SELLER DISCLOSURE STATEMENT IMPROVED PROPERTY
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1 Frm 17 Seller isclsure Sttement Pge 1 f6 SELLER: 3 esign/build LLC Seller SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY Seller Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE T be used in trnsfers f imprved residentil rel prperty, including residentil dwellings up t fur units, new cnstructin, 2 cndminiums nt subject t public ffering sttement, certin timeshres, nd mnufctured nd mbile hmes. See RCW 3 Chpter 64.6 fr further infrmtin. 4 INSTRUCTIONS TO THE SELLER 5 Plese cmplete the fllwing frm. nt leve ny spces blnk. If the questin clerly des nt pply t the prperty check 6 "NA." If the nswer is "yes" t ny sterisked (*) item(s), plese explin n ttched sheets. Plese refer t the line number(s) f 7 the questin(s) when yu prvide yur explntin(s). Fr yur prtectin yu must dte nd initil ech pge f this disclsure 8 sttement nd ech ttchment. elivery f the disclsure sttement must ccur nt lter thn five (5) business dys, unless 9 therwise greed, fter mutul cceptnce f written purchse nd sle greement between Buyer nd Seller. 1 NOTICE TO THE BUYER 11 THE FOLLOWING ISCLOSURES ARE MAE BY THE SELLER ABOUT THE CONITION OF THE PROPERTY LOCATE AT 12..c.2...;.4=11;;;..Nc..c=E...;.7..:..t_h...;.S...;.t.;..;ree:.c.t.c...-, CITY Settle I 13 STATE WA, ZIP 98115, COUNTY_Ki_n... g ("THE PROPERTY") OR AS 14 LEGALLY ESCRIBE ON THE A TT ACHE EXHIBIT A 15 SELLER MAKES THE FOLLOWING ISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL EFECTS TO BUYER BASE 16 ON SELLER'S ACTUAL KNOWLEGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS ISCLOSURE 17 STATEMENT. UNLESS YOU AN SELLER OTHERWISE AGREE IN WRITING, YOU HAVE THREE (3) BUSINESS AYS FROM 18 THE AY SELLER OR SELLER'S AGENT ELIVERS THIS ISCLOSURE STATEMENT TO YOU TO RESCIN THE AGREEMENT 19 BY ELIVERING A SEPARATELY SIGNE WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. IF THE 2 SELLER OES NOT GIVE YOU A COMPLETE ISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIN 21 PRIOR TO OR AFTER THE TIME YOU ENTER INTO A PURCHASE AN SALE AGREEMENT. 22 THE FOLLOWING ARE ISCLOSURES MAE BY SELLER AN ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE 23 LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR ISCLOSURE ONLY AN IS NOT INTENE TO BE A PART OF 24 ANY WRITTEN AGREEMENT BETWEEN BUYER AN SELLER. 25 FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONITION OF THIS PROPERTY YOU ARE AVISE 26 TO OBTAIN AN PAY FOR THE SERVICES OF QUALIFIE EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUE, 27 WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAN SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, 28 BUILING INSPECTORS, ON-SITE WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST INSPECTORS. 29 THE PROSPECTIVE BUYER AN SELLER MAY WISH TO OBTAIN PROFESSIONAL AVICE OR INSPECTIONS OF THE 3 PROPERTY OR TO PROVIE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY 31 AVICE, INSPECTION, EFECTS OR WARRANTIES. 32 SELLER IS/ l IS NOT OCCUPYING THE PROPERTY. 33 I. SELLER'S ISCLOSURES: 34 *If yu nswer "Yes" t questin with n sterisk(*), plese explin yur nswer nd ttch dcuments, vilble nd nt 35 therwise publicly recrded. If necessry, use n ttched sheet TITLE A yu hve legl uthrity t sell the prperty? If n, plese explin... I Cl *B. Is title t the prperty subject t ny f the fllwing? (1) First right f refusl... (2) Optin... (3) Lese r rentl greement... (4) le estte?... *C. Are there ny encrchments, bundry greements, r bundry disputes?... *. Is there privte rd r esement greement fr ccess t the prperty?... *E. Are there ny rights-f-wy, esements, r ccess limittins tht my ffect the Buyer's use f the prperty?... *F. Are there ny written greements fr jint mintennce f n esement r right-f-wy?... *G. Is there ny study, survey prject, r ntice tht wuld dversely ffect the prperty?... *H. Are there ny pending r existing ssessments ginst the prperty?... 1/26/216 te SELLER'S INITIALS te NO ON'T KNOW NIA
2 Frm 17 Seller isclsure Sttement Pge2 f6 *I. SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY (Cntinued) Are there ny zning viltins, nncnfrming uses, r ny unusul restrictins n the prperty tht wuld ffect future cnstructin r remdeling?... * J. Is there bundry survey fr the prperty?... 5Z'i *K. Are there ny cvennts, cnditins, r restrictins recrded ginst the prperty?... PLEASE NOTE: Cvennts, cnditins, nd restrictins which purprt t frbid r restrict the cnveynce, encumbrnce, ccupncy, r lese f rel prperty t individuls bsed n rce, creed, clr, sex, ntinl rigin, fmilil sttus, r disbility re vid, unenfrceble, nd illegl. RCW Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE NO OON'T NIA 52 KNOW fiz'i O O WATER A. Husehld Wter ( 1) The surce f wter fr the prperty is: ~ Privte r publicly wned wter system Privte well serving nly the subject prperty *O Other wter system *If shred, re there ny written greements? *(2) Is there n esement ( recrded r unrecrded) fr ccess t nd/r mintennce f the wter surce? *(3) Are there ny prblems r repirs needed?..., ( 4) uring yur wnership, hs the surce prvided n dequte yer-rund supply f ptble wter?.. O If n, plese explin: *(5) Are there ny wter tretment systems fr the prperty?... If yes, re they: Lesed O Owned *(6) Are there ny wter rights fr the prperty sscited with its dmestic wter supply, such s wter right permit, certicte, r clim?... O () If yes, hs the wter right permit, certicte, r clim been ssigned, trnsferred, r chnged?.. *(b) If yes, hs ll r ny prtin f the wter right nt been used fr five r mre successive yers? *(7) Are there ny defects in the pertin f the wter system (e.g. pipes, tnk, pump, etc.)?... 5Z'i [ 74 1: B. Irrigtin Wter (1) Are there ny irrigtin wter rights fr the prperty, such s wter right permit, certicte, r clim?... *() If yes, hs ll r ny prtin f the wter right nt been used fr five r mre successive yers?... *(b) If s, is the certicte vilble? (If yes, plese ttch cpy.)... *( c) If s, hs the wter right permit, certicte, r clim been ssigned, trnsferred, r chnged?... O 1: *(2) es the prperty receive irrigtin wter frm ditch cmpny, irrigtin district, r ther entity?... If s, plese identy the entity tht supplies wter t the prperty: 5Z'i C. Outdr Sprinkler System 89 (1) Is there n utdr sprinkler system fr the prperty?... *(2) If yes, re there ny defects in the system?... *(3) If yes, is the sprinkler system cnnected t irrigtin wter?... 5Z'i SEWER/ON-SITE SEWAGE SYSTEM 93 A. The prperty is served by: 94 litl Public sewer system O On-site sewge system (including pipes, tnks, drinfields, nd ll ther cmpnent prts) 95 ther dispsl system 96 Plese rlai~criha /26/216 te SELLER'S INITIALS te
3 Frm 17 Seller isclsure Sttement Rev Pge 3 f6 SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY (Cntinued) B. If public sewer system service is vilble t the prperty, is the huse cnnected t the sewer min?... I If n, plese explin: *C. Is the prperty subject t ny sewge system fees r chrges in dditin t thse cvered in yur regulrly billed sewer r n-site sewge system mintennce service?.... If the prperty is cnnected t n n-site sewge system: *(1) Ws permit issued fr its cnstructin, nd ws it pprved by the lcl helth deprtment r district fllwing its cnstructin?... (2) When ws it lst pumped? *(3) Are there ny defects in the pertin f the n-site sewge system?... (4) When ws it lst inspected? By whm: ~ (5) Fr hw mny bedrms ws the n-site sewge system pprved? bedrms E. Are ll plumbing fixtures, including lundry drin, cnnected t the sewer/n-site sewge system?... If n, plese explin: *F. Hve there been ny chnges r repirs t the n-site sewge system?... G. Is the n-site sewge system, including the drintield, lcted entirely within the bundries f the prperty?... If n, plese explin: *H. es the n-site sewge system require mnitring nd mintennce services mre frequently thn nce yer?... Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE NO ON'T NIA 98 KNOW : : NOTICE: IF THIS RESIENTIAL REAL PROPERTY ISCLOSURE IS BEING COMPLETE FOR NEW CONSTRUCTION 121 WHICH HAS NEVER BEEN OCCUPIE, SELLER IS NOT REQUIRE TO COMPLETE THE QUESTIONS LISTE IN ITEM (STRUCTURAL) OR ITEM 5 (SYSTEMS AN FIXTURES) STRUCTURAL *A. Hs the rf leked within the lst 5 yers?... *B. Hs the bsement flded r leked?... *C. Hve there been ny cnversins, dditins r remdeling?... *(1) If yes, were ll building permits btined?... *(2) If yes, were ll finl inspectins btined?.... yu knw the ge f the huse?... If yes, yer f riginl cnstructin: *E. Hs there been ny settling, slippge, r sliding f the prperty r its imprvements?... *F. Are there ny defects with the fllwing: (If yes, plese check pplicble items nd explin)... lizi O Fundtins lid ecks O Exterir Wlls O Chimneys lid Interir Wlls O Fire Alrms lid rs lizi Windws Pti 1:1 Ceilings Slb Flrs O rivewys Pls Ht Tub Sun Sidewlks li1 Outbuildings Fireplces Grge Flrs ll'i Wlkwys i Siding Wd Stves Elevtrs Incline Elevtrs 1:1 Stirwy Chir Lts 1:1 Wheelchir Lts O Other *G. Ws structurl pest r "whle huse" inspectin dne?... If yes, when nd by whm ws the inspectin cmpleted? H. uring yur wnership, hs the prperty hd ny wd destrying rgnism r pest infesttin?... O I. Is the ttic insulted?... O J. Is the bsement insulted?... 1: lizi i( 147 2/26/216 te SELLER'S INITIALS te
4 Frm 17 Seller isclsure Sttement Pge4 f6 5. SYSTEMS AN FIXTURES SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY (Cntinued) *A. If ny f the fllwing systems r fixtures re included with the trnsfer, re there ny defects? If yes, plese explin: Electricl system, including wiring, switches, utlets, nd service... JJ Plumbing system, including pipes, fucets, fixtures, nd tilets... Ht wter tnk... Grbge dispsl... Applinces... Sump pump... Heting nd cling systems... Security system: Owned Lesed.... -~ *B. If ny f the fllwing fixtures r prperty is included with the trnsfer, re they lesed? (If yes, plese ttch cpy f lese.) Security System: Tnks (type):... Stellite dish:... *C. Are ny f the fllwing kinds f wd burning pplinces present t the prperty? (1) Wdstve?... (2) Fireplce insert?... (3) Pellet stve?... (4) Fireplce?... If yes, re ll f the (1) wdstves r (2) fireplce inserts certied by the U.S. Envirnmentl Prtectin Agency s clen burning pplinces t imprve ir qulity nd public helth?.... Is the prperty lcted within city, cunty, r district r within deprtment f nturl resurces fire prtectin zne tht prvides fire prtectin services?... I E. Is the prperty equipped with crbn mnxide lrms? {Nte: Pursunt t RCW , Seller must equip the residence with crbn mnxide lrms s required by the stte building cde.)... l F. Is the prperty equipped with smke lrms?... I 6. HOMEOWNERS' ASSOCIATION/COMMON INTERESTS A. Is there Hmewners' Asscitin?... Nme f Asscitin nd cntct infrmtin fr n fficer, directr, emplyee, r ther uthrized gent, ny, wh my prvide the sscitin's finncil sttements, minutes, bylws, fining plicy, nd ther infrmtin tht is nt publicly vilble: B. Are there regulr peridic ssessments?... $ per mnth yer Other: *C. Are there ny pending specil ssessments?... *. Are there ny shred "cmmn res r ny jint mintennce greements (fcilities such s wlls, fences, lndscping, pls, tennis curts, wlkwys, r ther res c-wned in undivided interest with thers)?... Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE NO ON'T NIA 148 KNOW il lizi lizi ill il ENVIRONMENTAL *A. Hve there been ny flding, stnding wter, r dringe prblems n the prperty tht ffect the prperty r ccess t the prperty?... :... *B. es ny prt f the prperty cntin fill dirt, wste, r ther fill mteril?... *C. Is there ny mteril dmge t the prperty frm fire, wind, flds, bech mvements, erthquke, expnsive sils, r lndslides?...,.... Are there ny shrelines, wetlnds, fldplins, r criticl res n the prperty?... *E. Are there ny substnces, mterils, r prducts in r n the prperty tht my be envirnmentl cncerns, such s sbests, frmldehyde, rdn gs, led-bsed pint, fuel r chemicl strge tnks, r cntminted sil r wter?... *F. Hs the prperty been used fr cmmercil r industril purpses? /26/216 te SELLER'S INITIALS te
5 Frm 17 Seller isclsure Sttement Rev Pge 5 f6 SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY (Cntinued) *G. Is there ny sil r grundwter cntmintin?... *H. Are there trnsmissin ples r ther electricl utility equipment instlled, mintined, r buried n the prperty tht d nt prvide utility service t the structures n the prperty?... *I. Hs the prperty been used s legl r illegl dumping site?... *J. Hs the prperty been used s n illegl drug mnufcturing site?... *K. Are there ny rdi tvllers in the re tht cuse interference with cellulr telephne receptin? LEA BASE PAINT (Applicble the huse ws built befre 1978). A. Presence f led-bsed pint nd/r led-bsed pint hzrds (check ne belw): Knwn led-bsed pint nd/r led-bsed pint hzrds re present in the husing (explin) Seller hs n knwledge f led-bsed pint nd/r led-bsed pint hzrds in the husing. B. Recrds nd reprts vilble t the Seller (check ne belw): Seller hs prvided the purchser with ll vilble recrds nd reprts pertining t led-bsed pint nd/r led-bsed pint hzrds in the husing (list dcuments belw). Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE Seller hs n reprts r recrds pertining t led-bsed pint nd/r led-bsed pint hzrds in the husing. 9. MANUFACTURE AN MOBILE HOMES If the prperty includes mnufctured r mbile hme, *A. id yu mke ny ltertins t the hme?... If yes, plese describe the ltertins: *B. id ny previus wner mke ny ltertins t the hme?... *C. If ltertins VI/ere mde, were permits r vrinces fr these ltertins btined? FULL ISCLOSURE BY SELLERS A. Other cnditins r defects: * Are there ny ther existing mteril defects ffecting the prperty tht prspective buyer shuld knw but?... NO ON7 KNOW NIA B. Verictin 23 The freging nswers nd ttched explntins ( ny) re cmplete nd crrect t the best f Seller's knwledge nd 231 Seller hs received cpy heref. Seiter grees t defend, indemny nd hld rel estte licensees hrrnless frm nd 232 ginst ny nd ll clims tht the bve infnntin is inccurte. Seiter uthrizes rel estte licensees, ny, t deliver 233 c fthis disclsu ment t ther rel estte licensees nd ll prspective buyers f the prperty /26/216 te Seller te If the nsv11er is "Yes" t ny sterisked (*) items, plese explin belw (use dditinl sheets necessry). Plese refer t the line 237 number(s) f the questin(s)
6 Frm 17 Seller isclsure Sttement Pge 6 f6 SELLER ISCLOSURE STATEMENT IMPROVE PROPERTY (Cntinued) Cpyright 215 Nrthwest Multiple Listing Service ALL RIGHTS RESERVE II. NOTICES TO THE BUYER 1. SEX OFFENER REGISTRATION 253 INFORMATION REGARING REGISTERE SEX OFFENERS MAY BE OBTAINE FROM LOCAL LAW ENFORCEMENT 254 AGENCIES. THIS NOTICE IS INTENE ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AN IS NOT 255 AN INICATION OF THE PRESENCE OF REGISTERE SEX OFFENERS PROXIMITY TO FARMING 257 THIS NOTICE IS TO INFORM YOU THAT THE REAL PROPERTY YOU ARE CONSIERING FOR PURCHASE MAY LIE IN 258 CLOSE PROXIMITY TO A FARM. THE OPERATION OF A FARM INVOLVES USUAL AN CUSTOMARY AGRICULTURAL : PRACTICES, WHICH ARE PROTECTE UNER RCW , THE WASHINGTON RIGHT TO FARM ACT. 252 Ill. BUYER'S ACKNOWLEGEMENT 1. BUYER HEREBY ACKNOWLEGES THAT: A. Buyer hs duty t py diligent ttentin t ny mteril defects tht re knwn t Buyer r cn be knwn t Buyer by utilizing diligent ttentin nd bservtin. B. The disclsures set frth in this sttement nd in ny mendments t this sttement re mde nly by the Seller nd nt by ny rel estte licensee r ther prty. C. Buyer cknwledges tht, pursunt t RCW (2), rel estte licensees re nt lible fr inccurte infrmtin 267 prvided by Seller, except t the extent tht rel estte licensees knw f such inccurte infrmtin This infrmtin is fr disclsure nly nd is nt intended t be prt f the written greement between the Buyer nd Seller. 269 E. Buyer (which term includes ll persns signing the "Buyer's cceptnce" prtin f this disclsure sttement belw) hs 27 received cpy f this isclsure Sttement (including ttchments, ny) bering Seller's signture(s). 271 F. If the huse ws built prir t 1978, Buyer cknwledges receipt f the pmphlet Prtect Yur Fmily Frm Led in Yur 272 Hme. 273 ISCLOSURES CONTAINE IN THIS ISCLOSURE STATEMENT ARE PROVIE BY SELLER BASE ON SELLER'S 274 ACTUAL KNOWLEGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS ISCLOSURE. UNLESS BUYER 275 AN SELLER OTHERWISE AGREE IN WRITING, BUYER SHALL HAVE THREE (3) BUSINESS AYS FROM THE AY 276 SELLER OR SELLER'S AGENT ELIVERS THIS ISCLOSURE STATEMENT TO RESCIN THE AGREEMENT BY 277 ELIVERING A SEPARATELY SIGNE WRITTEN1STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. YOU 278 MAY WAIVE THE RIGHT TO RESCIN PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT. 279 BUYER HEREBY ACKNOWLEGES RECEIPT OF A COPY OF THIS ISCLOSURE STATEMENT AN ACKNOWLEGES 28 THAT THE ISCLOSURES MAE HEREIN ARE THOSE OF THE SELLER ONLY, AN NOT OF ANY REAL ESTATE 281 LICENSEE OR OTHER PARTY Buyer te Buyer te BUYER'S WAIVER OF RIGHT TO REVOKE OFFER 285 Buyer hs red nd reviewed the Seller's respnses t this Seller isclsure Sttement. Buyer pprves this sttement nd 286 wives Buyer's right t revke Buyer's ffer bsed n this disclsure. 287 Buyer te Buyer te BUYER'S WAIVER OF RIGHT TO RECEIVE COMPLETE SELLER ISCLOSURE STATEMENT Buyer hs been dvised f Buyer's right t receive cmpleted Seller isclsure Sttement. Buyer wives tht right. Hwever, the nswer t ny f the questins in the sectin entitled "Envirnmentl" wuld be "yes," Buyer my nt wive the receipt f the "Envirnmentl" sectin f the Seller isclsure Sttement Buyer ~te /26/216 te SELLER'S INITIALS te
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