| I. SELLER'S DISCLOSURES: |
*If you answer "Yes" to a question with an asterisk (*), please explain your answer and attach documents, if available and not otherwise publicly recorded. If necessary, use an attached sheet. |
| 1. TITLE AND LEGAL |
[ ] Yes | [ ] No | [ ] Don't know | A. Do you have legal authority to sell the property? If no, please explain. |
[ ] Yes | [ ] No | [ ] Don't know | *B. Is title to the property subject to any of the following? |
| (1) First right of refusal |
| (2) Option |
| (3) Lease or rental agreement |
| (4) Life estate? |
[ ] Yes | [ ] No | [ ] Don't know | *C. Are there any encroachments, boundary agreements, or boundary disputes? |
[ ] Yes | [ ] No | [ ] Don't know | *D. Is there any leased parking? |
[ ] Yes | [ ] No | [ ] Don't know | *E. Is there a private road or easement agreement for access to the property? |
[ ] Yes | [ ] No | [ ] Don't know | *F. Are there any rights-of-way, easements, shared use agreements, or access limitations? |
[ ] Yes | [ ] No | [ ] Don't know | *G. Are there any written agreements for joint maintenance of an easement or right-of-way? |
[ ] Yes | [ ] No | [ ] Don't know | *H. Are there any zoning violations or nonconforming uses? |
[ ] Yes | [ ] No | [ ] Don't know | *I. Is there a survey for the property? |
[ ] Yes | [ ] No | [ ] Don't know | *J. Are there any legal actions pending or threatened that affect the property? |
[ ] Yes | [ ] No | [ ] Don't know | *K. Is the property in compliance with the Americans with Disabilities Act? |
| 2. WATER |
[ ] Yes | [ ] No | [ ] Don't know | *Are there any water rights for the property, such as a water right permit, certificate, or claim? |
| 3. SEWER/ON-SITE SEWAGE SYSTEM |
[ ] Yes | [ ] No | [ ] Don't know | *Is the property subject to any sewage system fees or charges in addition to those covered in your regularly billed sewer or on-site sewage system maintenance service? |
| 4. STRUCTURAL |
[ ] Yes | [ ] No | [ ] Don't know | *A. Has the roof leaked within the last five years? |
[ ] Yes | [ ] No | [ ] Don't know | *B. Has any occupied subsurface flooded or leaked within the last five years? |
[ ] Yes | [ ] No | [ ] Don't know | *C. Have there been any conversions, additions, or remodeling? |
[ ] Yes | [ ] No | [ ] Don't know | | *(1) If yes, were all building permits obtained? |
[ ] Yes | [ ] No | [ ] Don't know | | *(2) If yes, were all final inspections obtained? |
[ ] Yes | [ ] No | [ ] Don't know | *D. Has there been any settling, slippage, or sliding of the property or its improvements? |
[ ] Yes | [ ] No | [ ] Don't know | *E. Are there any defects with the following: (If yes, please check applicable items and explain.) |
| □ Foundations | □ Slab Floors |
| □ Doors | □ Outbuildings |
| □ Ceilings | □ Exterior Walls |
| □ Sidewalks | □ Siding |
| □ Other | |
| □ Interior Walls | |
| □ Windows | |
| | | 5. SYSTEMS AND FIXTURES |
[ ] Yes | [ ] No | [ ] Don't know | * Are there any defects in the following systems? If yes, please explain. |
[ ] Yes | [ ] No | [ ] Don't know | (1) Electrical system |
[ ] Yes | [ ] No | [ ] Don't know | (2) Plumbing system |
[ ] Yes | [ ] No | [ ] Don't know | (3) Heating and cooling systems |
[ ] Yes | [ ] No | [ ] Don't know | (4) Fire and security system |
[ ] Yes | [ ] No | [ ] Don't know | (5) Carbon monoxide alarms |
| | | 6. ENVIRONMENTAL |
[ ] Yes | [ ] No | [ ] Don't know | *A. Have there been any flooding, standing water, or drainage problems on the property that affect the property or access to the property? |
[ ] Yes | [ ] No | [ ] Don't know | *B. Is there any material damage to the property from fire, wind, floods, beach movements, earthquake, expansive soils, or landslides? |
[ ] Yes | [ ] No | [ ] Don't know | *C. Are there any shorelines, wetlands, floodplains, or critical areas on the property? |
[ ] Yes | [ ] No | [ ] Don't know | *D. Are there any substances, materials, or products in or on the property that may be environmental concerns, such as asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical storage tanks, or contaminated soil or water? |
[ ] Yes | [ ] No | [ ] Don't know | *E. Is there any soil or groundwater contamination? |
[ ] Yes | [ ] No | [ ] Don't know | *F. Has the property been used as a legal or illegal dumping site? |
[ ] Yes | [ ] No | [ ] Don't know | *G. Has the property been used as an illegal drug manufacturing site? |
| 7. FULL DISCLOSURE BY SELLERS |
| A. Other conditions or defects: |
[ ] Yes | [ ] No | [ ] Don't know | *Are there any other existing material defects affecting the property that a prospective buyer should know about? |
| B. Verification: |
| The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the property. |
DATE . . . . | SELLER . . . . | SELLER . . . . |
NOTICE TO BUYER |
INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW ENFORCEMENT AGENCIES. THIS NOTICE IS INTENDED ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AND IS NOT AN INDICATION OF THE PRESENCE OF REGISTERED SEX OFFENDERS. |
| II. BUYER'S ACKNOWLEDGMENT |
| A. | Buyer hereby acknowledges that: Buyer has a duty to pay diligent attention to any material defects that are known to Buyer or can be known to Buyer by utilizing diligent attention and observation. |
| B. | The disclosures set forth in this statement and in any amendments to this statement are made only by the Seller and not by any real estate licensee or other party. |
| C. | Buyer acknowledges that, pursuant to RCW 64.06.050(2), real estate licensees are not liable for inaccurate information provided by Seller, except to the extent that real estate licensees know of such inaccurate information. |
| D. | This information is for disclosure only and is not intended to be a part of the written agreement between the Buyer and Seller. |
| E. | Buyer (which term includes all persons signing the "Buyer's acceptance" portion of this disclosure statement below) has received a copy of this Disclosure Statement (including attachments, if any) bearing Seller's signature. |