Property Disclosure Statement Form
Property Disclosure Statement Form
Please complete this form to disclose the condition of the property being sold.
Property Information
Property Address
Property Type
-
Single-Family Home
-
Condominium
-
Townhouse
-
Multi-Family Home
-
Year Built
Seller Information
Name
Address
Phone number
Property Condition
Please indicate the condition of the following items:
Item |
Good Condition |
Needs Repair |
Not Applicable |
---|---|---|---|
Roof |
|
|
|
Plumbing |
|
|
|
Electrical Systems |
|
|
|
Heating/Cooling |
|
|
|
Appliances |
|
|
|
Foundation/Structure |
|
|
|
Pest Control Issues |
|
|
|
Other (Specify): |
|
|
|
Additional Comments
Please provide any additional information about the property
Seller’s Acknowledgment
I hereby disclose that the information provided above is accurate to the best of my knowledge.
Name:
Date:
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