|
|
|
HB0214 Engrossed |
- 2 - |
LRB096 03298 AJO 13316 b |
|
|
1 |
| Seller's Name: ..............................................
|
2 |
| This Report is a disclosure of certain conditions of the |
3 |
| residential real
property listed above in compliance with the |
4 |
| Residential Real Property
Disclosure Act. This information is |
5 |
| provided as of ...(month) ...(day)
...(year), and does not |
6 |
| reflect any changes made or occurring after that date
or |
7 |
| information that becomes known to the seller after that date. |
8 |
| The
disclosures herein shall not be deemed warranties of any |
9 |
| kind by the seller or
any person representing any party in this |
10 |
| transaction.
|
11 |
| In this form, "am aware" means to have actual notice or
|
12 |
| actual knowledge without any specific investigation or |
13 |
| inquiry.
In this form, "material defect" means a condition that |
14 |
| would
have a substantial adverse effect on the value of the |
15 |
| residential
real property or that would significantly impair |
16 |
| the health or
safety of future occupants of the residential |
17 |
| real property
unless the seller reasonably believes that the |
18 |
| condition has
been corrected.
|
19 |
| The seller discloses the following information with the
|
20 |
| knowledge that even though the statements herein are not deemed
|
21 |
| to be warranties, prospective buyers may choose to rely on
this |
22 |
| information in deciding whether or not and on what terms
to |
23 |
| purchase the residential real property.
|
24 |
| The seller represents that to the best of his or her actual
|
25 |
| knowledge, the following statements have been accurately noted
|
26 |
| as "yes" (correct), "no" (incorrect), or "not applicable" to |
|
|
|
HB0214 Engrossed |
- 3 - |
LRB096 03298 AJO 13316 b |
|
|
1 |
| the
property being sold. If the seller indicates that the |
2 |
| response
to any statement, except number 1, is yes or not |
3 |
| applicable, the
seller shall provide an explanation, in the |
4 |
| additional information
area of this form.
|
|
5 | | |
YES |
NO |
N/A |
|
|
6 | | 1. |
..... |
..... |
..... |
Seller has occupied the property |
|
7 | | |
|
|
|
within the last 12 months. |
|
8 | | | | | | (No explanation is needed.) |
|
9 | | 2. |
..... |
..... |
..... |
I am aware of flooding or recurring |
|
10 | | |
|
|
|
leakage problems in the crawl |
|
11 | | |
|
|
|
space or basement. |
|
12 | | 3. |
..... |
..... |
..... |
I am aware that the property is |
|
13 | | |
|
|
|
located in a flood plain or that I |
|
14 | | |
|
|
|
currently have flood hazard |
|
15 | | |
|
|
|
insurance on the property. |
|
16 | | 4. |
..... |
..... |
..... |
I am aware of material defects in |
|
17 | | |
|
|
|
the basement or foundation |
|
18 | | |
|
|
|
(including cracks and bulges). |
|
19 | | 5. |
..... |
..... |
..... |
I am aware of leaks or material |
|
20 | | |
|
|
|
defects in the roof, ceilings, or |
|
21 | | |
|
|
|
chimney. |
|
22 | | 6. |
..... |
..... |
..... |
I am aware of material defects in |
|
23 | | |
|
|
|
the walls or floors. |
|
24 | | 7. |
..... |
..... |
..... |
I am aware of material defects in |
|
25 | | |
|
|
|
the electrical system. |
|
26 | | 8. |
..... |
..... |
..... |
I am aware of material defects in |
|
|
|
|
|
HB0214 Engrossed |
- 6 - |
LRB096 03298 AJO 13316 b |
|
|
1 | | | | | | defined in Section 10 of
|
|
2 | | | | | | the Methamphetamine Control
|
|
3 | | | | | | and Community Protection Act.
|
|
4 |
| Note: These disclosures are not intended to cover the |
5 |
| common
elements of a condominium, but only the actual |
6 |
| residential real
property including limited common elements |
7 |
| allocated to the
exclusive use thereof that form an integral |
8 |
| part of the
condominium unit.
|
9 |
| Note: These disclosures are intended to reflect the current |
10 |
| condition of
the premises and do not include previous problems, |
11 |
| if any, that the seller
reasonably believes have been |
12 |
| corrected.
|
13 |
| If any of the above are marked "not applicable" or "yes", |
14 |
| please explain here
or use additional pages, if necessary:
|
15 |
| .............................................................
|
16 |
| .............................................................
|
17 |
| .............................................................
|
18 |
| Check here if additional pages used: .....
|
19 |
| Seller certifies that seller has prepared this statement |
20 |
| and
certifies that the information provided is based on the |
21 |
| actual
notice or actual knowledge of the seller without any |
22 |
| specific
investigation or inquiry on the part of the seller. |
23 |
| The seller
hereby authorizes any person representing any |
24 |
| principal in this
transaction to provide a copy of this report, |
25 |
| and to disclose
any information in the report, to any person in |
26 |
| connection
with any actual or anticipated sale of the property.
|
|
|
|
HB0214 Engrossed |
- 7 - |
LRB096 03298 AJO 13316 b |
|
|
1 |
| Seller: ............................... Date: ...............
|
2 |
| Seller: ............................... Date: ...............
|
3 |
| THE PROSPECTIVE BUYER IS AWARE THAT THE PARTIES MAY CHOOSE
|
4 |
| TO NEGOTIATE AN AGREEMENT FOR THE SALE OF THE PROPERTY SUBJECT |
5 |
| TO
ANY OR ALL MATERIAL DEFECTS DISCLOSED IN THIS REPORT ("AS |
6 |
| IS").
THIS DISCLOSURE IS NOT A SUBSTITUTE FOR ANY INSPECTIONS |
7 |
| OR WARRANTIES
THAT THE PROSPECTIVE BUYER OR SELLER MAY WISH TO |
8 |
| OBTAIN
OR NEGOTIATE. THE FACT THAT THE SELLER IS NOT AWARE OF A |
9 |
| PARTICULAR
CONDITION OR PROBLEM IS NO GUARANTEE THAT IT DOES |
10 |
| NOT EXIST.
THE PROSPECTIVE BUYER IS AWARE THAT HE MAY REQUEST |
11 |
| AN INSPECTION OF
THE PREMISES PERFORMED BY A QUALIFIED |
12 |
| PROFESSIONAL.
|
13 |
| Prospective Buyer: .................. Date: ...... Time: ....
|
14 |
| Prospective Buyer: .................. Date: ...... Time: ....
|
15 |
| (Source: P.A. 90-383, eff. 1-1-98; 91-357, eff. 7-29-99 .)
|
16 |
| Section 99. Effective date. This Act takes effect upon |
17 |
| becoming law.
|