1140 Harber Disc.PDF
APPENDIXA. RESIDENTIALPROPERTYCONDITIONDISCLOSURESTATEMENT Act,"Title90, o'9'Sections 831 Disclosure PropertyCondition Noticeto Seller:oklahomaLaw (the"Residential thisform.A Seller units to complete dwelling residential 2 1 of andTor setters iggsfieq'jires i, ffi,-enffiJurv as soonas a Purchaser to it to be delivered formanddeliverit or cause sign'anddate'this'disclosure mustbbmptete, awareof a becomes lf the Seller tl: Seller. by is accepted an offer before pricticable, butin-anyeventno laterthan deliveror purchase, the Seller_must but beforethe Selleracceptsan offer..to 6f tnis statement, l"ieci lftei detivery lf the Purchaser. to the defect newly discovered disclosing'the statement disclosure an amended causeto be deliver6d hasbeenmadeby thePurchaser, afteran offerto purchase to a Purchaser is delivered formor amendment disclosure receiptof this the offerto purchaseshall be acceptedby the Selleronly aftera Purchaserhas acknowledged purchase in writing. offer to the andconfirmed statement are not warranties, statement containedin this disclosure and information Noticeto purchaser:The declarations purchasef the warranties inspections.or for any not a substitute are kind, and oltr;rplied;Iany ;)xp-s lnaywish.to the to be a partof anycontractbetween i6 notintended statement in thisdisclosure cbntained obiain.Theiniormation and are declarations purchaserand Seller.The informatron statement containedin this disclosure and statements of therealestatelicensee. of theSellerand arenotthe representations representations Instructions to the Seller: (1) Answer ALL questions. (2) Report known conditiots affecting I.he_property. (3) Complete this form yourself. (+; It ro-" items bo not apply to your property, circle N/A (not applicable). If you do not know the facts,circle Unk'(unknown). (5) The date ofcompietion by you may not be more than 180 days prior to the date this form is received by a purchaser. LOCATIONOF SUBJECTPROPERTY:1 1 do SELLERlS _
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OCCUPYINGTHE SUBJECTPROPERTY'
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(The items below are in NORMAL working order)
Appliances/Systems/Services:
System Sprinkler Pool Swimming HotTub/Spa WatgrHeater !/Electric Gas Solar WaterPurifier WaterSoftener _ Leased_ Owned S u m pP u m p Plumbing WhirlpoolTub Sew;xSystem t/PuUtic Seotic Lagoon AirConditioning Systgm _jElectric - Gas _ HeatPump WindowAir Conditione(s) AtticFan Fireplaces HeatingSystemr,/ Electric Y Gas HeatPump
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unk
l n i ti a l sfu L s , Ur\.N ,S e l l e r's S e ll e rl'nsi t i a lG
Yes Humidifier GasrSupply r'Public Prooane Butane Tank Propane G--rv". _ Leased_ Owned Fans Ceiling Electric Air Purifier GarageDoorOpener/ Control lntercom CentralVacuum System Security Own /ent -y'ruonitoEo
EP
Sote Detectors Dishwasher ElectricalWiring GarbageDisposal Gas Grill Vent Hood MicrowaveOven Built-inOven/Range KitchenStove Trash Compactor
Buyer'sInitrals
(oREC-7/10)
N/A @
No Unk No No
Unk Unk
No No No No
Unk Unk Unk Unk
No No No No No No No No No No
Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk
Buyer'slnitials Page1 of 3
, K 74868 P a m R o b i n s o nR e a lE s t a t e6 0 1 N M i l t P h i l l i p sS e m i n o l eO (405)382-7653 PamelaRobinson Fax: Phone: Producedwith ZipForm@by ziplogix 18070FitteenMile Road,Fraser,Michigan48026
Unk Unk
R e s i d e n t i al li s t i n g www.zioloqix.com
LOCATIONOFSUBJECTPROPERTY: 1140
HATbCT St. '
SCMiNOIC'
OK
OK
74868
Yes No U n k Yes No U n k Yes N o U n k y' Proti. - Private- well Yes No Unk NOto any of the above'p teaseexplain.Attachadditionalpageswith your signature(s). lF YOUHAVEANSWERED
Water Sourceof Household
Otherltems Other Other
Circlebelow
Zoninq. Flood and Water I is zoned:(CheckonQ tl residential- commercial- historical 1 Property unknown _ industrial_ office - urbanconservation- other _ agricultural orvo property? of the 2. Whatis thefloodzonestatus Yes theproperty? concerning requirements 3. Areyouawareof anyfloodinsurance Yes on theproperty? 4. Doyouhavefloodinsurance Sewerbackup, beendamagedor affectedby flood,stormrun-off, 5. Hastneproperty Yes or gradingProblems? drainage whichassistin draining systems 6. nr! youiwarJof anysurfaceor groundwaterdrainage Yes e.g.frenchdrains? theproperty, Yes ductsystem? andairconditioning of waterin theheating 7 Hastherebeenanyoccurrence problems in anyof the leakageor otherdrainage 8. Areyouawareof waterseepage, Yes on theProPertY? improvements rs Add itions/Alterations/RePai Yes permits? g H"u" anyadditions beenmadewithoutrequired or alterations Yes repairs? foundation 10.Areyouawareof previous Yes problems? or defects or repairshavingbeenmadeto correct 11.Areyoua*"r" of anyalterations ceilings, walls, or exterior theinterior affecting of anydefector condition 12. Areyou Yes garage? "*rr" or fences doors, wtndows, floors, cellar, basemenVstorm slab/foundation, Yes property? of the duringyourownership or replaged 13. Hastheroofeverbeenrepaired numberof layers,if known ageof roof,if kno*n l.oos 14.Approximate Yes withtheroof? 15. Do youknowof anycurrentproblems Yes infestation? organism for termiteor wood-destroying 16.Areyouawareof tieatment Yes on theproperty? 17.Do youhavea termitebaitsysteminstalled company? exterminating 18. lf yes,is it monitore!by a licensed Annualcost$ (Checkonel - yes L no Yes organisms? or wood-destroying ig. nre youawareof anydamagecausedbytermites Yes or winddamage? 20. Areyouawareof majorfire,tornado, Yes pertaining to sewer,septic,laterallinesor aerobicsystem? 21. Areyouawareof problems Environmental Yes 22. Areyouawareof the presenceof asbestos? Yes of radongas? 23. Areyouawareof thepresence Yes 24. Haveyoutestedfor radongas? Yes paint? of lead-based 25. Areyouawareof thepresence Yes paint? 26 Haveyoutestedfor lead-based Yes property? storagetankson the 27. Areyouawareof anyunderground Yes of a landfillon theproperty? 28. Areyouawareof thepresence having andotherconditions materials or regulated of hazardous 29. Areyouawareof existence Yes impact? an environmental Yes of methamphetamine? of priormanufacturing 30. Areyouawareof existence Yes 31. Haveyou had the propertyinspectedfor mold? Yes 32. Haveyou had any remedialtreatmentfor mold on the property? 33. Are you awareof any conditionon the propertythat wouldimpairthe healthor safety of the occupants?
Yes
landowners' sharedin commonwithadjoining of the property 34. Areyouawareof features on theproperty? affect an has androadswhoseuseor responsibility suchasiences,driveways, 35. Otherthan utilityeasementsservingthe property,are you awareof easementsor right-of-waysaffectingthe property? \
Initials f KN Initials Seller's G.U'.ru. Seller's
Buyer'slnitials
producedwith ZipForm@by ziplogix 18070FifteenMile Road,Fraser,Michigan48026
Unk Unk Unk
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Initials BuYer's Page2 of 3 www.ziolooix'com
Residentiallisting
LOCATIONOF SUBJEGTPROPERTY:1140 Harber
S
affectingthe property? 36. Are youawareof encroachments homeowner's association? 37.Areyouawareof a mandatory Amount of dues$ SpecialAssessment $ quarterly Payable:(Checkone)_ monthly _ _ annually (Checkone)_yes Arethereunpaidduesor assessments for theProperty?
Yes R Unk Yes q9l Unk _
lf yes, amount$ Manager'sName: PhoneNo. 38. Are you awareof any zoning,buildingcode or setbackrequirement violations? 39. Are you awareof any noticesfrom any governmentor government-sponsored agenciesor any other entitiesaffectingthe property? 40. Are you awareof any filedlitigationor lawsuit(s), directlyor indrrectly, affectingthe property,includinga foreclosure? 41. ls the propertylocatedin a fire districtwhich requirespayment? Amountof fees $ To Whom Paid Payable: (Check one) _ monthly _ quarterly _ annually 42. ls the propertylocatedin a privateutilitydistrict? (Checkapplicable) water _ garbage_ sewer_ other_ lf other,explain: Initialmembershio fee $ annualmembershipfee $ (lf morethan one (1) utility,attachadditionalpages.)
G Yes G Yes
Unk Unk
Yes Yes
0 q9
Unk Unk
Yes
@
Unk
Miscellaneous notdisclosed 43.Areyouaware affecting theproperty, above? ofotherdefect(s),
Unk
44. Areyou awareof any otherfees or dues requiredon the propertythat you have not disclosed? lf you answered "YES" to any of the items 1- 44 above, list the item number(s) and explain. additional pages,with your signature(s),date(s)and locationof subjectproperty.
Unk attach
of the On the datethis formis signed,the sellerstatesthat basedon seller'sCURRENTACTUALKNOWLEDGE property, theinformation contained aboveis trueandaccurate. Are there any additional pages attachedto this disclosure (circle one):
No. lf yes, how many?
Yes
Selle/sSignature A real estate licenseehas no duty to the Seller or the Purchaserto conduct an independent verifythe accuracyor completeness inspectionof the propertyand has no duty to independently of anystatementmadeby the sellerin this disclosurestatement. grvenby the Selleron thisstatement is not a warrantyof condition. The Purchaser thatthe disclosures understands by a licensed and,if desired,to havethe propertyinspected The Purchaser is urgedto carefullyinspectthe property zoningand/orengineering and floodzone status,contactthe localplanning, expert.For specificuses,restrictions hasreadand received a signedcopyof thisstatement. ThePurchaser acknowledges thatthe Purchaser department. Thisis to advise identified. on the property an offerto purchase Thiscompleted acknowledgement shouldaccompany is notvalidafter180daysfromthedatesignedby theSeller. thatthisdisclosure statement
Purchaser's Signature
Date
Purchaser'sSignature
Date
PropertyConditionDisclosureAct information formsand the OklahomaResidential The disclosure and disclaimer statement pamphlet (OREC),ShepherdMall,2401 NW 23 St, Suite18, are madeavailable at the OklahomaReal EstateCommission Oklahoma City,Oklahoma73107-2431, or visitOREC'sWebsitewww.orec.ok.gov
Page3 of 3 Producedwith ZipForm@by ziplogix 18070FifteenMile Road.Fraser,Michigan48026
www.ziologix.com
Residential listing
Sl-
Saminole
,
OK
OK
7 4868
OCCUPYINGTHE SUBJECTPROPERTY'
lS NOT _
(The items below are in NORMAL working order)
Appliances/Systems/Services:
System Sprinkler Pool Swimming HotTub/Spa WatgrHeater !/Electric Gas Solar WaterPurifier WaterSoftener _ Leased_ Owned S u m pP u m p Plumbing WhirlpoolTub Sew;xSystem t/PuUtic Seotic Lagoon AirConditioning Systgm _jElectric - Gas _ HeatPump WindowAir Conditione(s) AtticFan Fireplaces HeatingSystemr,/ Electric Y Gas HeatPump
r{:rhar
-..@ rN/A.z Yes @/
Yes
ves @ N/A @ @
v"r
Circl
Unk Unk No U n k NO U n k
No No
No U n k
(fuA-rv"" No @q
Unk
No
Unk (9 t'to U n k \N/A./ Yes No U n k N/A @2 ruo U n k
Unk
N/A @*o
G)"", @D v".
No Unk No unk Unk
N/A Gltto
N/A @
to
unk
l n i ti a l sfu L s , Ur\.N ,S e l l e r's S e ll e rl'nsi t i a lG
Yes Humidifier GasrSupply r'Public Prooane Butane Tank Propane G--rv". _ Leased_ Owned Fans Ceiling Electric Air Purifier GarageDoorOpener/ Control lntercom CentralVacuum System Security Own /ent -y'ruonitoEo
EP
Sote Detectors Dishwasher ElectricalWiring GarbageDisposal Gas Grill Vent Hood MicrowaveOven Built-inOven/Range KitchenStove Trash Compactor
Buyer'sInitrals
(oREC-7/10)
N/A @
No Unk No No
Unk Unk
No No No No
Unk Unk Unk Unk
No No No No No No No No No No
Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk
Buyer'slnitials Page1 of 3
, K 74868 P a m R o b i n s o nR e a lE s t a t e6 0 1 N M i l t P h i l l i p sS e m i n o l eO (405)382-7653 PamelaRobinson Fax: Phone: Producedwith ZipForm@by ziplogix 18070FitteenMile Road,Fraser,Michigan48026
Unk Unk
R e s i d e n t i al li s t i n g www.zioloqix.com
LOCATIONOFSUBJECTPROPERTY: 1140
HATbCT St. '
SCMiNOIC'
OK
OK
74868
Yes No U n k Yes No U n k Yes N o U n k y' Proti. - Private- well Yes No Unk NOto any of the above'p teaseexplain.Attachadditionalpageswith your signature(s). lF YOUHAVEANSWERED
Water Sourceof Household
Otherltems Other Other
Circlebelow
Zoninq. Flood and Water I is zoned:(CheckonQ tl residential- commercial- historical 1 Property unknown _ industrial_ office - urbanconservation- other _ agricultural orvo property? of the 2. Whatis thefloodzonestatus Yes theproperty? concerning requirements 3. Areyouawareof anyfloodinsurance Yes on theproperty? 4. Doyouhavefloodinsurance Sewerbackup, beendamagedor affectedby flood,stormrun-off, 5. Hastneproperty Yes or gradingProblems? drainage whichassistin draining systems 6. nr! youiwarJof anysurfaceor groundwaterdrainage Yes e.g.frenchdrains? theproperty, Yes ductsystem? andairconditioning of waterin theheating 7 Hastherebeenanyoccurrence problems in anyof the leakageor otherdrainage 8. Areyouawareof waterseepage, Yes on theProPertY? improvements rs Add itions/Alterations/RePai Yes permits? g H"u" anyadditions beenmadewithoutrequired or alterations Yes repairs? foundation 10.Areyouawareof previous Yes problems? or defects or repairshavingbeenmadeto correct 11.Areyoua*"r" of anyalterations ceilings, walls, or exterior theinterior affecting of anydefector condition 12. Areyou Yes garage? "*rr" or fences doors, wtndows, floors, cellar, basemenVstorm slab/foundation, Yes property? of the duringyourownership or replaged 13. Hastheroofeverbeenrepaired numberof layers,if known ageof roof,if kno*n l.oos 14.Approximate Yes withtheroof? 15. Do youknowof anycurrentproblems Yes infestation? organism for termiteor wood-destroying 16.Areyouawareof tieatment Yes on theproperty? 17.Do youhavea termitebaitsysteminstalled company? exterminating 18. lf yes,is it monitore!by a licensed Annualcost$ (Checkonel - yes L no Yes organisms? or wood-destroying ig. nre youawareof anydamagecausedbytermites Yes or winddamage? 20. Areyouawareof majorfire,tornado, Yes pertaining to sewer,septic,laterallinesor aerobicsystem? 21. Areyouawareof problems Environmental Yes 22. Areyouawareof the presenceof asbestos? Yes of radongas? 23. Areyouawareof thepresence Yes 24. Haveyoutestedfor radongas? Yes paint? of lead-based 25. Areyouawareof thepresence Yes paint? 26 Haveyoutestedfor lead-based Yes property? storagetankson the 27. Areyouawareof anyunderground Yes of a landfillon theproperty? 28. Areyouawareof thepresence having andotherconditions materials or regulated of hazardous 29. Areyouawareof existence Yes impact? an environmental Yes of methamphetamine? of priormanufacturing 30. Areyouawareof existence Yes 31. Haveyou had the propertyinspectedfor mold? Yes 32. Haveyou had any remedialtreatmentfor mold on the property? 33. Are you awareof any conditionon the propertythat wouldimpairthe healthor safety of the occupants?
Yes
landowners' sharedin commonwithadjoining of the property 34. Areyouawareof features on theproperty? affect an has androadswhoseuseor responsibility suchasiences,driveways, 35. Otherthan utilityeasementsservingthe property,are you awareof easementsor right-of-waysaffectingthe property? \
Initials f KN Initials Seller's G.U'.ru. Seller's
Buyer'slnitials
producedwith ZipForm@by ziplogix 18070FifteenMile Road,Fraser,Michigan48026
Unk Unk Unk
Unk
B o
Unk Unk Unk
ffi B R I
Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk Unk
a
ve" @ v". @
Unk Unk Unk Unk Unk
Unk Unk
Initials BuYer's Page2 of 3 www.ziolooix'com
Residentiallisting
LOCATIONOF SUBJEGTPROPERTY:1140 Harber
S
affectingthe property? 36. Are youawareof encroachments homeowner's association? 37.Areyouawareof a mandatory Amount of dues$ SpecialAssessment $ quarterly Payable:(Checkone)_ monthly _ _ annually (Checkone)_yes Arethereunpaidduesor assessments for theProperty?
Yes R Unk Yes q9l Unk _
lf yes, amount$ Manager'sName: PhoneNo. 38. Are you awareof any zoning,buildingcode or setbackrequirement violations? 39. Are you awareof any noticesfrom any governmentor government-sponsored agenciesor any other entitiesaffectingthe property? 40. Are you awareof any filedlitigationor lawsuit(s), directlyor indrrectly, affectingthe property,includinga foreclosure? 41. ls the propertylocatedin a fire districtwhich requirespayment? Amountof fees $ To Whom Paid Payable: (Check one) _ monthly _ quarterly _ annually 42. ls the propertylocatedin a privateutilitydistrict? (Checkapplicable) water _ garbage_ sewer_ other_ lf other,explain: Initialmembershio fee $ annualmembershipfee $ (lf morethan one (1) utility,attachadditionalpages.)
G Yes G Yes
Unk Unk
Yes Yes
0 q9
Unk Unk
Yes
@
Unk
Miscellaneous notdisclosed 43.Areyouaware affecting theproperty, above? ofotherdefect(s),
Unk
44. Areyou awareof any otherfees or dues requiredon the propertythat you have not disclosed? lf you answered "YES" to any of the items 1- 44 above, list the item number(s) and explain. additional pages,with your signature(s),date(s)and locationof subjectproperty.
Unk attach
of the On the datethis formis signed,the sellerstatesthat basedon seller'sCURRENTACTUALKNOWLEDGE property, theinformation contained aboveis trueandaccurate. Are there any additional pages attachedto this disclosure (circle one):
No. lf yes, how many?
Yes
Selle/sSignature A real estate licenseehas no duty to the Seller or the Purchaserto conduct an independent verifythe accuracyor completeness inspectionof the propertyand has no duty to independently of anystatementmadeby the sellerin this disclosurestatement. grvenby the Selleron thisstatement is not a warrantyof condition. The Purchaser thatthe disclosures understands by a licensed and,if desired,to havethe propertyinspected The Purchaser is urgedto carefullyinspectthe property zoningand/orengineering and floodzone status,contactthe localplanning, expert.For specificuses,restrictions hasreadand received a signedcopyof thisstatement. ThePurchaser acknowledges thatthe Purchaser department. Thisis to advise identified. on the property an offerto purchase Thiscompleted acknowledgement shouldaccompany is notvalidafter180daysfromthedatesignedby theSeller. thatthisdisclosure statement
Purchaser's Signature
Date
Purchaser'sSignature
Date
PropertyConditionDisclosureAct information formsand the OklahomaResidential The disclosure and disclaimer statement pamphlet (OREC),ShepherdMall,2401 NW 23 St, Suite18, are madeavailable at the OklahomaReal EstateCommission Oklahoma City,Oklahoma73107-2431, or visitOREC'sWebsitewww.orec.ok.gov
Page3 of 3 Producedwith ZipForm@by ziplogix 18070FifteenMile Road.Fraser,Michigan48026
www.ziologix.com
Residential listing
