Flood Zone Property Disclosure Statement

Property Information

Address:
City:
State:
ZIP Code:

Flood Zone Information

Is the property located in a designated flood zone?
Flood Zone Type (if applicable):
Flood Insurance Required?
FEMA Map Number:
Flood Insurance Policy Number:

Flood History

Any history of flooding on this property?
Date(s) of Previous Flood(s):
Extent of Damage (if any):

Additional Information

Remarks/Details:
Seller's Signature
Date
Buyer's Signature
Date