on Form Owner s Name: Date: Date: Date: Date: Date: No No No Yes Flood Plain: Possible No Yes Request faxed/sent Information Rec d Date:

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Isabel Beasley
6 years ago
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1 Property Verificatio on Form This form is for internal use ONLY and should not be providedd to the public or other real estate companies. For ALL listings, complete within 5 days of taking listing For ALL sales, complete during the inspection contingency period Property Address: Owner s Name: Legal Description: Major Cross Streets: Tax Code: T/R/S: Completed For: Prepared By: Listing Agt Buyer s Agt Dual Agt CONTRACT DISCLOSURES: Environmental: Endangered Species Super Fund/WQARF Military Airport Tucson Int l Airport Flood Plain: FEMA Possible Request faxed/sent to: Information Rec d & Placed in file: Municipal Possible Request faxed/sent to: Information Rec d & Placed in file: HOA: Riparian Area: PROPERTY INFORMATION: Additions: Improvements: Permits: Assessments (non-hoa): Reason: Amount: $ Duration: Tucson Association of REALTORS /Multiple Listing Service, Inc. revised 04/10

2 Eminent Domain: Road Widening: University of Arizona Expansion Area: Other (specify): Road City (incl. in taxes) County ne Private Name of Provider: Maintenance: Road Maintenance Agreement: Agreement Recorded: Schools: High: Middle: Elem.: Sq. Footage: Bldg. sq. ft. Source: Assessor Appraiser (Name ) Owner Broker Other (Name: ) Lot sq. ft. Source: Assessor Appraiser (Name ) Owner Broker Other (Name: ) Taxes: Amount: $ Year: Exemptions: Delinquent: Amount: $ Wood History -, Date last treated: Treated by: Infestation: Under Warranty Contract -, Expiration Provider: Transfer fee amount: $ Zoning: Code: Conditional: Surrounding East - Zoning: Properties: rth: - Zoning: South - Zoning: West - Zoning: SITE BOUNDARIES: Easements:, Plat Map Legal Description Preliminary Title Report Other: Legal Access: Staked/Flagged: Date Staked/Flagged: Date Information Rec d & Placed in file: Survey/ Date Surveyed: Encroachments: Date Information Rec d & Placed in file: Ordinances: Scenic Route: Hillside Develop: Other, Verification may require personal visit to appropriate municipality

3 Manufactured SFR: Affixed: * *This will be a land only listing FHA/VA Compliant Model #: Serial #: UTILITIES: Cable TV: Connected Available - At lot line, or Distance to lot line ft. t Available Cable Internet: Electric: Available At lot line, or Distance to lot line ft. t Available Fire City (inc. in taxes) Within fire district (inc. in taxes) Name: Protection: Subscription Rural Metro/Other (specify): Paid by owner Paid through HOA Garbage City (inc. in taxes) Subscription: Service: Paid by owner Paid through HOA Gas: Connected Available - At lot line, or Distance to lot line ft. t Available Bottled - ( Rented Owned ) Septic: Installed, Pumped/Certified county records tank present Sewer: Available - At lot line, or Distance to lot line ft. t Available Connected, county records, Dye test ordered: Telephone: Available - At lot line, or Distance to lot line ft. t Available Water: Provider: Phone: Private Well Shared Well Registered with AZ Depart. Of Water Resources Well Agreement: Agreement Recorded: Placed in file:

4 Tucson Multiple Listing Service: Websites may be located in Links Property Verification Resources Property Information: Additions/Improvements/Permits Tucson: , Oro Valley: Sahaurita: Pima County: , Pinal County: Assessments Tucson: , Oro Valley: Sahaurita: Pima County: , Pima County Parcel Search: Pinal County: Flood FEMA MAP SERVICE CENTER City of Tucson: Town of Marana: Information cannot be obtained online form must be faxed - $5.00 fee Town of Oro Valley: Pima County Only Regional Flood Control District: If information is not online, you must fax form no fee Road Maintenance Tucson: or fax Marana: Oro Valley: or fax Schools Altar Valley: Amphitheater: , Catalina #16: Continental: Flowing Wells: Marana: , Sahuarita: Sahaurita: Pima County: Pinal County: Sunnyside: Tanque Verde: TUSD: Vail: Pima County: Pinal County: Taxes Delinquent Tax Number: Pima County: , Pinal County: Wood Infestation Structural Pest Control Commission: , Zoning Tucson: , Oro Valley: Pima County: , Pinal County: Sahuarita:

5 Property Verification Resources Page Two Utilities: Cable TV/Internet Comcast: Cox: Eagle West: Saddlebrooke: Western (Comcast): Electric TEP: TRICO: Fire Protection Avra Valley: City of South Tucson: Corona: Drexel Heights: Flowing Wells: Golder Ranch: Mescal Volunteer: rthwest: Picture Rocks: Rincon Valley: Rural Metro: Three Points: Tucson: Oracle: Garbage Waste Management: Gas Southwest Gas: Southwest Gas fax line: (use SW Gas form for vacant land) Septic Pima County Waste Management: , Pinal County Sanitary Department: Sahuarita, Sewer Pima County Waste Management: , fax: , SaddleBrooke: , www Telephone Qwest: Water Arizona Water: Avra Valley: Farmers Water: Flowing Wells: Goodman Water (Pinal County): Green Valley Community Water: Green Valley: La Casita: Lago Del Oro: Las Quintas: Lazy C Water: Marana Water: Metro Water: Oro Valley: Quail Creek: Rancho De Conejo: Rancho Sahuarita: Ray Water: Saguaro/Rincon: Sahuaro Water: Thim Utility: Town of Marana: Tucson: Vail:

WE NOTICE OUR SELLERS And Affiliated Business Arrangement Disclosure Statement

WE NOTICE OUR SELLERS And Affiliated Business Arrangement Disclosure Statement RECOMMENDATION FOR DISCLOSURES A modern real estate transaction requires the disclosure of important material facts relating