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SB0310 Engrossed |
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LRB095 10796 AJO 31044 b |
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| Seller's Name: ..............................................
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| This Report is a disclosure of certain conditions of the |
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| residential real
property listed above in compliance with the |
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| Residential Real Property
Disclosure Act. This information is |
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| provided as of ...(month) ...(day)
...(year), and does not |
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| reflect any changes made or occurring after that date
or |
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| information that becomes known to the seller after that date. |
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| The
disclosures herein shall not be deemed warranties of any |
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| kind by the seller or
any person representing any party in this |
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| transaction.
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| In this form, "am aware" means to have actual notice or
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| actual knowledge without any specific investigation or |
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| inquiry.
In this form, "material defect" means a condition that |
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| would
have a substantial adverse effect on the value of the |
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| residential
real property or that would significantly impair |
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| the health or
safety of future occupants of the residential |
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| real property
unless the seller reasonably believes that the |
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| condition has
been corrected.
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| The seller discloses the following information with the
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| knowledge that even though the statements herein are not deemed
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| to be warranties, prospective buyers may choose to rely on
this |
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| information in deciding whether or not and on what terms
to |
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| purchase the residential real property.
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| The seller represents that to the best of his or her actual
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| knowledge, the following statements have been accurately noted
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| as "yes" (correct), "no" (incorrect), or "not applicable" to |
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SB0310 Engrossed |
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LRB095 10796 AJO 31044 b |
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| the
property being sold. If the seller indicates that the |
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| response
to any statement, except number 1, is yes or not |
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| applicable, the
seller shall provide an explanation, in the |
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| additional information
area of this form.
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| 5 | | YES |
NO |
N/A |
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6 | | 1. | ..... |
..... |
..... |
Seller has occupied the property |
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within the last 12 months. |
| 8 | | | | | (No explanation is needed.) |
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9 | | 2. | ..... |
..... |
..... |
I am aware of flooding or recurring |
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leakage problems in the crawl |
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space or basement. |
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12 | | 3. | ..... |
..... |
..... |
I am aware that the property is |
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located in a flood plain or that I |
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currently have flood hazard |
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insurance on the property. |
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16 | | 4. | ..... |
..... |
..... |
I am aware of material defects in |
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the basement or foundation |
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(including cracks and bulges). |
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19 | | 5. | ..... |
..... |
..... |
I am aware of leaks or material |
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defects in the roof, ceilings, or |
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chimney. |
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22 | | 6. | ..... |
..... |
..... |
I am aware of material defects in |
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the walls or floors. |
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24 | | 7. | ..... |
..... |
..... |
I am aware of material defects in |
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the electrical system. |
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26 | | 8. | ..... |
..... |
..... |
I am aware of material defects in |
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SB0310 Engrossed |
- 6 - |
LRB095 10796 AJO 31044 b |
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| Note: These disclosures are not intended to cover the |
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| common
elements of a condominium, but only the actual |
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| residential real
property including limited common elements |
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| allocated to the
exclusive use thereof that form an integral |
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| part of the
condominium unit.
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| Note: These disclosures are intended to reflect the current |
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| condition of
the premises and do not include previous problems, |
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| if any, that the seller
reasonably believes have been |
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| corrected.
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| If any of the above are marked "not applicable" or "yes", |
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| please explain here
or use additional pages, if necessary:
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| .............................................................
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| .............................................................
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| .............................................................
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| Check here if additional pages used: .....
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| Seller certifies that seller has prepared this statement |
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| and
certifies that the information provided is based on the |
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| actual
notice or actual knowledge of the seller without any |
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| specific
investigation or inquiry on the part of the seller. |
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| The seller
hereby authorizes any person representing any |
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| principal in this
transaction to provide a copy of this report, |
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| and to disclose
any information in the report, to any person in |
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| connection
with any actual or anticipated sale of the property.
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| Seller: ............................... Date: ...............
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| Seller: ............................... Date: ...............
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| THE PROSPECTIVE BUYER IS AWARE THAT THE PARTIES MAY CHOOSE
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SB0310 Engrossed |
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LRB095 10796 AJO 31044 b |
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| TO NEGOTIATE AN AGREEMENT FOR THE SALE OF THE PROPERTY SUBJECT |
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| TO
ANY OR ALL MATERIAL DEFECTS DISCLOSED IN THIS REPORT ("AS |
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| IS").
THIS DISCLOSURE IS NOT A SUBSTITUTE FOR ANY INSPECTIONS |
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| OR WARRANTIES
THAT THE PROSPECTIVE BUYER OR SELLER MAY WISH TO |
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| OBTAIN
OR NEGOTIATE. THE FACT THAT THE SELLER IS NOT AWARE OF A |
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| PARTICULAR
CONDITION OR PROBLEM IS NO GUARANTEE THAT IT DOES |
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| NOT EXIST.
THE PROSPECTIVE BUYER IS AWARE THAT HE MAY REQUEST |
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| AN INSPECTION OF
THE PREMISES PERFORMED BY A QUALIFIED |
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| PROFESSIONAL.
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| Prospective Buyer: .................. Date: ...... Time: ....
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| Prospective Buyer: .................. Date: ...... Time: ....
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| (Source: P.A. 90-383, eff. 1-1-98; 91-357, eff. 7-29-99 .)
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| Section 99. Effective date. This Act takes effect 6 months |
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| after becoming law.
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