Water Damage Seller Disclosure Statement
Property Information
Property Address
City
State
ZIP Code
Seller Information
Name
Phone
Email
Water Damage Disclosure
Has there ever been any water damage to the property?
If yes, please describe the type, location, and date of the water damage:
Repairs made (if any):
Has mold ever been detected or remediated?
If yes, provide details:
Additional Comments
Seller Signature
Date