Property Condition Disclosure Statement

Property Information

Property Address City

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