Property Condition Disclosure Statement
Property Information
Property Address
City
State
ZIP Code
Seller Information
Name
Phone Number
Email
Disclosure Questions
Are you the owner of the property?
Yes
No
Is the property currently occupied?
Yes
No
Describe the current condition of the roof:
Are there any known issues with the plumbing?
Yes
No
If yes, please describe:
Are there any known electrical problems?
Yes
No
If yes, please describe:
Are there any structural issues (foundation, walls, etc.)?
Yes
No
If yes, please describe:
List any recent repairs or improvements made:
Other known material defects or issues:
Additional Information
Additional Comments:
Seller Certification
Seller's Name
Date