seller' property disclosure - maine realty

3
SELLER' S PROPERTY DISCLOSURE Under Maine Law. certain information must be made available to buyers prior to or during preparation of an offer. This statement has been prepared to assist prospective buyers in evaluating this properfy. This disclosure is not a warranty ofthe condition ofthe property and is not part ofany contract between the Seller and any buyer. The Seller authorizes the Listing Broker in this transaction to disclose the information in this statement to other real estate licensees and to prospective buyers ofthis property. The Seller agrees to noti|/ the Listing Broker promptly ofany changes in the information and this form will be appropriately changed with an amendment date. Inspections are highly recommended. NOTE: DO NOT LEAVE ANY OUESTIONS BLANK. WRITE N/A NOT APPLICABLE) OR UNKNOWN IF NEEDED. L252 l"tai,n Street PROPERTY LOCATED AT: WASHBURN. TYPE OF SYSTEM: E other MALFTINCTIONS: Are you aware of or have you experienced any malfunctions with the (publiciprivate/other) water system? Pump: EYesENoEUla Quality: fl Yes EL No E Unknown Quantity: E Yes Ell.lo I Unkno*n If YES to any question, please explain in the comment section b.elow or with attachment. WATER TEST: Have vou had the water tested? E Yes fl NIo test results available? E Ves E I puutic E oritteo I Private E oug ever been E Seasonal as unsati or satisfactory with notation? EYesE E unknown IF YES: Date of most recent To your knowledge, have any IF YES, are test results avail What steps were taken to r lF PRIVATE: INSTALLATION: Location: Installed BY: No El Yes El No No problem? USE: COMMENTS: DATE of Installation: What is the source of y'our information: Number of Persons cuffently using Does system supply water for more thanbne household? E Yes E No E unknown TYPE OF SYSTEM: ffi Public I Private f] Quasi-Public n Unknown r IF PUBLIC OR QUASI.PUBLIC: Have you experienced any problems such as line or other malfunctions? ....... tr Yes E No What steps were taken to remedy the problem? IF PRIVATE: TANK: Tank Size: Tank Type: Location: E tr tr E tr tr tr tr u tr Septic Tank 500 Gal. Concrete Holding Tank 1000 Gal. Metal Cesspool Unknown E Other: E other: fl other: OR Date of Installation: Date Last Pumped: Name of Pumping Tank: Have you experienced any malfunc fl Y.s E No Ifyes, give the date and describe Date of Last Servicing of tank: y Servicing Tank: LEACH FIELD: ,..E1 Yes E No E unkno*n IF YES: Location: Date of installation of leach field: Installed by: Date of Last Servicing of leach field: Name of Company Servicing leach field: EYesENo Ifyes, give the date and describe the problem & what steps were taken to remedy: Does Seller have records of the septic system design indicating the number of bedrooms the system was designed for? .......... E Yes E No IF YES. is it available? SOURCE OF INFORMATION: COMMENTS: IS SYSTEM LOCATED IN A SHORELAND ZONE?: Is System located in a Coastal Shoreland Zone? 2012 Page I of 3 - SPD Buyer(s) Initials Big Bea. Real Estate Company 398 Main Street Presque Isle. ME 4769 .. E Yes El- No E unknown ... E Yes El- No E unkno*n Seller(s) Initials Phone: 207-764-4600 4J-"" u"' Rodandchery, fucky Castonguay Produed with zipForm@ by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 w.zioLooix.com

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Page 1: SELLER' PROPERTY DISCLOSURE - Maine Realty

SELLER' S PROPERTY DISCLOSUREUnder Maine Law. certain information must be made available to buyers prior to or during preparation of an offer. This statement has been prepared toassist prospective buyers in evaluating this properfy. This disclosure is not a warranty ofthe condition ofthe property and is not part ofany contractbetween the Seller and any buyer. The Seller authorizes the Listing Broker in this transaction to disclose the information in this statement to other realestate licensees and to prospective buyers ofthis property. The Seller agrees to noti|/ the Listing Broker promptly ofany changes in the informationand this form will be appropriately changed with an amendment date. Inspections are highly recommended.

NOTE: DO NOT LEAVE ANY OUESTIONS BLANK. WRITE N/A NOT APPLICABLE) OR UNKNOWN IF NEEDED.L252 l"tai,n Street

PROPERTY LOCATED AT: WASHBURN.

TYPE OF SYSTEM:

E otherMALFTINCTIONS: Are you aware of or have you experienced any malfunctions with the (publiciprivate/other) water system?

Pump: EYesENoEUlaQuality: fl Yes EL No E Unknown

Quantity: E Yes Ell.lo I Unkno*n

If YES to any question, please explain in the comment section b.elow or with attachment.

WATER TEST: Have vou had the water tested? E Yes fl NIo

test results available? E Ves E

I puutic

E oritteoI Private

E oug

ever been

E Seasonal

as unsati or satisfactory with notation?

EYesE

E unknown

IF YES: Date of most recent

To your knowledge, have any

IF YES, are test results availWhat steps were taken to

r lF PRIVATE:INSTALLATION: Location:

Installed BY:

NoEl Yes El NoNo

problem?

USE:

COMMENTS:

DATE of Installation:

What is the source of y'our information:Number of Persons cuffently usingDoes system supply water for more thanbne household? E Yes E No E unknown

TYPE OF SYSTEM: ffi Public I Private f] Quasi-Public n Unknown

r IF PUBLIC OR QUASI.PUBLIC:Have you experienced any problems such as line or other malfunctions? ....... tr Yes E NoWhat steps were taken to remedy the problem?

IF PRIVATE:TANK:Tank Size:

Tank Type:

Location:

EtrtrE

trtrtr

trutr

Septic Tank

500 Gal.

Concrete

Holding Tank

1000 Gal.

Metal

Cesspool

Unknown

E Other:

E other:fl other:

OR Date of Installation:Date Last Pumped: Name of Pumping Tank:Have you experienced any malfunc fl Y.s E NoIfyes, give the date and describe

Date of Last Servicing of tank: y Servicing Tank:

LEACH FIELD: ,..E1 Yes E No E unkno*nIF YES: Location:

Date of installation of leach field: Installed by:Date of Last Servicing of leach field: Name of Company Servicing leach field:

EYesENoIfyes, give the date and describe the problem & what steps were taken to remedy:

Does Seller have records of the septic system design indicating the number of bedrooms the system was designed for? .......... E Yes E NoIF YES. is it available?

SOURCE OF INFORMATION:COMMENTS:IS SYSTEM LOCATED IN A SHORELAND ZONE?:Is System located in a Coastal Shoreland Zone?

2012 Page I of 3 - SPD Buyer(s) InitialsBig Bea. Real Estate Company 398 Main Street Presque Isle. ME 4769

.. E Yes El- No E unknown

... E Yes El- No E unkno*n

Seller(s) InitialsPhone: 207-764-4600 4J-"" u"'

Rodandchery,fucky Castonguay Produed with zipForm@ by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 w.zioLooix.com

Page 2: SELLER' PROPERTY DISCLOSURE - Maine Realty

PROPERTYLOCATED AT 1252 Main Street. wAsHBsRN.

Heating System( s)/Source( s) SYSTEM I SYSTEM 2 SYSTEM 3 SYSTEM 4TYPE(S) O i t- ti{ett *}v. C) r-L- tr-) r, .,J 4 )Age of system(s)/source(s) b ir -7 s/dt( t rJz,ar(Name of company that servicesqvsteml q\/sorrrcel c\ (asnn4ua-

.,54n s

Date of most recent service call lt /tr v / / / lrArnual consumption per system/source (i.e.. gallons. kilowatthours. cord(s)) {oo 7a/t {oo a e"/<Malfunction per system(s)isource(s) within oast 2 vears han< 46> <_

Other pertinent information

Buried oil Supply Line: E yes E No E unkno*n Sleeved: Elves E NoChimney(s)Lined: ftl ves E No E Unknown eee: J.A-ItK/lo.Ut3 LastCleaned: tt/t tIs more than one heat source vented throrrgh one flue? E4 Yes E No E Unkno*n t Had a chimney fire: E yes E No f] UnknownHas chimney been inspected? [I] Yes d No El Unknown; If Yes, when: / I //l power'Vent: [3 yes ENo E UnknownCOMMENTS:

The licensee is disclosing that the Seller is making representations contained herein.A. UNDERGROTIND STORAGE TANKS - Current or previously existing:

Are there now, or have there ever been, any underground storage tanks on your property?IF YES: Are tanks in current use? El yes E No

IF NO above: How long have tank(s) been out ofservice?What materials are, or were, stored in the tank(s)?Age oftank(s):Location:

Size oftank(s):

I Yes E No EL Unknown

Have you experienced any problems such as leakage?Are tanks registered with the Dept. of Environmental Protection? ......................8 yesIf tanks are no longer in use, have tanks been abandoned according to D.E.p.? . ! yesComments:

trtr

No E UnknownNo E Unknown

B.

o as insulation on the heating system pipes or duct work? ..........tr yes E No El Unknownr in the siding? E Yes E No E Unknown o in the roofing shingles? [ Yes 0 No E Unknowno in flooring tiles? fl yes E No E UnknownIF YES: Source of Information:

o other: I Yes O tto E Unknown

COMMENTS:C. RADON/AIR - Current or previously existing:

IF YES: Date:Results:

If applicable, What remedial steps were taken?

-By'

If applicable, What remedial steps were taken?

Are test results available? I Yes E No Results & Comments:D. RADON/WATER - Current or previously existing:

IF YES: Date:Results:

Has the property been tested since remedial steps? ............ .......... t yes E No E UnknownAre test results available? E Yes E No Results & Comments:

E. LEAD-BASED PAINT/PAINT HAZARDS - Current or previously existing: (Note: Lead-based paint is most commonlyfound in homesconstructed prior to 1978; See EPA Disclosure brochure/furm and Maine Lead Warningfor more information)

By:

Is there now or has there ever been lead-based paint and/or lead-based paint hazards on the properry?

IF YES, describe location and the basis for the determination:

I Yes E No E Unknown

fi[ Unknown but possible due to age

Doyouknowofanyrecordsorreportspertainingtosuchlead-basedpaintorlead-basedpainthazards: EYes FNoIF YES. describe:

Are you aware of any cracking, peeling or flaking paint? ....EYesFNoCOMMENTS:

2012 Page2 of 3 - sPD Buyer(s) Initials _ Seller(s) Initials K S 0qProduced with zipForm@ by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zioloqix.com Rod and Cheryl

Page 3: SELLER' PROPERTY DISCLOSURE - Maine Realty

l

PROPERTYLOCATED AT L252 Main St'reet. Idl'sHBnRN-

F. OTHER HAZARDOUS MATERIALS - Current or previously existing:TOXIC MATERIAL: E Yes fI uo sI Unknown oTHER:LAND FILL: I yes E No p UnknownRADIOACTIVE MATERIAL: I yes E No B Unknown

Buyers are encouraged to seek information from professionals regarding any specific issue or concem.

Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life estates, private way,

IF YES: Explain:What is your source of information:

Are there any tax exemption or reduction for this property for any reason including but not limited to: Tree Growth, Open Space and Farmland,veteran's, Homestead Exemption, Blind, Working Waterfront? .......... tr yes B No E Unknown

IF YES: Explain:

Water, moisture or leakage: /?oComments:

o Leased Equipment (e.g., propane tank, hot *ut., h.ut.r,1ffih-! Typ.,o Year Principal Structure r"Ur, €O,f ly t Q tF

-'

r Roof: Year Built - Structure:

o Foundation/Basement: Sump Pump: fil Yes E No g Unknown comments:water, moisture or leakage since you owned the property: @ Yes E No E Unknown commffiKnowledge of prior water, moisture or leakage: Sl Yes E No E unknown comments:

Mold: Has the property ever been tested for mold? ! yes I No E Unknown

Electrical: I Fuses El* Circuit Breaker E Other:

If YES, are test results available? [ Yes E No

I Unknown

EYesENoI Unknown

that may have an adverse impact on

a

a

a

a

Has the properly been surveyed? E Yes E No fl[ Unknown If YES, is the survey available?

Manufactured Housing: Mobile Home - fl Yes El No ! Unknown Modular - ! yes El No

o KNOWN MATERIAI DEFECTS -about Bbysical Condition and/or value of Property, including thosehealth/safety: _(ra t r 'l r, Ti""J-*r o-

Seller shall be responsible and liable for any failure to provide known information regarding known material defects to the Buyer.

ATTACHMENTS EXPLAINING CURRENT PROBLEMS, PAST REPAIRS OR ADDITIONAL INFORMATION IN ANY SECTION INDISCLOSURE: IyeslNo

As Sellers. we.have provided the above information and represent. that all information is correct. To the best of our knowledge, all systems andequipment, unless otherwise noted on this form, are in opeiational condition.

Neither Seller nor anv Bfedera0or any other. incl

makes any representations as to the applicability of, or compliance with. any codes of any sort, whether state, municipal,but not limited to fire, life safety, building, electrical or plumbing.

I/We have read and received a.copy of.this disclosure, the arsenic in wood fact sheet, the arsenic in water brochure, and understand that I/we shouldseek information from qualified prbfessionals if I/we hive questions or coni"*r.

BUYER DATE

BUYER

Maine Association of REALTORS@/Copyright O 2012.All Rights Reserved. Revised January 2012. Page 3 of 3 - SPD

Produced with zipForm@ by ziplogix 18070 Fifieen Mile Road, Fraser, Michigan 48026 www.zioLogix.com

DATE

DATE

IOUATHOUSINC

Rod and Chervl opponrultrv