Seller Disclsure Statement-Unimprved Page 1 f 6 SELLER: Carl Bck Lynn Bck Seller seller T be used in transfers f unimprved residential real prperty, including prperty zned fr residential use that is nt imprved by ne r mre residential dwelling units, a residential cndminium, a residential timeshare r a mbile r manufactured hme. Unimprved residential real prperty des nt include cmmercial real estate as defined in RCW 60.42.005 r prperty defined as "timber land" under RCW 84.34.020. See RCW Chapter 64.06 fr further infrmatin. 1 2 3 4 5 INSTRUCTIONS TO THE SELLER 6 Please cmplete the fllwing frm. D nt leave any spaces blank. If the questin clearly des nt apply t the prperty check 7 "NA." If the answer is "yes" t any asterisked (*) item(s), please explain n attached sheets. Please refer t the line number(s) f 8 the questin(s) when yu prvide yur explanatin(s). Fr yur prtectin yu must date and initial each page f this disclsure 9 statement and each attachment. Delivery f the disclsure statement must ccur nt later than five (5) business days, unless 10 therwise agreed, after mutual acceptance f a written purchase and sale agreement between a Buyer and Seller. 11 NOTICE TO THE BUYER 12 THE FOLLOWING DISCLOSURES ARE MADE BY THE SELLER ABOUT THE CONDITION OF THE PROPERTY LOCATED 13 AT 10821 Valley Avenue East,CITY Puyallup 14 STATE WA, ZIP 98372, COUNTY Pierce LEGALLY DESCRIBED ON THE ATTACHED EXHIBIT A. ("THE PROPERTY") OR AS 15 16 SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL DEFECTS TO BUYER BASED 17 ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE 18 STATEMENT. UNLESS YOU AND SELLER OTHERWISE AGREE IN WRITING, YOU HAVE THREE (3) BUSINESS DAYS FROM 19 THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO YOU TO RESCIND THE AGREEMENT 20 BY DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. IF THE 21 SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIND 22 PRIOR TO OR AFTER THE TIME YOU ENTER INTO A PURCHASE AND SALE AGREEMENT. 23 THE FOLLOWING ARE DISCLOSURES MADE BY SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE 24 LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY 25 WRITTEN AGREEMENT BETWEEN BUYER AND SELLER. 26 FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED TO 27 OBTAIN AND PAY FOR THE SERVICES OF QUALIFIED EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUDE, 28 WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING 29 INSPECTORS, ON-SITE WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST INSPECTORS. THE 30 PROSPECTIVE BUYER AND SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE PROPERTY 31 OR TO PROVIDE APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY ADVICE, 32 INSPECTION, DEFECTS OR WARRANTIES. 33 SELLER els/ 0 IS NOT OCCUPYING THE PROPERTY. 34 I. SELLER'S DISCLOSURES: 35 * If yu answer "Yes" t a questin with an asterisk (*), please explain yur answer and attach dcuments, if available and nt 36 therwise publicly recrded. If necessary, use an attached sheet. 37 1. TITLE A. D yu have legal authrity t sell the prperty? If n, please explain YES NO DON'T KNOW N/A 38 39 40 *B. Is title t the prperty subject t any f the fllwing? (1) First right f refusal (2) Optin 0 Er 0 0 (3) Lease r rental agreement U 0 CI (4) Life estate? U 0 *C. Are there any encrachments, bundary agreements, r bundary disputes? 0 lir LI 0 *D. Is there a private rad r easement agreement fr access t the prperty? 0 la 0 0 *E. Are there any rights-f-way, easements, r access limitatins that affect the Buyer's use f the prperty? U 0 0 ZI 41 42 43 44 45 46 47 48 49 SELL 'S INITIALS Date SELLER'S INITIALS Date
Page 2 f 6 @Cpyright 2015 YES NO DONT N/A 50 KNOW 51 *F. Are there any written agreements fr jint maintenance f an easement r right f way? 0 Cr D 0 52 *G. Is there any study, survey prject, r ntice that wuld adversely affect the prperty? u d 53 *H. Are there any pending r existing assessments against the prperty? 0 a- 0 0 54 *I. Are there any zning vilatins, nncnfrming uses, r any unusual restrictins n the 55 prperty that affect future cnstructin r remdeling? 0 id [-.3 56 *J. Is there a bundary survey fr the prperty? Cli 0 0 57 *K. Are there any cvenants, cnditins, r restrictins recrded against title t the prperty? It' u 58 PLEASE NOTE: Cvenants, cnditins, and restrictins which purprt t frbid r 59 restrict the cnveyance, encumbrance, ccupancy, r lease f real prperty t 60 individuals based n race, creed, clr, sex, natinal rigin, familial status, r disability 61 are vid, unenfrceable, and illegal. RCW 49.60.224. 62 2. WATER 63 A. Husehld Water 64 (1) Des the prperty have ptable water supply? 65 (2) If yes, the surce f water fr the prperty is: VPrivate r publicly wned water system 66 0 Private well serving nly the prperty *0 Other water system 67 *If shared, are there any written agreements? *(3) Is there an easement (recrded r unrecrded) fr access t and/r f the water surce? a" 68 maintenance 69 Li(' di 0 0 70 *(4) Are there any prblems r repairs needed? U ' 0 0 71 (5) Is there a cnnectin r hk-up charge payable befre the prperty can be t the water main? cnnected 72 U U 217 U 73 (6) Have yu btained a certificate f water availability frm the water purveyr serving the prperty? (If yes, please attach a cpy.) (7) Is there a water right permit, certificate, r claim assciated with husehld water supply fr the prperty? (If yes, please attach a cpy.) (a) If yes, has the water right permit, certificate, r claim been assigned, transferred, r changed? *(b) If yes, has all r any prtin f the water right nt been used fr five r mre successive years? (c) If n r dn't knw, is the water withdrawn frm the water surce less than 5,000 gallns a day? *(8) Are there any defects in the peratin f the water system (e.g. pipes, tank, pump, etc.)? 74 U atr- U U 75 76 CI LI IK 0 77 78 0 0 0-0 79 80 0 0 a 0 81 82 0 0 21 83 0 421( 0 0 84 B. - Irrigatin Water (1) Are there any irrigatin water rights fr the prperty, such as a water right permit, certificate, r claim? (If yes, please attach a cpy.) (a) If yes, has all r any prtin f the water right nt been used fr five r mre successive years? (b) If yes, has the water right permit, certificate, r claim been transferred, r changed? - ire SELLER'S INITIALS Date SELLER'S INITIALS 5-('D a/(er assigned, 90 0 iii/ 0 0 91 85 86 D L' 0 0 87 88 0 01 0 0 89
Page 3 f 6 *(2) Des the prperty receive irrigatin water frm a ditch cmpany, irrigatin district, r ther entity? If s, please identify the entity that supplies irrigatin water t the prperty: C. Outdr Sprinkler System (1) Is there an utdr sprinkler system fr the prperty? *(2) If yes, are there any defects in the system? *(3) If yes, is the sprinkler system cnnected t irrigatin water? YES NO DON'T N/A 92 KNOW 93 0 EtV D U 94 95 96 97 UZrU 98 aku 99 U 12' U D 100 3. SEWER/SEPTIC SYSTEM A. The prperty is served by: D Public sewer system Cie On-site sewage system (including pipes, tanks, drainfields, and all ther cmpnent parts) 0 Other dispsal system Please describe: B. Is the prperty subject t any sewage system fees r charges in additin t thse cvered in yur regularly billed sewer r n-site sewage system maintenance service? C. If the prperty is cnnected t an n-site sewage system: *(1) Was a permit issued fr its cnstructin? *(2) Was it apprved by the lcal health department r district fllwing its cnstructin? (3) Is the septic system a pressurized system? (4) Is the septic system a gravity system? *(5) Have there been any changes r repairs t the n-site sewage system? (6) Is the n-site sewage system, including the drainfield, lcated entirely within the bundaries f the prperty? If n, please explain: 101 102 103 104 105 106 107 er" ca 108 109 0 tw D LI 110 0 V D Li 111 0 CV D D 112 0 O/ 0 0 113 0 i 0 0 114 115 0 (f( D 0 116 117 *(7) Des the n-site sewage system require mnitring and maintenance services frequently than nce a year? mre 118 0 LV 0 LI 119 4. ELECTRICAL/GAS A. Is the prperty served by natural gas? B. Is there a cnnectin charge fr gas? C. Is the prperty served by electricity? D. Is there a cnnectin charge fr electricity? *E. Are there any electrical prblems n the prperty? 120 ULA/ 121 U U D 122 i2/ U U D 123 U U RI/ U 124 0 0 125 5. FLOODING A. Is the prperty lcated in a gvernment designated fld zne r fldplain? 126 U 517 U La 127 & 8 SELLER'S INITIALS Date SELLER'S INITIALS Date
Page 4 f 6 6. SOIL STABILITY *A. Are there any settlement, earth mvement, slides, r similar sil prblems n the prperty? 0 YES NO DON'T N/A 128 KNOW 129 AZ 0 0 130 7. ENVIRONMENTAL *A. Have there been any flding, standing water, r drainage prblems n the prperty that affect the prperty r access t the prperty? 0 *B. Des any part f the prperty cntain fill dirt, waste, r ther fill material? 0 *C. Is there any material damage t the prperty frm fire, wind, flds, beach mvements, earthquake, expansive sils, r landslides? 0 131 132 iel/ 0 0 133 ra' 134 135 4E( 0 0 136 D. Are there any shrelines, wetlands, fldplains, r critical areas n the prperty? UCr/ U U 137 *E. Are there any substances, materials, r prducts in r n the prperty that may be envirnmental cncerns, such as asbests, frmaldehyde, radn gas, lead-based paint, fuel r chemical strage tanks, r cntaminated sil r water? 0 *F. Has the prperty been used fr cmmercial r industrial purpses? *G. Is there any sil r grundwater cntaminatin? 0 *H. Are there transmissin ples r ther electrical utility equipment installed, maintained, r buried n the prperty that d nt prvide utility service t the structures n the prperty? 0 138 139 d 0 0 140.1zr 0 0 141 67 CI 0 142 143 1.er D zi 144 *I. Has the prperty been used as a legal r illegal dumping site? GI' 145 *J. Has the prperty been used as an illegal drug manufacturing site? 0 *K. Are there any radi twers that cause interference with cellular telephne receptin? 0 er 0 0 146 112( Li [3 147 8. HOMEOWNERS' ASSOCIATION/COMMON INTERESTS A. Is there a hmewners' assciatin? 0 Name f Assciatin and cntact infrmatin fr an fficer, directr, emplyee, r ther authrized agent, if any, wh may prvide the assciatin's financial statements, minutes, bylaws, fining plicy, and ther infrmatin that is nt publicly available: B. Are there regular peridic assessments? 0 $ per D mnth 0 year CI Other: *C. Are there any pending special assessments? 148 bei/ 0 0 149 150 151 152 41 0 D 153 154 155 0 0 156 *D. Are there any shared "cmmn areas" r any jint maintenance agreements (facilities 157 such as walls, fences, landscaping, pls, tennis curts, walkways, r ther areas / 158 c-wned in undivided interest with thers)? 0 i U zi 159 9. OTHER FACTS *A. Are there any disagreements, disputes, encrachments, r legal actins cnceming the prperty? *B. Des the prperty have any plants r wildlife that are designated as species f cncern, r listed as threatened r endangered by the gvernment? U 160 Li 161 162 U CI 163 SELLER'S INITIALS Date SELLER'S INITIALS Date
Frm 170 Pages f 6 YES NO Drn N/A 164 KNOW 165 *C. Is the prperty classified r designated as frest land r pen space? LI Di 0 0 166 D. D yu have a frest management plan? If yes, attach. 0 Ci El Ei 167 *E. Have any develpment-related permit applicatins been submitted t any gvernment agencies? 0 4 0 0 168 If the answer t E is "yes," what is the status r utcme f thse applicatins? 169 170 F. Is the prperty lcated within a city, cunty, r district r within a department f natural resurces fire prtectin zne that prvides fire prtectin services? Zi 171 D 172 10. FULL DISCLOSURE BY SELLERS 173 A. Other cnditins r defects: 174 *Are there any ther existing material defects affecting the prperty that a prspective 175 buyer shuld knw abut? 0 0 176 B. Verificatin 177 The freging answers and attached explanatins (if any) are cmplete and crrect t the best f Seller's knwledge and 178 Seller has received a cpy heref. Seller agrees t defend, indemnify and hld real estate licensees harmless frm and 179 against any and all claims that the abve infrmatin is inaccurate. Seller authrizes real estate licensees, if any, t deliver a 180 cpy f this disclsure statement t ther real estate licensees and all prspective buyers f the prperty. 181 eller fg7 COLa4e0+1-- 182 Date Seller Date 183 If the answer is "Yes" t any asterisked (*) items, please explain belw (use additinal sheets if necessary). Please refer t the line 184 number(s) f the questin(s). 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210
Page 6 f 6 II. NOTICES TO THE BUYER 211 1. SEX OFFENDER REGISTRATION 212 INFORMATION REGARDING REGISTERED SEX OFFENDERS MAY BE OBTAINED FROM LOCAL LAW ENFORCEMENT 213 AGENCIES. THIS NOTICE IS INTENDED ONLY TO INFORM YOU OF WHERE TO OBTAIN THIS INFORMATION AND IS NOT 214 AN INDICATION OF THE PRESENCE OF REGISTERED SEX OFFENDERS. 215 2. PROXIMITY TO FARMING 216 THIS NOTICE IS TO INFORM YOU THAT THE REAL PROPERTY YOU ARE CONSIDERING FOR PURCHASE MAY LIE IN 217 CLOSE PROXIMITY TO A FARM. THE OPERATION OF A FARM INVOLVES USUAL AND CUSTOMARY AGRICULTURAL 218 PRACTICES, WHICH ARE PROTECTED UNDER RCW 7.48.305, THE WASHINGTON RIGHT TO FARM ACT. 219 III. BUYER'S ACKNOWLEDGEMENT 220 1. BUYER HEREBY ACKNOWLEDGES THAT: 221 A. Buyer has a duty t pay diligent attentin t any material defects that are knwn t Buyer r can be knwn t Buyer by 222 utilizing diligent attentin and bservatin. 223 B. The disclsures set frth in this statement and in any amendments t this statement are made nly by the Seller and 224 nt by any real estate licensee r ther party. 225 C. Buyer acknwledges that, pursuant t RCW 64.06.050 (2), real estate licensees are nt liable fr inaccurate infrmatin 226 prvided by Seller, except t the extent that real estate licensees knw f such inaccurate infrmatin. 227 D. This infrmatin is fr disclsure nly and is nt intended t be a part f the written agreement between the Buyer and Seller. 228 E. Buyer (which term includes all persns signing the "Buyer's acceptance" prtin f this disclsure statement belw) has 229 received a cpy f this Disclsure Statement (including attachments, if any) bearing Seller's signature(s). 230 DISCLOSURES CONTAINED IN THIS DISCLOSURE STATEMENT ARE PROVIDED BY SELLER BASED ON SELLER'S 231 ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME SELLER COMPLETES THIS DISCLOSURE. UNLESS BUYER 232 AND SELLER OTHERWISE AGREE IN WRITING, BUYER SHALL HAVE THREE (3) BUSINESS DAYS FROM THE DAY 233 SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO RESCIND THE AGREEMENT BY 234 DELIVERING A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO SELLER OR SELLER'S AGENT. YOU 235 MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT. 236 BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS DISCLOSURE STATEMENT AND ACKNOWLEDGES 237 THAT THE DISCLOSURES MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND NOT OF ANY REAL ESTATE 238 LICENSEE OR OTHER PARTY. 239 240 Buyer Date Buyer Date 241 2. BUYER'S WAIVER OF RIGHT TO REVOKE OFFER 242 Buyer has read and reviewed the Seller's respnses t this Seller Disclsure Statement. Buyer apprves this statement and 243 waives Buyer's right t revke Buyer's ffer based n this disclsure. 244 245 Buyer Date Buyer Date 246 3. BUYER'S WAIVER OF RIGHT TO RECEIVE COMPLETED 247 Buyer has been advised f Buyer's right t receive a cmpleted Seller Disclsure Statement. Buyer waives that right. Hwever, if the answer t any f the questins in the sectin entitled "Envirnmental" wuld be "yes," Buyer may nt waive the receipt f the "Envirnmental" sectin f the Seller Disclsure Statement. 248 249 250 Buyer Date 251 Buyer Date 252 SELLER'S INiTIALS 1 fc 51724 Date SELLER'S INITIALS Date