Real Estate Seller Disclosure Form

Real Estate Seller Disclosure Form

Please fill out this form thoroughly to disclose any known issues or information about your property before selling.

Seller Information

Name

    Property Address

      Phone number

        Email

          Property Details

          Year Built

            Number of Bedrooms

              Number of Bathrooms

                Square Footage

                  Lot Size

                    Disclosure Checklist

                    Please check if any of the following issues apply to the property:

                    Issue

                    Status

                    Description

                    Structural Issues (e.g., foundation, walls, roof)

                    • Yes

                    • No

                    Plumbing and Water Systems

                    • Yes

                    • No

                    Electrical Systems

                    • Yes

                    • No

                    Heating and Cooling Systems

                    • Yes

                    • No

                    Pest or Termite Damage

                    • Yes

                    • No

                    Flood or Water Damage

                    • Yes

                    • No

                    Zoning or Land Use Restrictions

                    • Yes

                    • No

                    Other Known Issues or Defects

                    • Yes

                    • No

                    Additional Disclosures

                    Please include any other relevant information about the property’s condition or history.

                    Seller's Certification

                    I, the undersigned, certify that the above information is accurate to the best of my knowledge.

                    Name:

                    Date:

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