FL s asstr

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FL s asstr
A
TALLAHASSEE BOARD OF [email protected], INC.
SELLER'S PROPERTY DISCLOSURE STATEMENT
REVISED AUGUST 201
REALTOR'
EQUAL HOUSING
1
OPPORTUNITY
IT IS SUGGESTED THAT COPIES OF THIS DISCLOSURE BE AVAILABLE AT THE PROPERTY
FL
Property
Zooo
Date Property Purchased
Year Built
s
asstr
/9e{
NOTICE TO SELLER : Every SELLER is obligated to disclose to a BUYER all known facts that materially and/or adversely affect the value
of the prgperty being sold. This disclosure statement is intended to assist SELLER in complying with disclosure requirements and to assist
BUYER in evaluating the property being consideled. The listing broker, the selling broker and their respective salespersons will also rely
upon this information when they evaluate, markdt and present SELLER'S property to prospective BUYERS.
NOTICE TO BUYER : This is a disclosure of SELLER'S knowledge of the condition of the property as of the date signed by the SELLER
and is not a substitute for any inspections that BUYER may wish to obtain. lt is not a warranty of any kind by SELLER or a warlanty or
representation by the listing broker, the selling broker, or their salespersons.
. IF THIS PROPERTY IS UNIMPROVED. COMPLETE SECTIONS 15 TO 20 ONLY.
. When explanations are needed please give details such as location, extent, date, and name of repair persons. Use extra sheets if necessary.
1. OCCUPANCY
/
(a) Does SELLER currently occupy this property? fi Yes
(b) lf not, when did Seller vacate property?
(c) lf property is vacant, provide date it was vacated.
(d) ls the property tenant occupied? n Yes d No
. (e) lf "Yes," is there a written lease? n Yes n ruo
(0
Length of lease
(S)
Payment due under lease
!
trto
Date lease ends:
2. STRUCTURAL ITEMS
(a)
(b)
(cl
Name
of contractor or Builder who built home, if
Are you ay,rare of any past or present movement, shifting, deteriora{on, structural damage or other
n Yes MNo f S.lpe Cacpcrrde0 f,:e.
nre
,o, .trr"
hole-rJ
ottuny prrt or present cracks or flaws in the walls, foundation or other parts of property?
!
Ves
d
No
(d) AreyouawareofanypastorpresentwaterleakageorintrusioninthepropertyZ dyes ! No (lof
'Fl.i fitAtrr) F+.r'"re
(e) Are you aware of any past or present problems with driveways, walkways, patios, or retaining walls? nYes dlo
(f)
Have there been any repairs or other efforts to control the cause or effect of any problem described above?
Efes !
ruo
(S) Hasthereeverbeenafireinthis
property? LJYes
Hasthereeverbeenafireinthisproperty?
!Yes lffNo
dNo Lllnknown
nyn
(h) Are you aware of any problems with the fireplacq? ! Yes Cruo
/(DEA Bse P4g{earce
lf any of your answers are "Yes," explain in detail:
i)\ P4opeerJ Fto.'d<sl
ft)A tnt //oa
3.
ADDITIONS /
f6,-
li.)
ed
REMODELING
,
(a) Have you made any additions, structural changes, or other alterations to the property? ffiYes nruo
(b) lf"Yes,"explain,Thartlr<J Sneuatat<- v b<--{-*o $vep , Ptd,'d cottk , o,4orne
(c) lf "Yes," didyouobtainall necessarypermits?nYes EfNo Wasall theworkincompliancewithbuildingcodes? Utes fl
Caltcri<-*'en D.'d N Dl* R"r-t-u
Art\ *T i'
lf your answer is "No,"
(d) Did the previous owlers make any additions, structural changes, or other alterations to the property that you are aware of?
LlYes U No MUnknown
(e)
(0
ruo
lf "Yes," explain:
Please provide the namg of any contractor or individual who did any additions, structural changes or other alterations to the property,
if
known. N elsorl'
mh4Tthl SorciupgV Trnrc* ainOa"ty
rnitiars: C'ztt
l of
7
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)
4.
ROOF
(a) Yearroofputon U-.[lP.r.rOrpA) "
/
(b) Hastheroofeverleakedduringyourownership? !Yes Vruo
/
(c) Has the roof been replaced or repaired during your ownership? ! Yes El tto
lf 'Yes," provide name of Contractor or individual who did the work and details of replacement/repair
(d) ' Do you know of any problems with the roof or outters?
'-f{lelf any of your answers are "Yes," explain in detail:
rt.r{-o O. S'{-o0(-vr..-r^)
hr.rt
"-
-J
lgYes Ll No
.Sar.U!- PoC.\ (rct t dryt \Cp-+rJ
qtou^A
kvLd" Sarv><- 'frror-f hr<
5. SIDING
(a)
L
Exterior siding materialft)
! Brick
n
y'wooa
n
n vinyt
n other
Manufactured Siding
(b)
lf manufactured siding, provide name of manufacturer, if
(d)
Have you filed any claims
n
Stucco
with manufacturers in regards to the siding? nYes
Synthetic Stucco
n
unknown
d^
lf any of your answers are "Yes," explain in detaih
6. WINDOWS/DOORS/LOGKS /
.(a) Are the windows insulated glass? flYes dNo /
(b) lf'Yes,"arethereanyfoggedwindows?nYes [Ittlo !Unknown
lf "Yes." which ones
(c) Are any windows broken or cracked? ! Ves ,p tto f] Unknown
(d) Do all operable windows open, stay open, close and lock proper!? dYes n no n
(e) Are any screens missing or damaged? /Yes f] tto . fl Unknown
beA foatrt
lf "Yes,'which ones t-1Js ta tT'S
Unknown
Do you have keys to all door locks?
(a) Air c onditioning:
(b) Heating:
Provide aoe if
Electric
!
Natural
Electric
n
Central Electric Heat Pump
Gas n
Window
known
o .ltt=i'
Ct*B-rnt
2
L fnflrrc.irnnlieifrr
Oil fl
Natural
Gas n
ownershipl
/V", n
ruo
Ttlgema{znf -t;..t *t,flrp
ina"t^it zNdT,*LLt=
NFD ururT lt l
Fuel
a
Other
fl Yes M ruo
Have there been any repairs/replacement of these units during your
tf
n
Number units included in sale
/
Are you aware of any problems regarding these items?
,,yes,,,exptain
Units
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rnitiars
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444s'€
8. ELECTRTCAT SYSTEM
(ai
Are you aware of any problems
with the.electrical system? nYes
(b) Who supplies electrical service: n Sity of Tallahassee I
(c) Averageutilitybill? 5 85'o'
month
(d) Number of people living in property
exj'e
-r't?q,
E a. /v1 a- foq
Talquin
gfe16", Dr l/e, Eruer€b
^*
Sa J,
ef<
9. PLUMBING
(a) Are you aware of any problems with the plumbing systpm? EYes y'*"
(b) Are you aware of any polybutelene pipes? n Yes dtno
(c) Are you aware of any leaks, back-ups, water, and sewer/septic tank problego? !Yes M/Uo
(d) What is your water supply source: ! Publf ! Community Well fl W"tt on property
(e) lf your water is from a well, have there ever been;epairs/replacements to the well or. prrp? dY", n ruo ! Unknown
(0 Has the well water ever been tested? f]Yes [It'lo E Unknown Test Results:
(S) Do you have a water conditioning system? n Yes d*"
lf "Yes," is the system n Ol*d
n
".-dHo* n4.ny-l(h) What is the type of sewage system do you have? | Public . I Community Sewer {Septic Tank(s)
dc-q4,t)
Loq,tion(s) frrJano 4.oz<te.
whenwagseptictankt.rtprrp"al Z6oil
During your ownership have there been any septic systetn problems? n Yes d flo
(i) Does your utility bill contain a fee for sewer? n Yes dNf o
lf yes, it is the responsibility of the BUYER to contact the utility department to determine if a sewer is currently in use or if the sewer fee
ls for availability of sewer for future
usage.
0)
lf on a septic tank is sewer service available to your property?
f]Yes n ruo
/
EJ
Unknown
lf yes, it is the responsibility of the BU/ER to contact the local health department regarding continued use of a septic system.
(k)Typeofwaterheater?]V'dElect,icnSolarNumberofWaterHeaters?7Numberofgallons?" ls it on a timer? !Yes (*o On" of water heater(s)lf
any of your answers are "Yes,'explain in detail:
10. cosMETlc
DEFECTS
3e-e
/
h - lzr
(a) Are you aware of any cosmetic defects?
n
dYes n ruo lf yes, please
describe:
11. EQUIPMENT AND APPLIANCES INCLUDED lN SALE (subject to final negotiated Gontract)
Mark the items included in the sale of your property:
Generator
-Above Ground Pool
n
n
dc"itinn
Fans
-
E lceMaker-StandAlone
! lntercom
all
DcentralvacuumandAttachments
/ Dishwasher
nrDisposal
S oryer
! Garage Door Opener
nrlight Fixtures - all
M Microwave oven
!
fl
fl
and Transmitte(s)
d
n
n
n
R"frig"ru,or
n
Satellite System
Security System
with lcemaker
- owned
spa or Hot Tub with Heater
ff5prinkler
System
PoolEquipment
fl
Pool Heater
Range/Oven
Jy'rashCompactor
Storage Shed
M washer
n Water Softener/Purifi er
n Window Treatments - all
n Windown^/all AC
n
n
n
n
n
n
Oil/PropaneTanks
nOwned nLeased, lfleased,from
Cost
E
SecuritySystem
I
Cost
Owned
n
Leased, lf leased, from
-'
lfanyofqheseitemshavebeenreplacedduringyourownership,whichitemsandwhatyear:
S*o\t4fop
Zcll
lfanyoftheseitemshaveanydefects,explainindetail:
E formsimnlicitw
12.P9OL / SPA / HOT TUB (Complete if applicable)
""
(a) flPoOt- Year installed.
n ln ground: n gunnite !fiberglass n vinyl
n
age of liner
Above ground
nnone Igas
(b)
Poolheater:
(c)
Pool pump: year installed
(d)
ls pool
n
electric
n
solar
year installed
Filter type:
equipment included?
n Yes
!
ruo
lf "Yes," itemize:
an automatic pool cleaner? n Yes n Uo lf yes, manufacturer name
(0 flsPnnorruB year installed(S) Spaheater: !none ngas nelectric !solar
(e) 'ls there
(h)
"ls
Spa
equipment included?n
Yes
n
ruo
lf "Yes," itemize:
lf you are aware of any problems with any of the items above, please explain in detail:
1
3. EXCLUSIONS/LEASED SYSTEMS
(a)
ls
there anything on or about the property excluded from tfre sale?
lf
"Yes,"
a.t
itemize
ea
*h
4
/Yes []
tto
7oD
F<-e,J<-ot
furveaf*
(b) Are there any other leased
systems that are not addressed elsewhere in the disclosure?
!
Yes
lf "Yes," itemize:
14. CRAWL SPACES AND BASEMENTS (Complete if
(a)
(b)
Has there ever been any
,/
water leakage, accumulation of water or dampness in the basement or crawl space?6
Yes n
no
./
n Yes E
ruo
(a) Have termites or any wood destroying insects affected the property during your ownership? flYes d*o
(b) Has wood rot affected the property during your ownership? y'Yes n ruo
(c) Has there ever been any damage to the property caused by termites or wood destroying insects during your ownership? dr", n
(d) Has there ever been any damage to the property caused by wood rot during your ownershipZ M(es n ruo
,/
(e) ls the property currently under bond for a wood destroying insect from a licensed pest control company? ! yes dNo
no
Have there been any repairs or other attempts to control any water or dampness problems in the basement or c-rawlspace?
lf any of your answers are "Yes," explain in detail:
P o"d df
1
applicable)
&ar.Z
y'ez
CQar'.t/ Apere
7fupls:at- tree.oz
b?&t*
A AEET
5. WOOD DESTROYING ORGANISMS
What company?
What type of bond?
(0
t
fl Yes [ruo
CM?SL/D#€'- 4 '€€s
E Ar,+J>g€ /) Aa c
Do you know of any wood destroying organisms reports on the property in the last five years?
lfanvofvouranswersare'Yes."exolainindetail:
9-fPzr+cao ffirena
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'dAea"g
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(a)
(b)
(c)
ls
there any fill or pipe clay on the propefty?
the property located in
Ftoodzone,ifkno*n
(d)
(e)
Yes
/
n Uo $Unknown
settling or earth movement on the property or in the immediate neighborhood?
Has there been any
ls
fl
a
flood hazard area?
h&/
NQIJ Fbob
n Yes ! No fl
c JW
Unknown
r)
84cL aP ferptt,
BetZ€lg
FYes dN"
lsfloodinsurancerequiredbyyourlender?
/
n Yes Z tto I
Have there been any past or present drainage or flood problems affecting the property or adjacent properti
(0
.Are there any encroachments, boundary line disputes, or easements
(S)
Are there any shared driveways, fences or
(h)
Who owns any fences?
(i)
Are there any conservation easements or environmental restrictions?
tf any answers are "Yes,"
expl ain in deta:tlt
p'Kr ftqr
n Yes
joint use agreements?
n
.*W(es fJ ruo n
n V", qr/o n
7
Unknown
Unknown
EfNo
Yes
dNo E Unknown
-f 7-de-rn b €Fl9 Y
7%/ r<.,4 L
nnt D bk<
affectingthe property?
)aPE
Ft-t
Unknown
-
fto.ao €-fl
4an eepzpz- CaBz-al
17. TOXTC SUBSTANCES
(a)
Are you aware of any hazardous materials in, on or about the property? ( h azardous Materidls may include but shallrrlot be limited to:
lead-based,paint, asbestos materials, asbestos siding, radon, mold, and buried oil, fuel or other storage tanks) ETes Efruo
(b)
Are you aware of the property ever being tested for radon, mold or any other toxic substances?
!
Yes
dNo
lf any answers are "Yes," explain in detail:
18. NEIGHBORHOOD
(a)
Arg you aware of any proposed change or
condition in your neighborhood that could affect the value 9r desirability of the property?
al4feY
dyes ! No tf "yes,"exptain ina"tuitt C-tf Y
Arl ertll9ae
t^) Fr+rqe-€
ls
'fq/raafe-€
jO
t€
nyes !ruo dgon'tXno*
(b) lsthispropertysubjecttotheRoomingHouseOrdinance?
(c)
qf
this property toc/ed within a geographical area which has been designated as a Historic Preservation Overlay District:
Don't Know
lYes ! tto il
(d)
ls this
property rcrfawithin
flYes ! No f,Don't
1
a geographical area
that
is
being considered for a designation as a Historic Preservation Overlay District:
Know
9A. HOMEOWNERS' ASSOCIATIONS
lf the property is part of an association, complete the following:
(a)
What is the annual fee?
How is it paid?
$
D monthly n yearly n
other
(b) What does the annual fee cover?
(c)
Are fees
current?
nYes n
ruo
(d) Who is the contact person for the association?
Phone #
(e)
Are there any defects, damages, legal actions, conditions or assessments that may affect the association or its
(f)
Are you aware if the property has any violations of the restrictive
(s)
lf
"Yes," explain in
!
yes
n
ruo
detail:
5
}' fnrmsimnlieifw
covenants?
of7
lnitials
fees?
n yes !
no
1
98. HOMEOWNERS', ASSOCIATIONS
/
COMMUNITY DISCLOSURE
DrsclosuRE suMMARy REeuTRED ey sicrroN T2o.4or FLoR|DA srATUTEs, HAS Nor BEEN pRovrDED To rHE pRospEctvE puRcHAsER
BEFORE EXECUTING THIS CONTRACT TON SEIT, THIS CONTRACT IS VOIDABLE BY BUYER BY DELIVERING TO SELLER OR SELLER'S AGENT OR
REPRESENTATIVE WRITTEN NOTICE OF THE BUYER'S INTENTION TO CANCEL WITHIN 3 DAYS AFTER RECEIPT OF THE DISCLOSURE SUMMARY
OR PRIOR TO CLOSING, WHICHEVER OCCURS FIRST. ANY PURPORTED WAIVER OF THIS VOIDABILITY RIGHT HAS NO EFFECT. BUYER'S RIGHT TO
VOID THIS CONTRACT SHALL TERMINATE AT CLOSING.
rF THE
DISCLOSURE SUMMARY
Disclosure summary for
(NAME OF
COMMUNIN
property in this community, you will be obligated to be a member of a homeowners' association.
1.
As a purchaser of
2.
There have been or will be recorded restrittive covenants governing the use and occupancy of properties in this community.
3.
You will be obligated to pay assessments to the association. Assessments may be subject
amount is
per
S
.
You
to periodic change. lf applicable, the current
will also be obligated to pay any special assessments imposed by the association.
pel
Such special assessments may be subject to change. lf applicable, the current amount is 5
4.
You may be obligated to pay special assessments to the respective municipality, county, or special district. All assessments are subject
to periodic change.
5.
Your failure to pay special assessments or assessments levied by a mandatory homeowners' association could result in a lien on your
property.
6.
There may be an obligation to pay rent or land use fees for recreational or other commonly used facilities as an obligation of meinbership
in the homeowners' association. lf applicable, the current amount is
7
.
per
5
The developer may have the right to amend the restrictive covenants without the approval of the association membership or the
approval ofthe parcel owners.
8.
The statements contained in this disclosure form are only summary in nature, and, as a prospective purchaser, you should refer to the
covenants and the association governing documents before purchasing
9.
property.
i
These documents are either matters of public record and can be obtained from the record office in the county where the property is
located, or are not recorded and can be obtained from the developer.
20. OTHER FEES AND RESTRICTIONS
(a)
Are there any transfer
fees?
-JYes p trto I
n
Unknown
lf ves. to whom
(b)
ls
there an "enhancement" fee or any other type of fee upon resale?
lf yes, what kind of fee
(c)
EVes
$
S-
Amount
S-
ffNo n Unknown
to whom
ls there a CDD (Community Development District) fee attached to your property?
lf yes, amount
Amount
n yes
n
ruo
n
Unknown
how is it paid?
(d) Are there any mandated re-sale fees or commissions to a 3rd party upon re-sale (i.e.: a developer,
to whom?
[Yes n ruo n Unknown lf yes, amount 5
(e) Are there any special assessments or any other fees ofany type? nYes n ruo
brokerage firm, etc.)
lf yes, please explain nature of assessmenVfee and amount
6of7
ts
fnrmsimnlicitv
rnitiars
Cn/
2T. OTHER MATTERS
(aI Does anyone have a first right of refusal to buy or an option to buy to this property? I y", dllo
(b) ls there any existing or threatened legal action affecting the propertyl dVes ! tto
(c) Are you aware of any zoning violation, non-conforming use, set back violations, or proposed zoning or road changes? !
(d) Are you aware of any violations of local, state, or federal laws or regulations relating to this property? n Yes Z No
(e)
ls there anything else you feel
. desirabilityof the property?
(0
lf
"Yes," explain in
y", t46
ruo
you shguld disclose to a prospective buyer that may materially and/or adversely affect the value or
n yes Z tto
detail:
eE<Lorue€
.rJ^
The undersigned SELLER represents that the infomutlon set forth in the foregoing property disclosure statement is accurate and complete to the best
of the SELLER'S knowledge on the date signed below. SELLER does not intend this property disclosure statement to be a warranty or guaranty of any
kind. SELLER hereby authorizes Listing Broker to provide this information to prospective BUYERS and to other real estate brokers and other agents.
understands and agrees that SELLER will immediately notify Listing Broker in writing if any information set forth in this property
disclosure ehanges.
SELLER
s'*" frz'qJ:e Z/-L*\-
o^'"'
t
I "r/ 13
Seller:
RECEIPT AND ACKNOWLEDGMENT BY BUYER
BUYER hereby acknowledges receipt of a copy of this property disclosure. BUYER furthermore acknowledges BUYER has been in and upon subject
property. BUYER is strongly advised to obtain property inspection(s) as provided for in the Deposit Receipt and Contract for Sale and Purchase. BUYER
should select professionals with appropriate qualifications to conduct inspections. BUYER is advised that some properties may have siding materialslsuch
as, but not limited to, Louisiana Pacific and Synthetic Stucco) that have failed the manufacturer's warranties and/or have been known to have defects,
and that inspection is one way to identifu this and determine what conditions these materials may be in. BUYER is aware that this property disclosure is
not intended as a warranty or guaranty of any kind by SELLER . The Brokers and their Sales Associates do not warrant or guarantee the condition of the
property and are in no way responsible for the condition of the property. BUYER understands that the property is being sold in its present condition
unless otherwise agreed upon in the Deposit Receipt and Contract for Sale and Purchase. BUYER acknowledges no representations concerning the
condition of the property are being relied upon by BUYER except as disclosed herein or in the Deposit Receipt and Contract for 5ale and Purchase.
Buyer:
Date:
Buyer:
Date:
7
! fnrmsirnnlicitv
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@ 1 998,
Tallahassee Board of [email protected], lnc. Rev. 08/1 1 [08]

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