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1 REALTY'" This form approved by the Minnesota Association of REALTORS", which disclaims any liability arising out of use or misuse of this form Minnesota Association of REALTORS", Edina, MN 1. Date 1- /5 --d-tj Page 1 of --&1--- pages 3. THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER'S KNOWLEDGE NOTICE: This Disclosure Statement satisfies the disclosure requirements of MN Statutes through Under Minnesota law, sellers of residential property, with limited exceptions listed on page eight (8), are obligated to disclose to prospective buyers all material facts of which Seller is aware that could adversely and significantly affect an ordinary buyer's use or enjoyment of the property or any intended use of the property of which Seller is aware. MN Statute requires Seller to notify buyer in writing as soon as reasonably possible, but in any event before closing, if Seller learns that Seller's disclosure was inaccurate. Seller is obligated to continue to notify Buyer, in writing, of any facts disclosed herein (new or changed) of which Seller is aware that could adversely and significantly affect the Buyer's use or enjoyment of the property or any intended use of the property that occur up to the time of closing. Seller has disclosure alternatives allowed by MN Statutes. See Seller's Disclosure Alternatives form for further information regarding disclosure alternatives. This disclosure is not a warranty or a guarantee of any kind by Seller or licensee(s) representing or assisting any party in the transaction. For purposes of the seller disclosure requirements of MN Statutes through : "Residential real property" or "residential real estate" means property occupied as, or intended to be occupied as, a single-family residence, including a unit in a common interest community as defined in MN Statute 515B , clause (10), regardless of whether the unit is in a common interest community not subject to chapter 515B. The seller disclosure requirements of MN Statutes through apply to the transfer of any interest in residential real estate, whether by sale, exchange, deed, contract for deed, lease with an option to purchase or any other option. INSTRUCTIONSTO BUYER: Buyers are encouraged to thoroughly inspect the property personally or have it inspected by a third party, and to inquire about any specific areas of concern. NOTE: If Seller answers NO to any of the questions listed below, it does not necessarily mean that it does not exist on the property. NO may mean that Seller is unaware that it exists on the property. INSTRUCTIONS TO SELLER: (1) Complete this form yourself. (2) Consult prior disclosure statement(s) and/or inspection report(s) when completing this form. (3) Describe conditions affecting the property to the best of your knowledge. (4) Attach additional pages, with your signature, if additional space is required. (5) Answer all questions. (6) If any items do not a:!~ write "NA"Anot ap»licable). 11 Property located at ~f8 f}5/f8(j;tlj r-ua- D City of /}-6/-J-N,Countyof IJIf-/<.oTfi- A. GENERAL INFORMATION: (1) What date /'19 '1 did you CqUire DBuild the home? (Check one.) (2) Type of title evidence: Q(Abstract D Registered (Torrens) Location of Abstract: -LI-'-;J-"---=O:...()J"-"--'tJ-=-=-E/L,r---!-~'()-!~=~:::.-'ooe"'-s=-:::.~--' IO'-'-~--= :- To your knowledge, is there an existing Owner's Title Insurance Policy? (3) Have you occupied this home continuously during your ownership?!}?yes If "No," explain: (4) Is the home suitable for year-round use? j;2f-ves (5) Are you in possession of prior seller's disclosure statement(s)? (If "Yes," please attacn.) (6) To your knowledge, does the property include a manufactured home? 0Yes If"~s;HUD#(~~/affi ~, State of Minnesota. Has the title been surrendered to the Registrar of Motor Vehicles for cancellation? ~es DNa MN: SPDS-1 (10/12) losta~# ro'm;~

2 45. Page THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER'S KNOWLEDGE , Property located at ~J«-',t/-~' 1fJIIb, tuf--<-k'a-;ij---l-' ~;:J-6ft~I'--frJ. (7) Is the property located on a public or a private road? [2?Public 0 Private (8) For property abutting a lake, stream or river, does the property meet the minimum local government lot size requirements? Ai /Jr 0 Yes D No D Unknown If "No," or "Unknown," Buyer should consult the local zoning authority. (9) To your knowledge, is the property located in a designated flood plain? Are you aware of any (10)encroachments? (11)association, covenants, historical registry, reservations or restrictions that affect or may affect the use or future resale of the property? (12)easements, other than utility or drainage easements? 0 Yes (13) Please provide clarification or further explanation for all applicable "Yes" responses in Section A: B. GENERAL CONDITION: To your knowledge, have any of the following conditions previously existed or do they currently exist? k8(no (1) Has there been any damage by wind, fire, floodgr other cause(s)? [RYes D No If"Yes," give details of what happened and when: yo f k7tt1cb?j A;r;rtG;tq;;f,oFc/L ~ 5~ Its' 2013 #?I lj-6e 4e.5cJf-l- t-oo e 16A1t:k5 ta-ce VI';\'- l h~ orlh#s #11 ~v7tet../(! 1lo tvns.fc>vt5 (2) Have you ever had an insurance claim(s) against your Homeowner's Insurance Policy? [5;I1es D No If "Yes," what was the claim(s) for (e.g., hail damage to roof)? Ije~ - ~~ If Iv13 S7J17CkGt-T Did you receive compensation for the claim(s)? ~es If you received compensation, did you have the items repaired? Cl(>res What dates did the claim(s) occur? ~t.ij=o--=-~----=i=---~e:l--,',. t:j:::...!...ig~ (3) (a) Has/Have the structure(s) been altered? (e.g., additions, altered roof lines, changes to load-bearing walls) If "Yes," please specify what was done, when and by whom (owner or contractor): (b) Has any work been performed on the property? (e.g., additions to the property, wiring, plumbing, retaining wall, general finishing.) D No If "Yes," please explain: $.- 0 "' /tt;]ji/ft::ejj n/f5cw) T 5-1'!J/,v {;- (j),. M 1/1# Y t (c) Are you aware of any work performed on the property for which appropriate permits were not obtained? 85. If "Yes," please explain: 86. MN: SPDS-2 (10/12) losta~* f'ormsw--

3 87. Page THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER'S KNOWLEDGE. 89. Property located at J (p Iff A-S 1+ tvtzj ~tj-l) I3f j IbJ I H AJ 90. (4) Has there been any damage to flooring or floor covering? 91. If "Yes;' give details of what happened and when: (5) Do you have or have you previously had any pets? ifv~s D No If "Yes;' indicate type ~C:::::..: Ih1J~:L/...:..."':...:If:;=r and number 0 /II if (6) Comments: ~ C STRUCTURAL SYSTEMS: To your knowledge, have any of the following conditions previously existed or do they currently exist? (ANSWERS APPLY TO ALL STRUCTURES, SUCH AS GARAGE AND OUTBUILDINGS.) (1) THE FOUNDATION: To your knowledge, the type of foundation is (i.e., poured, wood, stone, other): 103. (2) THE BASEMENT, CRAWLSPACE, SLAB~ 104. (a) cracked floor/walls L61No (e) leakage/seepage (b) drain tile problem D1No (c) flooding r2qno (f) sewer backup (g) wet floors/walls ~No [2?No 107. (d) foundation problem cino (h) other ~No 108. Give details to any questions answered "Yes": (3) THE ROOF: To your knowledge, (a) what is the age of the roofing material?..s:- years (b) has there been any interior or exterior damage? [2(No (c) has there been interior damage from ice buildup? [ No (d) has there been any leakage? [Sd'Yes [If'No (e) have there been any repairs or replacements made to the roof? Q(18s D No Give details to any questions answered "Yes": 1:> f E. YEJ - /Il/ /II tja- { J1-IL lrj /77-1 AN LttrTlfI}? ljltl1a-6e JNLD bm~6 lh;r!]v %L I.:rt>v~- ~t>t= AptlJeelJ I I CAi1I lfi2>j t /t J<... MN: SPDS-3 (10/12) losta..::a* To'ms~

4 122. Page THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER'S KNOWLEDGE. 3, if f5 A.s tl ts 4. ~ tj I-D &L- J ~ du'/'1+rv /'?t.f 124. Property located at ---'--=::.--'--~<-.J''o'.L''~q~ :...:...:..=--=--.!..:..-~ D. APPLIANCES, HEATING, PLUMBING, ELECTRICAL AND OTHER MECHANICAL SYSTEMS: 126. NOTE: This section refers only to the working condition of the following items. Answers apply to all such 127. items unless otherwise noted in comments below. Personal property is included in the sale ONLY IF 128. specifically referenced in the Purchase Agreement Cross out only those items not physically located on the property In Working Order In Working Order In Working Order 131. Yes No Yes No Yes No 132. Air-conditioning [L( 0 Heating system (central) 0' 0 li:asr GOA"lpaetoru D 133. czcentral owall owindow Heatillg system (s~flplemental)o:o 0 TV aniefifia systelll uuo 0 ~,~,: e)(el'll!lige system 0 D,Insinefl!tol 0 0 TV cable syst()q Carbon Monoxide Detector..0 0 faiercorn TV satellite dish 0' Ceiling fan ra"0 Lawn sprinkler system f.2( 0 J2tRented 0 Owned 137. Dishwasher [2f0 Microwave 0 0 TV satellite receiver.g Doorbell 0" 0 Plumbing [21"0 0'Rented 0 Owned 139. Drain tile system 12r 0 Rool and eqllipm91=l- 0 0 Washer Dryer!Z( 0?fopaile Tallk 0 0 Water heater, Electrical system [2(0 BFlemed 0 Owned Water softener ca" Exhaust system ~ 0 Range/oven J2( 0 0 Rented.JLt'6wned ~ FU:9spriAlder 3ystell h O 0 Range hood.. 0 l2rwater treatment system Fireplace 0' 0 Refrigerator Rented [2"Owned 145. Fireplace mechanisms 0' 0 gecumy system -::' 0 0 Windows Furnace humidifier J2( 0 D Reflies D OVlIOed Window treatments 1:6" Freezer 0 0 SrAeke detectors (barrery) O 0 WOod-burning SiO~O Garage door opener (GOO) 0' 0 Smoke detectors (hardwired) 0' 0 Other Garage auto reverse 0' 0 Solal collectors"':. D 0 Other GOO remote.0 0 Still'" "UIII"..,,, :.~ 0 Other Garbage disposal 0 0 Toilet mechanisms.!2t0 Other Comments: E , SUBSURFACE SEWAGE TREATMENT SYSTEM DISCLOSURE: (A subsurface sewage treatment system disclosure is required by MN Statute ) (Check appropriate box.) Seller certifies that Seller p-~~~~~n~)~~-~~! know of a subsurface sewage treatment system on or serving the above-described real property. (If answer is DOES, and the system does not require a state permit, see Subsurface Sewage Treatment System Disclosure Statement.) o There is a subsurface sewage treatment system on or serving the above-described real property. (See Subsurface Sewage Treatment System Disclosure Statement.) o There is an abandoned subsurface sewage treatment system on the above-described real property. (See Subsurface Sewage Treatment System Disclosure Statement.) MN: SPDS-4 (10/12) losta..pa# rorms'l:??'

5 ~ 121. MARKETliNK 339. Page THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER'S KNOWLEDGE Property located at $,o::..j' 'I2~-L0"----"f,-----,-Ik--,---,-Jf~(,) 17-+-'-M...::...:.4-tJ~/' f3f R S mj/-,' ----'&~Al SELLER'S STATEMENT: (To be signed at time of listing.) Seller(s) hereby states the material facts as stated above are true and accurate and authorizes any licensee(s) representing or assisting any party(ies) in this transaction to provide a copy of this Disclosure to any person or entity in co nection with any actual or anticipated sale of the property. ~ ~~~?-~h~5~~~~~~~~~~~/f~5/{~ (Seller) (Date) (Seller) -; (Date) BUYER'S ACKNOWLEDGEMENT: (To be signed at time of purchase agreement.) l!we, the Buyer(s) of the property, acknowledge receipt of this Seller's Property Disclosure Statement and agree that no representations regarding material facts have been made other than those made above T (Buyer) (Date) (Buyer) (Date) SELLER'S ACKNOWLEDGMENT (To be signed at time of purchase agreement.): Seller is obligated to continue to notify Buyer, in writing, of any facts which differ from the facts disclosed herein (new or changed) of which Seller is aware that could adversely and significantly affect the Buyer's use or enjoyment of the property or any intended use of the property that occur up to the time of closing. AS OF THE DATE BELOW, I/we, the Seller(s) of the property, state that the material facts stated above are the same, except for changes and/or new disclosures as indicated below, which have been signed and dated (Seller) (Date) (Seller) (Date) LISTING BROKER AND LICENSEES MAKE NO REPRESENTATIONS AND ARE NOT RESPONSIBLE FOR ANY CONDITIONS EXISTING ON THE PROPERTY. MN:SPDS 9 (10/12) IDsta~ 'orms~