statements

Pest Infestation:

  • Yes

  • No

If yes, please describe:                               

Water Damage:

  • Yes

  • No

If yes, please describe:                               

Fire Damage:

  • Yes

  • No

If yes, please describe:                               

Lead-Based Paint:

  • Yes

  • No

If yes, please describe:                               

Asbestos:

  • Yes

  • No

If yes, please describe:                               

Mold Presence:

  • Yes

  • No

If yes, please describe:                               

Property Under Any Legal Dispute:

  • Yes

  • No

If yes, please describe:                               

Any Major Renovations/Repairs Done:

  • Yes

  • No

If yes, please describe:                               

Additional Comments or Disclosures:

Declaration by the Seller(s)

I/We, the undersigned, declare that the information provided in this Disclosure Form is accurate to the best of my/our knowledge as of the date signed below. I/We understand that any false statements may be grounds for legal action.

[Date]

Acknowledgment by the Buyer(s)

I/We, the undersigned, acknowledge receipt of this Disclosure Form and understand that the information is based solely on the Seller's knowledge of the property's condition and is not a substitute for any inspections or warranties that I/we may wish to obtain.

[Date]

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