Historic Property Seller Disclosure
Property Information
Property Address
Year Built
Historic Designations (if any)
Ownership & Use
Seller Name
Period of Ownership
Property Use During Ownership
Structural & Systems Information
Known Structural Issues or Modifications
Notable Repairs, Restorations, or Renovations
Presence of Lead Paint, Asbestos, or Other Hazards
Historic Restrictions & Easements
Are there any preservation covenants, restrictions, or easements?
Additional Disclosures
Past Insurance Claims (e.g., fire, flood, storm)
Any Other Known Facts Affecting Property Value or Use
Signatures
Seller Signature
Date