Vacant Land Seller Disclosure
Property Information
Property Address
City
State
ZIP Code
Parcel/Tax ID
Seller Information
Seller Name(s)
Phone
Email
Property Condition
Utilities Available
Known Encroachments
Easements
Environmental Hazards
Flood Zone
Describe any issues, easements, or restrictions:
Other Disclosures
Are there any pending legal actions concerning the property?
Additional Information
Seller Certification
Seller Signature
Date