The seller's property disclosure statement must, at a
minimum, contain the following disclosures:
Seller's Property Disclosure
Statement
Property address: ________________
Seller: ________________
A seller must disclose to a buyer all known material
defects about property being sold that are not readily observable. This
disclosure statement is designed to assist the seller in complying with
disclosure requirements and to assist the buyer in evaluating the property
being considered.
This statement discloses the seller's knowledge of the
condition of the property as of the date signed by the seller and is not a
substitute for any inspections or warranties that the buyer may wish to obtain.
This statement is not a warranty of any kind by the seller or a warranty or
representation by any listing real estate broker, any selling real estate
broker or their agents. The buyer is encouraged to address concerns about the
condition of the property that may not be included in this statement. This
statement does not relieve the seller of the obligation to disclose a material
defect that may not be addressed on this form.
A material defect is a problem with the property or any
portion of it that would have a significant adverse impact on the value of the
residential real property or that involves an unreasonable risk to people on
the land. The fact that a structural element, system or subsystem is near, at
or beyond the end of its normal useful life is not by itself a material
defect.
(1)
Seller's
expertise. The seller does not possess expertise in contracting,
engineering, architecture or other areas related to the construction and
condition of the property and its improvements, except as
follows:________________
(2)
Occupancy. Do you, the seller, currently occupy this
property?________________ yes ________________ no If "no," when did you last
occupy the property? ________________
(3)
Roof.
(i) Date roof was installed:________________
. Documented? yes ________________ no ________________ unknown
(ii) Has the roof been replaced or repaired
during your ownership? yes ________________ no If "yes," were the existing
shingles removed? yes ________________ no ________________ unknown
(iii) Has the roof ever leaked during your
ownership?________________ yes ________________ no
(iv) Do you know of any problems with the
roof, gutters or downspouts? yes ________________ no
Explain any "yes" answers that you give in this
section:
________________________________________________________________________________
________________________________________________________________________________
(4)
Basements and crawl
spaces (Complete only if applicable).
(i) Does the property have a sump
pump?________________ yes ________________ no ________________
unknown
(ii) Are you aware of any
water leakage, accumulation or dampness within the basement or crawl
space?__________yes ________________ no If "yes," describe in detail:
________________
________________
(iii) Do you know of any repairs or other
attempts to control any water or dampness problem in the basement or crawl
space?________________ yes ________________ no
If "yes," describe the location, extent, date and name
of the person who did the repair or control effort:
___________________________________________________________
____________________________________________________________
(5)
Termites/wood destroying insects, dry rot, pests.
(i) Are you aware of any termites/wood
destroying insects, dry rot or pests affecting the property?________________
yes ________________ no
(ii) Are
you aware of any damage to the property caused by termites/wood destroying
insects, dry rot or pests?________________ yes ________________ no
(iii) Is your property currently under
contract by a licensed pest control company?________________ yes
________________ no
(iv) Are you
aware of any termite/pest control reports or treatments for the property in the
last five years?________________ yes ________________ no
Explain any "yes" answers that you give in this
section:
________________
________________
(6)
Structural items.
(i) Are you aware of any past or present
water leakage in the house or other structures?________________ yes
________________ no
(ii) Are you
aware of any past or present movement, shifting, deterioration or other
problems with walls, foundations or other structural
components?________________ yes _______________ no
(iii) Are you aware of any past or present
problems with driveways, walkways, patios or retaining walls on the property?
______________ yes ________________no
Explain any "yes" answers that you give in this
section:
________________
________________
When explaining efforts to control or repair, please
describe the location and extent of the problem and the date and person by whom
the work was done, if known:
________________
________________
(7)
Additions/remodeling.
Have you made any additions, structural changes or other alterations to the
property?________________ yes ________________ no
If "yes," please describe:
_______________________________
____________________________________________________
(8)
Water and
sewage.
(i) What is the source of
your drinking water?________________ public ________________ community system
________________ well on property ________________ other
If "other," please explain:
________________________
____________________________________________
(ii) If your drinking water source
is not public:__________________
When was your water last tested?
________________
What was the result of the test?
________________
Is the pumping system in working order?
________________ yes ________________ no
If "no," please explain: ________________
_____________________________________
(iii) Do you have a softener, filter or other
purification system?________________ yes ________________ no
If "yes," is the system: ________________ leased
________________ owned
(iv)
What is the type of sewage system?________________ public sewer
________________ private sewer ________________ septic tank ________________
cesspool ________________ other
If "other," please explain: ________________
(v) Is there a sewage
pump?________________ yes ________________ no
If "yes," is it in working order? ________________ yes
________________ no
(vi) If
applicable, when was the septic system or cesspool last serviced?
(vii) Is either the water or sewage system
shared?________________ yes ________________ no
If "yes," please explain: ________________
(viii) Are you aware of any leaks,
backups or other problems relating to any of the plumbing, water and
sewage-related items?________________ yes ________________ no
If "yes," please explain: ________________
(9)
Plumbing
system.
(i) Type of
plumbing:_______________ copper ________________ galvanized ________________
lead ________________ PVC ________________ unknown ________________ other
If "other," please explain: ________________
(ii) Are you aware of any problems
with any of your plumbing fixtures (including, but not limited to: kitchen,
laundry or bathroom fixtures, wet bars, hot water heater, etc.)? _____________
yes ________________ no
If "yes," please explain:
_________________________________
(10)
Heating and air
conditioning.
(i) Type of air
conditioning:________________ central ________________ electric
________________ central gas ________________ wall ________________
none
(ii) List any areas of the
house that are not air conditioned:____________
________________
(iii) Type of heating:________________
electric ________________ fuel ________________ oil natural gas
________________ other
If "other," please explain: ________________
(iv) List any areas of the house
that are not heated:________________
________________
(v) Type of water heating:________________
electric ________________ gas ________________ solar ________________ other
If "other," please explain: ________________
(vi) Are you aware of any
underground fuel tanks on the property? __________ yes ________________ no
If "yes," please describe: ________________
Are you aware of any problems with any item in this
section? ________________ yes ________________ no
If "yes," please explain: ________________
(11)
Electrical
system.Are you aware of any problems or repairs needed in the
electrical system?________________ yes ________________ no
If "yes," please
explain:___________________________
_________________________________
(12)
Equipment and
appliances.
The following items included in the sale are in need of
repair or replacement:
________________
(13)
Land (soils, drainage,
boundaries and sinkholes).
(i) Are
you aware of any fill or expansive soil on the property?________________ yes
________________ no
(ii) Are you
aware of any sliding, settling, earth movement, upheaval, subsidence or earth
stability problems that have occurred on or that affect the
property?________________ yes ________________ no
NOTE TO BUYER: Some properties may be subject to mine
subsidence damage. Maps of the counties and mines where mine subsidence damage
may occur and mine subsidence insurance are available through the Department of
Environmental Protection, Mine Subsidence Insurance Fund.
(iii) Are you aware of any existing or
proposed mining, strip mining or any other excavations that might affect this
property?________________ yes ________________ no
(iv) To your knowledge, is this property or
part of it located in a flood zone or wetlands area?________________ yes
________________ no
(v) Do you know
of any past or present drainage or flooding problems affecting the
property?________________ yes ________________ no
(vi) Do you know of any encroachments,
boundary line disputes or easements?________________ yes ________________ no
NOTE TO BUYER: Most properties have easements running
across them for utility services and other reasons. In many cases, the
easements do not restrict the ordinary use of the property, and the seller may
not be readily aware of them. Buyers may wish to determine the existence of
easements and restrictions by examining the property and ordering an abstract
of title or searching the records in the Office of the Recorder of Deeds for
the county before entering into an agreement of sale.
(vii) Are you aware of any shared or common
areas (for example, driveways, bridges, docks, walls, etc.) or maintenance
agreements? ________ yes ________________ no
(viii) Are you aware of any sinkholes that
have developed on the property? _________ yes ________________ no
Explain any "yes" answers that you give in this
section:
________________
________________
(14)
Hazardous substances.
(i) Are you aware of any underground tanks or
hazardous substances present on the property (structure or soil), including,
but not limited to, asbestos, polychlorinated byphenyls (PCBs), radon, lead
paint, urea-formaldehyde foam insulation (UFFI), etc? _______yes
________________ no
(ii) To your
knowledge, has the property been tested for any hazardous
substances?________________ yes ________________ no
(iii) Do you know of any other environmental
concerns that might impact upon the property?________________ yes
________________ no
Explain any "yes" answers that you give in this
section:
________________
________________
________________
(15)
Condominiums and other
homeowners associations (complete only if applicable).
Type: ________________ condominium* ________________
cooperative ________________ homeowners association ________________
other
If "other," please explain: ________________
NOTICE REGARDING CONDOMINIUMS AND
COOPERATIVES:
According to section 3407 of the Uniform Condominium
Act (68 Pa.C.S. §
3407)
(relating to resales of units) and
68 Pa.C.S. §
4409
(relating to resales of cooperative interests), a buyer of a resale unit in a
condominium or cooperative must receive a certificate of resale issued by the
association in the condominium or cooperative. The buyer will have the option
of canceling the agreement with return of all deposit moneys until the
certificate has been provided to the buyer and for 5 days thereafter or until
conveyance, whichever occurs first.
(16)
Storm water facilities.
(i) Do you know the location and condition of
any basin, pond, ditch, drain, swale, culvert, pipe or other manmade feature of
land that temporarily or permanently conveys or manages storm water for the
property?________________ yes ________________ no ________________
unknown
(ii) If the answer to (i)
is yes, is the owner of this property responsible for the ongoing maintenance
of the storm water facility? ________________ yes ________________ no
________________ unknown
Explain any "yes" answers that you give in this
section:
________________
________________
________________
(17)
Miscellaneous.
(i) Are you aware of any existing or
threatened legal action affecting the property? _______ yes _________
no
(ii) Do you know of any
violations of Federal, State or local laws or regulations relating to this
property?________________ yes ________________ no
(iii) Are you aware of any public
improvement, condominium or homeowner association assessments against the
property that remain unpaid or of any violations of zoning, housing, building
safety or fire ordinances that remain uncorrected?________________ yes
________________ no
(iv) Are you
aware of any judgment, encumbrance, lien (for example, comaker or equity loan)
or other debt against this property that cannot be satisfied by the proceeds of
this sale?________________ yes ________________ no
(v) Are you aware of any reason, including a
defect in title, that would prevent you from giving a warranty deed or
conveying title to the property?________________ yes ________________
no
(vi) Are you aware of any
material defects to the property, dwelling or fixtures which are not disclosed
elsewhere on this form?________________ yes ________________ no
A material defect is a problem with the property or any
portion of it that would have a significant adverse impact on the value of the
residential real property or that involves an unreasonable risk to people on
the land.
Explain any "yes" answers that you give in this
section:
___________________________________________________
___________________________________________________
The undersigned seller represents that the information
set forth in this disclosure statement is accurate and complete to the best of
the seller's knowledge. The seller hereby authorizes any agent for the seller
to provide this information to prospective buyers of the property and to other
real estate agents. The seller alone is responsible for the accuracy of the
information contained in this statement. The seller shall cause the buyer to be
notified in writing of any information supplied on this form that is rendered
inaccurate by a change in the condition of the property following the
completion of this form.
| SELLER_________ |
DATE__________ |
| SELLER_________ |
DATE__________ |
| SELLER _________ |
DATE__________ |
EXECUTOR, ADMINISTRATOR, TRUSTEE
The undersigned has never occupied the property and
lacks the personal knowledge necessary to complete this disclosure
statement.
_______________________________________________
________________ DATE__________________________
RECEIPT AND ACKNOWLEDGMENT BY BUYER
The undersigned buyer acknowledges receipt of this
disclosure statement. The buyer acknowledges that this statement is not a
warranty and that, unless stated otherwise in the sales contract, the buyer is
purchasing this property in its present condition. It is the buyer's
responsibility to satisfy himself or herself as to the condition of the
property. The buyer may request that the property be inspected, at the buyer's
expense and by qualified professionals, to determine the condition of the
structure or its components.
| BUYER__________ |
DATE_________ |
| BUYER__________ |
DATE_________ |
| BUYER__________ |
DATE_________ |
