Seller’s Disclosure Statement

Michigan disclosure laws require sellers to disclose what is personally known about the property, including any imperfections.

Sellers are required to disclose only information about the property they actually and personally know. In other words, you are not required to perform any investigation of the property in order to complete this form.

If you do not know certain information requested on the form, you may satisfy the disclosure requirements by checking the “unknown” box on the form. However, sellers are not exempt just because they have never lived in the home. Since even a non-occupant seller is likely to have some knowledge as to the condition of the home, it is not sufficient to simply indicate “seller has never lived in the home”.

PLEASE NOTE: If the seller fails to provide a buyer with an accurate, complete disclosure statement, the buyer has the right to terminate the purchase agreement at any time up until the actual closing. After the closing, the buyer can pursue legal action against the seller for fraud on the basis of misrepresentation or omission.

*INDICATES A REQUIRED FIELD

If you are unsure about a field, CONTACT US and we will assist you.

PLEASE NOTE: THIS FORM CANNOT BE SAVED TO COME BACK TO LATER.

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    Step 1

    ALL OWNERS MUST SIGN THE REQUIRED PAPERWORK:
    List the first and last name and email of each owner.
    If the property is in the name of a business or trust, list the first and last name and email of the person that has the legal authority to sign on behalf of the business or trust.
    The required paperwork will be emailed to each person listed below to sign electronically.

    *Address

    *City

    *OWNER 1 NAME:

    *OWNER 1 EMAIL:

    *Is this Owner a US Citizen?

    OWNER 2 NAME:

    OWNER 2 EMAIL:

    Is this Owner a US Citizen?

    OTHER OWNERS:
    If there are more than 2 owners, list the first and last name of all other owners below along with their email address:

    0%

    APPLIANCES / SYSTEMS / SERVICES
    Are the following items in working order?

    *Range/Oven:
    Working
    Not Working
    Unknown
    Not Available

    *Dishwasher:
    Working
    Not Working
    Unknown
    Not Available

    *Refrigerator:
    Working
    Not Working
    Unknown
    Not Available

    *Hood Fan:
    Working
    Not Working
    Unknown
    Not Available

    *Garbage Disposal:
    Working
    Not Working
    Unknown
    Not Available

    *TV Antenna, TV Rotor & Controls:
    Working
    Not Working
    Unknown
    Not Available

    *Electric System:
    Working
    Not Working
    Unknown
    Not Available

    *Garage Door Opener & Remote Control:
    Working
    Not Working
    Unknown
    Not Available

    *Alarm System:
    Working
    Not Working
    Unknown
    Not Available

    *Intercom:
    Working
    Not Working
    Unknown
    Not Available

    *Central Vacuum:
    Working
    Not Working
    Unknown
    Not Available

    *Attic Fan:
    Working
    Not Working
    Unknown
    Not Available

    *Pool Heater, Wall Liner & Equipment:
    Working
    Not Working
    Unknown
    Not Available

    *Microwave:
    Working
    Not Working
    Unknown
    Not Available

    *Trash Compactor:
    Working
    Not Working
    Unknown
    Not Available

    *Ceiling Fan:
    Working
    Not Working
    Unknown
    Not Available

    *Sauna / Hot Tub:
    Working
    Not Working
    Unknown
    Not Available

    *Washer:
    Working
    Not Working
    Unknown
    Not Available

    *Lawn Sprinkler System:
    Working
    Not Working
    Unknown
    Not Available

    *Water Heater:
    Working
    Not Working
    Unknown
    Not Available

    *Plumbing System:
    Working
    Not Working
    Unknown
    Not Available

    *Water Softener / Conditioner:
    Working
    Not Working
    Unknown
    Not Available

    *Well & Pump:
    Working
    Not Working
    Unknown
    Not Available

    *Septic Tank & Drain Field:
    Working
    Not Working
    Unknown
    Not Available

    *Sump Pump:
    Working
    Not Working
    Unknown
    Not Available

    *City Water System:
    Working
    Not Working
    Unknown
    Not Available

    *City Sewer System:
    Working
    Not Working
    Unknown
    Not Available

    *Central Air Conditioning:
    Working
    Not Working
    Unknown
    Not Available

    *Central Heating System:
    Working
    Not Working
    Unknown
    Not Available

    *Wall Furnace:
    Working
    Not Working
    Unknown
    Not Available

    *Humidifier:
    Working
    Not Working
    Unknown
    Not Available

    *Electronic Air Filter:
    Working
    Not Working
    Unknown
    Not Available

    *Solar Heating System:
    Working
    Not Working
    Unknown
    Not Available

    *Fireplace & Chimney:
    Working
    Not Working
    Unknown
    Not Available

    *Wood Burning System:
    Working
    Not Working
    Unknown
    Not Available

    *Dryer:
    Working
    Not Working
    Unknown
    Not Available

    33%

    PROPERTY CONDITION, IMPROVEMENTS & ADDITIONAL INFORMATION

    Basement/Crawlspace:
    *Has there been any evidence of water?
    Yes
    No

    If yes, explain:

    Insulation:
    Type (if known):

    *Urea Formaldehyde Foam Insulation (UFFI) installed?
    Unknown
    Yes
    No

    Roof:
    *Any leaks?
    Yes
    No

    *Approximate age of roof:

    Well:
    Type of well (depth/diameter, age and repair history) (if known):

    Has the water been tested?
    Yes
    No

    If yes, date of last report/results:

    Septic Tanks / Drain Fields:
    Condition (if known):

    Heating System:
    *Type & approximate age:

    Plumbing System:
    *Type:
    Copper
    Galvanized
    Other

    Any known plumbing problems?

    Electrical System:
    Any known problems?

    History of Infestation:
    (Termites, carpenter ants, etc.):

    Environmental Problems:
    *Are you aware of any substances, materials or products that may be an environmental hazard such as, but not limited to, asbestos, radon gas, formaldehyde, lead-based paint, fuel or chemical storage tanks and contaminated soil on property?
    Unknown
    Yes
    No

    If yes, explain:

    Flood Insurance:
    *Do you have flood insurance on the property?
    Unknown
    Yes
    No

    Mineral Rights:
    *Do you own the mineral rights?
    Unknown
    Yes
    No

    66%

    OTHER ITEMS
    Are you aware of any of the following?

    *Features of the property shared in common with adjoining landowners, such as walls, fences, roads & driveways, or other features whose use or responsibility for maintenance may have an effect on the property?
    Unknown
    Yes
    No

    *Any encroachments, easements, zoning violations or nonconforming uses?
    Unknown
    Yes
    No

    *Any “common areas” (pools, tennis courts, walkways or other areas co-owned with others), or a homeowners’ association that has any authority over the property?
    Unknown
    Yes
    No

    *Structural modifications, alterations or repairs made with out necessary permits or licensed contractors?
    Unknown
    Yes
    No

    *Settling, flooding, drainage, structural or grading problems?
    Unknown
    Yes
    No

    *Major damage to the property from fire, wind, floods or landslides?
    Unknown
    Yes
    No

    *Any underground storage tanks?
    Unknown
    Yes
    No

    *Farm or farm operation in the vicinity; or proximity to a landfill, airport, shooting range, etc.?
    Unknown
    Yes
    No

    *Any outstanding utility assessments or fees, including any natural gas main extension surcharge?
    Unknown
    Yes
    No

    *Any outstanding municipal assessments or fees?
    Unknown
    Yes
    No

    *Any pending litigation that could affect the property or the Seller’s right to convey the property?
    Unknown
    Yes
    No

    If you answered yes to any of the “Other Items” questions above, explain below:

    *Month and year you moved into the residence? If you have never lived at the residence, type in “N/A”

    *Month and year you moved out of the residence? If you never lived at the residence, type in “N/A”. If you still live at the residence, type in “Present”.

    *Month and year you purchased the property?

    After you submit this form, you will be taken to a confirmation page.
    If you are not redirected to the confirmation page, you missed one or more required fields.

    100%

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