Residential Seller’s Property Disclosure Statement
Property Information
Property Address
City
State
ZIP Code
Seller Information
Seller Name(s)
Seller Contact
General Information
Year Built
How long have you owned the property?
Structural, Systems, & Appliances
Are you aware of any structural defects or repairs?
Condition of HVAC, electrical, plumbing systems
Appliances included in sale
Hazards & Environmental
Any known hazards (lead paint, asbestos, radon, etc.)?
Has the property ever experienced flooding or drainage issues?
Improvements & Repairs
List any significant repairs or improvements made
Other Material Facts
Any other material facts or defects not listed above
Seller Certification
By signing below, I/we certify the above information is true and complete to the best of my/our knowledge.
Date