SELLER DISCLOSURE STATEMENT IMPROVED PROPERTY. Nara Neves Seller
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1 Seller Disclosure sttement Pge 1 of6 SELLER: Edurdo Oliveir Seller Nr Neves Seller Copyright 215 To be used in trnsfers of improved residentil rel property, including residentil dwellings up to four units, new construction, 2 condominiums not subject to public offering sttement, certin timeshres, nd mnufctured nd mobile homes. See RCW 3 Chpter 64.6 for further informtion. 4 INSTRUCTIONS TO THE SELLER 5 Plese complete the following form. Do not leve ny spces blnk. If the question clerly does not pply to the property check 6 "NA." If the nswer is "yes" to ny sterisked (*) item(s), plese explin on ttched sheets. Plese refer to the line number(s) of 7 the question(s) when you provide your explntion(s). For your protection you must dte nd initil ech pge of this disclosure 8 sttement nd ech ttchment. Delivery of the disclosure sttement must occur not lter thn five (5) business dys, unless 9 otherwise greed, fter mutul cceptnce of written purchse nd sle greement between Buyer nd Seller. 1 NOTICE TO THE BUYER 11 THE FOLLOWING DISCLOSURES ARE MADE BY THE SELLER ABOUT THE CONDITION OF THE PROPERTY LOCATED AT 12...:6=.9...:::F..::e::::d::.:er:..::::..I.:...:A:.:.v.::.e..:E:..., CITY Settle, 13 STATE WA, ZIP 9812, COUNTY King ("THE PROPERTY') OR AS 14 LEGALLY DESCRIBED ON THE ATTACHED EXHIBIT...:A:.:::.= SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL DEFECTS TO BUYER BASED 16 ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE 17 STATEMENT. UNLESS YOU AND SELLER OTHERWISE AGREE IN WRITING, YOU HAVE THREE (3) BUSINESS DAYS FROM 18 THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO YOU TO RESCIND THE AGREEMENT 19 BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. IF THE 2 SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIND 21 PRIOR TO OR AFTER THE TIME YOU ENTER INTO A PURCHASE AND SALE AGREEMENT. 22 THE FOLLOWING ARE DISCLOSURES MADE BY SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE 23 LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF 24 ANY WRITTEN AGREEMENT BETWEEN BUYER AND SELLER. 25 FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED 26 TO OBTAIN AND PAY FOR THE SERVICES OF QUALIFIED EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUDE, 27 WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, 28 BUILDING INSPECTORS, ON-SITE WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST INSPECTORS. 29 THE PROSPECTIVE BUYER AND SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE 3 PROPERTY OR TO PROVIDE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY 31 ADVICE, INSPECTION, DEFECTS OR WARRANTIES. 32 SELLER li!f IS/ IS NOT OCCUPYING THE PROPERTY. 33 A. Do you hve legl uthority to sell the property? If no, plese explin... Iii DON'T KNOW NIA 39 *B. Is title to the property subject to ny of the following? ( 1) First right of refusl... (2) Option... (3) Lese or rentl greement... (4) Life estte?... *C. Are there ny encrochments, boundry greements, or boundry disputes?... *D. Is there privte rod or esement greement for ccess to the property?... *E. Are there ny rights-of-wy, esements, or ccess limittions tht my ffect the Buyer's use of the property?... *F. Are there ny written greements for joint mintennce of n esement or right-of-wy?... *G. Is there ny study, survey project, or notice tht would dversely ffect the property?... *H. Are there ny pending or existing ssessments ginst the property?... 1/25/216.,::;7._, '>' I '-./ 1/25/216 SELLER'S INITIALS Dte SELLER'S INITIALS Dte
2 Seller Disclosure Sttement Pge 2 of6 *1. Are there ny zoning violtions, nonconforming uses, or ny unusul restrictions on the property tht would ffect future construction or remodeling?... 1:1 *J. Is there boundry survey for the property?... 1:1 *K. Are there ny covennts, conditions, or restrictions recorded ginst the property?... PLEASE NOTE: Covennts, conditions, nd restrictions which purport to forbid or restrict the conveynce, encumbrnce, occupncy, or lese of rel property to individuls bsed on rce, creed, color, sex, ntionl origin, fmilil sttus, or disbility re void, unenforceble, nd illegl. RCW Copyright 215 YES NO DON'T NIA 52 KNOW 53 Iii li1 56 li WATER A. Household Wter ( 1) The source of wter for the property is: Iii Privte or publicly owned wter system 1:1 Privte well serving only the subject property * Other wter system *If shred, re there ny written greements? *(2) Is there n esement (recorded or unrecorded) for ccess to nd/or mintennce of the wter source?... *(3) Are there ny problems or repirs needed?... 1:1 ( 4) During your ownership, hs the source provided n dequte yer-round supply of potble wter?.. lili li If no, plese explin: *(5) Are there ny wter tretment systems for the property?... If yes, re they: Lesed Owned *(6) Are there ny wter rights for the property ssocited with its domestic wter supply, such s wter right permit, certificte, or clim? () If yes, hs the wter right permit, certificte, or clim been ssigned, trnsferred, or chnged?.. 1:1 76 *(b) If yes, hs ll or ny portion of the wter right not been used for five or more successive yers? 77 *(7) Are there ny defects in the opertion of the wter system (e.g. pipes, tnk, pump, etc.)? B. Irrigtion Wter (1) Are there ny irrigtion wter rights for the property, such s wter right permit, certificte, or clim?... *() If yes, hs ll or ny portion of the wter right not been used for five or more successive yers?... *{b) If so, is the certificte vilble? (If yes, plese ttch copy.)... *(c) If so, hs the wter right permit, certificte, or clim been ssigned, trnsferred, or chnged?... *(2) Does the property receive irrigtion wter from ditch compny, irrigtion district, or other entity?... If so, plese identify the entity tht supplies wter to the property: lizi Iii 84 Iii 85 ll C. Outdoor Sprinkler System {1) Is there n outdoor sprinkler system for the property?... Iii *(2) If yes, re there ny defects in the system?... *(3) If yes, is the sprinkler system connected to irrigtion wter?... Iii li SEWERJON-~)ITE SEWAGE SYSTEM A. The property is served by: 94 Iii Public sewer system On-site sewge system (including pipes, tnks, drinfields, nd ll other component prts) 95 1:1 Other disposl system 96 Plese describe: /25/216 1/25/216 SELLER'S INITIALS Dte SELLER'S INITIALS Dte
3 Seller Disclosure Sttement Pge 3 of6 YES B. If public sewer system service is vilble to the property, is the house connected to the sewer min?... Iii If no, plese explin: *C. Is the property subject to ny sewge system fees or chrges in ddition to those covered in your regulrly billed sewer or on-site sewge system mintennce service?... D. If the property is connected to n on-site sewge system: *(1) Ws permit issued for its construction, nd ws it pproved by the locl helth deprtment or district following its construction?... (2) When ws it lst pumped? *(3) Are there ny defects in the opertion of the on-site sewge system?... (4) When ws it lst inspected? By whom: (5) For how mny bedrooms ws the on-site sewge system pproved? bedrooms E. Are ll plumbing fixtures, including lundry drin, connected to the sewer/on-site sewge system?... Iii If no, plese *F. Hve there been ny chnges or repirs to the on-site sewge system?... G. Is the on-site sewge system, including the drinfield, locted entirely within the boundries of the property?... If no, plese explin: *H. Does the on-site sewge system require monitoring nd mintennce services more frequently thn once yer?... Copyright 215 NO DON'T NIA 98 KNOW Ill Ill 18 Ill Ill Iii Iii Iii 12 NOTICE: IF THIS RESIDENTIAL REAL PROPERTY DISCLOSURE IS BEING COMPLETED FOR NEW CONSTRUCTION 121 WHICH HAS NEVER BEEN OCCUPIED, SELLER IS NOT REQUIRED TO COMPLETE THE QUESTIONS LISTED IN ITEM (STRUCTURAL) OR ITEM 5 (SYSTEMS AND FIXTURES) STRUCTURAL *A. Hs the roof leked within the lst 5 yers?... *B. Hs the bsement flooded or leked?... Iii *C. Hve there been ny conversions, dditions or remodeling?... fi!i *(1) If yes, were ll building permits obtined?... *(2) If yes, were ll finl inspections obtined?... D. Do you know the ge of the house?... fizi If yes, yer of originl construction: _1..;..9..;.._2 *E. Hs there been ny settling, slippge, or sliding of the property or its improvements?... *F. Are there ny defects with the following: (If yes, plese check pplicble items nd explin)... Foundtions Decks Exterior Wlls Chimneys Interior Wlls Fire Alrms Doors Windows Ptio Ceilings Slb Floors Drivewys Pools Hot Tub Sun Sidewlks Outbuildings Fireplces Grge Floors Wlkwys Siding Wood Stoves Elevtors Incline Elevtors Stirwy Chir Lifts Wheelchir Lifts Iii Other Minor. See inspection. *G. Ws structurl pest or "whole house" inspection done?... Iii If yes, when nd by whom ws the inspection completed? As prt oftbe home inspection on 1119/216 by Lsswell Home Inspection H. During your ownership, hs the property hd ny wood destroying orgnism or pest infesttion?... I. Is the ttic insulted?... lili J. Is the bsement insulted?... Iii / /216 SELLER'S INITIALS Dte SELLER'S INITIALS Dte
4 Fonn 17 Seller Disclosure Sttement Copyright 215 Pge 4 of6 YES NO DON'T NIA SYSTEMS AND FIXTURES KNOW 149 *A. If ny of the following systems or fixtures re included with the trnsfer, re there ny defects? 15 If yes, plese explin: Electricl system, including wiring, switches, outlets, nd service... Plumbing system, including pipes, fucets, fixtures, nd toilets... O Hot wter tnk... O Grbge disposi... O Applinces... O Sump pump... O Heting nd cooling systems... Security system: Owned Iii Lesed... O *B. If ny of the following fixtures or property is included with the trnsfer, re they lesed? (If yes, plese ttch copy of lese.) Security System: -=A..:::D=T... Iii Tnks (type):. Stellite dish:. Other:... *C. Are ny of the following kinds of wood burning pplinces present t the property? (1) Woodstove?... ::... (2) Fireplce insert?... (3) Pellet stove?... (4) Fireplce?... If yes, re ll of the (1) woodstoves or (2) fireplce inserts certified by the U.S. Environmentl Protection Agency s clen burning pplinces to improve ir qulity nd public helth?... D. Is the property locted within city, county, or district or within deprtment of nturl resources fire protection zone tht provides fire protection services?... ;... Iii E. Is the property equipped with crbon monoxide lrms? (Note: Pursunt to RCW , Seller must equip the residence with crbon monoxide lrms s required by the stte building code.)... lii F. Is the property equipped with smoke lrms?... Iii Cl iti 164 i1 165 iti HOMEOWNERS' ASSOCIATION/COMMON INTERESTS A. Is there Homeowners' Assocition?... Nme of Assocition nd contct informtion for n officer, director, employee, or other uthorized gent, if ny, who my provide the ssocition's finncil sttements, minutes, bylws, fining policy, nd other informtion tht is not publicly vilble: B. Are there regulr periodic ssessments?... $ per month yer Other: *C. Are there ny pending specil ssessments?... *D. Are there ny shred "common res" or ny joint mintennce greements (fcilities such s wlls, fences, lndscping, pools, tennis courts, wlkwys, or other res co-owned in undivided interest with others)? ENVIRONMENTAL *A. Hve there been ny flooding, stnding wter, or dringe problems on the property tht ffect the property or ccess to the property?... *B. Does ny prt of the property contin fill dirt, wste, or other fill mteril?... *C. Is there ny mteril dmge to the property from fire, wind, floods, bech movements, erthquke, expnsive soils, or lndslides?... D. Are there ny shorelines, wetlnds, floodplins, or criticl res on the property?... *E. Are there ny substnces, mterils, or products in or on the property tht my be environmentl concerns, such s sbestos, formldehyde, rdon gs, led-bsed pint, fuel or chemicl storge tnks. or contminted soil or wter?... *F. Hs the property been used for commercil or industril purposes?... o iti iti iti Cl / /216 SELLER'S INITIALS Dte SELLER'S INITIALS Dte
5 Seller Disclosure Sttement Pge 5of6 *G. Is there ny soil or groundwter contmintion?... *H. Are there trnsmission poles or other electricl utility equipment instlled, mintined, or buried on the property tht do not provide utility service to the structures on the property?... *1. Hs the property been used s legl or illegl dumping site?... *J. Hs the property been used s n illegl drug mnufcturing site?... *K. Are there ny rdio towers in the re tht cuse interference with cellulr telephone reception? LEAD BASED PAINT (Applicble if the house ws built before 1978). A. Presence of led-bsed pint nd/or led-bsed pint hzrds (check one below): Known led-bsed pint nd/or led-bsed pint hzrds re present in the housing (explin) Seller hs no knowledge of led-bsed pint nd/or led-bsed pint hzrds in the housing. B. Records nd reports vilble to the Seller (check one below): Seller hs provided the purchser with ll vilble records nd reports pertining to led-bsed pint nd/or led-bsed pint hzrds in the housing (list documents below). Copyright 215 YES NO DON'T KNOW il 121 til NIA Seller hs no reports or records pertining to led-bsed pint nd/or led-bsed pint hzrds in the housing MANUFACTURED AND MOBILE HOMES If the property includes mnufctured or mobile home, *A. Did you mke ny ltertions to the home?... If yes, plese describe the ltertions: *B. Did ny previous owner mke ny ltertions to the home?... *C. If ltertions were mde, were permits or vrinces for these ltertions obtined? FULL DISCLOSURE BY SELLERS A. Other conditions or defects: *Are there ny other existing mteril defects ffecting the property tht prospective buyer should know bout?... O il 224 ~ B. Verifiction 23 The foregoing nswers nd ttched explntions (if ny) re complete nd correct to the best of Seller's knowledge nd 231 Seller hs received copy hereof. Seller grees to defend, indemnify nd hold rel estte licensees hrmless from nd 232 ginst ny nd ll clims tht the bove informtion is inccurte. Seller uthorizes rel estte licensees, if ny, to deliver 233 copy of this disclosure sttement to other rel estte licensees nd ll prospective buyers of the property. 234 ~ c:--:> ~ 1/25/216 ~=::> 1/25/ Sel er == '"" Dte Seller Dte 236 If the nswer is "Yes" to ny sterisked (*)items, plese explin below (use dditionl sheets if necessry). Plese refer to the line 237 number(s) of the question(s) (Bsement leks): When we purchsed the house there ws n infiltrtion in the bsement. We hired compny, yers go, which 24 specilizes in ddressing these problems. They did their work nd we hven't hd ny problems since then F (Other repirs): There is complete inspection report vilble for the house. The report includes notices for issues to be ddressed, which 243 pper to be minor but the buyer should verify S.E (Crbon Monoxide Alrm): Crbon monoxide lrms were instlled fter the inspection ws done nd indicted tht they were necessry
6 Seller Disclosure Sttement Pge 6 of6 Copyright 215 II. NOTICES TO THE BUYER 1. SEX OFFENDER REGISTRATION INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW ENFORCEMENT 254 AGENCIES. THIS NOTICE IS INTENDED ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AND IS NOT 255 AN INDICATION OF THE PRESENCE OF REGISTERED SEX OFFENDERS PROXIMITY TO FARMING THIS NOTICE IS TO INFORM YOU THAT THE REAL PROPERTY YOU ARE CONSIDERING FOR PURCHASE MAY LIE IN CLOSE PROXIMITY TO A FARM. THE OPERATION OF A FARM INVOLVES USUAL AND CUSTOMARY AGRICULTURAL PRACTICES, WHICH ARE PROTECTED UNDER RCW , THE WASHINGTON RIGHT TO FARM ACT Ill. BUYER'S ACKNOWLEDGEMENT 1. BUYER HEREBY ACKNOWLEDGES THAT: A. Buyer hs duty to py diligent ttention to ny mteril defects tht re known to Buyer or cn be known to Buyer by 263 utilizing diligent ttention nd observtion. 264 B. The disclosures set forth in this sttement nd in ny mendments to this sttement re mde only by the Seller nd 265 not by ny rel estte licensee or other prty. 266 C. Buyer cknowledges tht, pursunt to RCW (2), rel estte licensees re not lible for inccurte informtion 267 provided by Seller, except to the extent tht rel estte licensees know of such inccurte informtion. 268 D. This informtion is for disclosure only nd is not intended to be prt of the written greement between the Buyer nd Seller. 269 E. Buyer (which term includes ll persons signing the "Buyer's cceptnce" portion of this disclosure sttement below) hs 27 received copy of this Disclosure Sttement (including ttchments, if ny) bering Seller's signture(s). 271 F. If the house ws built prior to 1978, Buyer cknowledges receipt of the pmphlet Protect Your Fmily From Led in Your 272 Home. 273 DISCLOSURES CONTAINED IN THIS DISCLOSURE STATEMENT ARE PROVIDED BY SELLER BASED ON SELLER'S 274 ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE. UNLESS BUYER 275 AND SELLER OTHERWISE AGREE IN WRITING, BUYER SHALL HAVE THREE (3) BUSINESS DAYS FROM THE DAY 276 SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO RESCIND THE AGREEMENT BY 277 DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. YOU 278 MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS DISCLOSURE STATEMENT AND ACKNOWLEDGES 28 THAT THE DISCLOSURES MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND NOT OF ANY REAL ESTATE 281 LICENSEE OR OTHER PARTY. 282 Buyer Dte Buyer Dte BUYER'S WAIVER OF RIGHT TO REVOKE OFFER 285 Buyer hs red nd reviewed the Seller's responses to this Seller Disclosure Sttement. Buyer pproves this sttement nd 286 wives Buyer's right to revoke Buyer's offer bsed on this disclosure. 287 Buyer Dte Buyer Dte BUYER'S WAIVER OF RIGHT TO RECEIVE COMPLETED Buyer hs been dvised of Buyer's right to receive completed Seller Disclosure Sttement. Buyer wives tht right. However, if the nswer to ny of the questions in the section entitled "Environmentl" would be "yes," Buyer my not wive the receipt of the "Environmentl" section of the Seller Disclosure Sttement Buyer Dte Buyer Dte SELLER'S INITIALS Dte SELLER'S INITIALS Dte
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