IMRPOVED PROPERTY DISCLOSURE STATEMENT
Owner's Initials: _________ / __________
Page 1 of 2
PROPETY
ADDRESS:
OWNER'S
NAME
/
PHONE
NUMBER:
NOTICE TO OWNER: You are obligated to disclose all known facts that materially and adversely affect the value of the property being
appraised that are not readily observable. This disclosure statement is designed to assist the appraiser in complying with the
disclosure requirements under Florida law and in evaluating the property being appraised. The appraiser will rely upon this information
when he evaluates this property.
NOTICE TO OWNER: This DISCLOSURE STATEMENT is a disclosure of the Owner's knowledge of the condition of the property as
of the date signed by the Owner and is not a substitute for any inspections or warranties that a buyer or lender may wish to obtain. It is
not a warranty of any kind by the Owner or warranty or representation of the appraiser.
1)
TITLE AND ACCESS:
A.
Do you know of existing, pending or potential legal actions and/or liens concerning the property?
No / Yes
B.
Do you know of any encroachments, boundary disputes or third party claims affecting the property? No / Yes
C.
Do you know of any violations of local, state, or federal laws or regulations relating to this property? No / Yes
2) LAND:
A.
Has the property been surveyed since you have owned the property?
No / Yes Date of Survey?
B.
Is there any fill or expansive soil on the property? No / Yes
C.
Do you know of any past or present settling or soil movement problems on the property or adjacent properties?
No / Yes If so, explain:
D.
Are you aware of any sink holes on property or adjacent properties? No / Yes
E.
Do you know of any past or present drainage or flood problems on your property or adjacent properties: No / Yes
F.
Are there any zoning, land use or administrative regulations which are in conflict with the existing or intended use of
the property? No / Yes If so, explain:
G.
Are there any roads scheduled to be built or widened adjacent to the property? No / Yes
If so, explain:
H.
All fencing at rear and sides of lot are property of:
Owners
Neighbors
Owners & Neighbors Combined
Are any fences belonging to owner encroaching onto adjacent properties? No / Yes
Explain:
I.
If this is a Waterfront Property (lake/pond/canal/open bay): circle one or more of the following which apply:
1)
Property continues into water and Owner maintains land to water's edge.
2)
Property does not continue to water's edge and
owns and maintains
easement along water. Easement line is
feet from water's edge.
3)
Property does not continue to water's edge, but property owner is responsible for maintaining the easement
of
feet from water's edge.
4)
This is a
manmade
natural body of water. If natural, is it spring fed? No / Yes
5)
Do you have knowledge of there ever being any problems with the quality or level of water? No / Yes
J.
Does property abut to any Conservation Area?
No
Yes If yes, is it Designated Wetlands? No / Yes
Is there a Wetland or Drainage Easement on this property?
Explain
(who
owns
the
area):
3) STRUCTURAL
DISCLOSURE
A.
Are you aware of any structural condition that could affect the desirability of the property? No / Yes
B.
Are you aware of any past or present movement, shifting, deterioration, or other problems with walls or
foundations? No / Yes
C.
Are you aware of any past or present cracks or flaws in the walls or foundations? No / Yes
D.
Are you aware of any past or present water leakage in the building? No / Yes
E.
Have there been any repairs or attempts to control the cause or effect of any problem described above? No / Yes
If any answers in this section are "Yes", explain:
4) ADDITIONS
/
REMODELS
A.
Have you made any additions, structural changes, or other alterations to the property? No / Yes
B.
Did any former owners of the property make any additions, structural changes, or other alterations to the property?
No / Yes
C.
Seawalls & Docks: Do you know of any structural or erosion problems? No / Yes
If so, explain:
Dock
last
inspected
on:
Seawall last inspected on:
Any problems shown on inspection? No / Yes
If yes, explain:
5)
WOOD DESTROYING ORGANISMS
A.
Is there now, or to your knowledge has there been in the past, any infestation or damage from wood destroying
organisms, including termites, dry rot, wood boring beetles, or pests? No / Yes
B.
Do you have any knowledge of any damage to the property caused by wood destroying organisms?
C.
Has the property been inspected since you have owned the property? No / Yes
D.
Has the property been treated since you have owned the property? No / Yes
6) ROOF,
GUTTERS,
DOWNSPOUTS
A.
Has the roof ever leaked since you've owned the property? No / Yes
B.
How old is the present roof?
. Has the roof been replaced? No / Yes
If so, what year?
.
Is there a guarantee on the roof? No / Yes. If so, is it transferable? No / Yes
C.
Are you aware of any other roof defects? No / Yes If so, explain:
7)
PLUMBING SYSTEMS AND POOL/SPA
A.
Source of water supply: Public
Private well. If well water, when was the water last
checked for safety?
. Result of test?
.
B.
Sewer
or septic system
. Location of septic system
.
When was the septic system or cesspool last serviced and/or tested?
.
Have you had problems with either system? No / Yes.
If
so,
explain:
.
C.
Are there any plumbing leaks around and under sinks, toilets, showers, bathtubs and lavatories? No / Yes
If so, explain:
D.
Plumbing is PVC Copper Unknown
