and Buyer - Navasota Realty
~~ ~ TEXAS ASS OCIATION OF R EALTORS®
SELLER'S DISCLOSURE NOTICE ©Texas Associ ation of REALTO RS®, Inc. 2011
Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Seller's Disclosure Notice to a buyer on or before the effective date of a contract. This form complies with and contains additional disclosures which exceed the minimum disclosures required by the Code.
7497 CR 2 15 CONCERNING THE PROPERT Y AT
Anderson , TX
77830
THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE COND ITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO OBTA IN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER , SELLER'S AGENTS, OR ANY OTHER AGENT . Seller 'Ris D is not occupying the Property. If unoccupied (by Seller), how long since Seller has occupied the Property? I or D never occupied the Property D Section 1,
The Property has the items marked below: (Mark Yes (V), No (N), or Unknown (U).)
This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey.
Item Cable TV Wiring Carbon Monoxide De\. Ceiling Fans Cooktop Dishwa sher Disposal Eme rgency Escape Ladder (s) Exhaust Fans Fences Fire Detection Equip. French Drain Gas Fixtures Natura l Gas Lines
V N U
./ ,/
./
j
vi .I
Item Liquid Propane Gas: -LP Community (Captive) -LP on Property Hot Tub Intercom System Microwave Outdoor Grill
V N U .
./
/
.;
./ .;
/
J
,/
Patio/Decking Plumbing System Pool Pool Equipment Pool Malnt, Accessories Pool Heater
j
./
" ,/
Item Centra l NC Evaporat ive Coolers WalllW indow AC Units Attic Fan(s) Central Heat Other Heat Oven Firep lace & Chimney Carport Garage Garage Door Openers Satellite Dish & Controls Security System Water Heater Water Softener Underq round Lawn Sprinkler Septic / On-Site Sewer Facility (TA R-1406) 9-01-11 Navasota R ealty.5 0~ S. Lasalle Navasora.FX 77868 Beall Skinner
./
Y N U
Iv' J
1.1 II
,/
J J IJ
I
I
.;
/
I j
,;
/
.I /
/ /
V N U
,/ ,/
,/
[.; I ./
( [,/
.I
[.I
1./ ,/
I)
Additional Information ; Dgas number of units: number of units: number of units: if yes, describe: Irl"'electric Dg as number of units: if yes, describe: number of ovens: 1- lZI'electric Dgas D other: D wood Dgas logs Dmock D other: D attached D not attached D attached D not attached number of units : number of remotes: D owned Efleased from ,.J, oL .,r ,1'-£,0
121 electric
Iv" J
1/
Item Pump: D sump D grinder Rain Gutters Range/Stove Roof/Attic Vents Sauna Smoke Detector Smoke Detector - Hearing Impaired Spa Trash Compactor TV Antenna Washer/Drver Hookup Window Screens Public Sewer System
o,
"'v
D owned D Iiaelectric D !iJo wned D D automatic if yes, attach
Initialed by: Seller:
leased from gas D other: number of units: -J-/l,)l~ leased from Dm anual areas covered: Information About On-Site Sewer Facility (TAR-1407) and Buyer:
-.-.a:1..- ,
Phone: (979)574- 1857 Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser , Michigan 48026
_
Fax wwwzipLogixc om
Page 1 of 5 Hollaway. Sheila
Concerning the Property at
7497 CR 2 Anderson , TX 77830
,
Water suppl y provided by: 0 city m'well 0 MUD 0 co-o p 0 unknown 0 other: _ Was the Property built before 1978? yes 0 no 0 unknown (If yes , complete, sign, and attach TAR-1906 concerning lead-based paint hazards), /I , Roof Type: Age : (approximate ) Ir there an overlay roof covering on the Property (shingles or roof covering placed over existing shingles or roof coveri ng)? yes 0 no 0 unknown
lit
.p
Are you (Seller ) aware of any of the items listed in this Section 1 that are not in working condition, that have defects, or are 0 yes (Z'J no If yes, desc ribe (attach additional sheets if necessary ): _ need of repair?
Section 2, Are you (Seifer) awa re of any defects or malfunctions in any of the following? : (Mark Ves (V) if you are aware and No (N) if you are not aware.) Item Basement Ceilinc s Doors Drivewa vs Electrical Systems Exterior Walls
V N
J -I
1/ J
/ j
Item Floors Foundation / Slabts) Interior Walls Lightinq Fixtures Plumbinq Systems Roof
If the answ er to any of the items in Section
,
,
V N
.;
I
.; /
Item Sidewalks Walls !(Fences ) Windows Other Structu ral Compone nts
V N
II
I
J ,/
explain (attach additional sheets if necessary):
_
Section 3. Ar e you (Seife r) aware of any of th e fo lfow in g co nditions : (Mark Ves (V) if you are aware and No (N) if you are no t awa re.) Condit ion Aluminum Wiring Asbestos Components Diseased Trees : Ooak wilt 0 Endanqered Species/Habitat on Prooertv Fault Lines Hazard ous or Toxic Waste Improper Drainaqe Intermittent or We ather Springs Landfill Lead-Based Paint or Lead-Based PI. Hazards Encroachments onto the Property Improvements encroachin g on others' property Located in 1OO-vear Floodpla in Located in Floodway Presen t Flood Ins, Coverage (If yes , attac h TAR -1414) Previous Ftoodino into the Structures Previous Floodinq onto the Property Previous Fires Previous Use of Premises for Manufac ture of Methamp hetamine (TAR-1406) 9-01-11
Initialed by: Seller:
V N
IJ ..J /
1.1 .I
I" Iv
IJ
1./
"
'.1
./
J .J
'.I
.I V 'J
II IJ IJ v vi
\/
'"
Iv
I" I,
'v
, V
Previous treatment for termites or WDI Previous termite or WDI darnaqe repaired Termite or WDI damage needing repair Single Blockable Main Drain in Pool/Hot Tub/Sp a'
II .I
j j
A
_
V N
Co ndi tion Previous Foundation Repairs Previous Roof Repairs Other Structural Repairs Radon Gas Settlinq Soil Move ment Subsurface Structure or Pits Underground Storage Tanks Unplatted Easements Unrecorded Easements Urea-formalde hvde Insulation Water Penetration Wetla nds on Property Wood Rot Active infestat ion of termites or other wood destroying insects (WDI)
,
and Buyer:
Produced wi th zip Form® by zipLog ix 18070 Fifteen Mile Road, Fraser, Michi gan 48026
CLI\ ,
www .zlpLoQlx.com
v .~
;:-
'" , 1/
Page 2 of 5 Hollaway, Sheila
7497 CR 2 . Anderson, TX 77830
Conc erning the Property at
_
-=====~=__:....:..;="__
If the answer to any of the items in Section 3 is yes , explain (attach additional sheets if necessary):
_
•A single blockable main drain may cause a suction entrapment hazard for an individual. Section 4. A re you (Seller) aware of any item, equipment, or system in o r on the Property that is in need of repai r, which has not been prev~ously disclosed in this no ice? 0 yes .~ no If yes, explain ~tt ac h additional sheets if necessary): ' .!: ~ ).
,
Section 5. Are you (Sell er) aware of any of the following (Mark Ves (V) if you are aware. Mark No (N) if you are not aware.)
~ •~
01
Room additions , structural modifications, or other alter ations or repairs made without necessa ry permits or not in compliance with building codes in effect at the time . Homeowne rs' assoc iations or maintenance fees or assessments . If yes, complete the following : Name of association: = _ Manager's name : Phone: -.,..,,....Fees or assessments are: $ per and are: 0 mandatory 0 voluntary Any unpaid fees or assessme nt for the Property? 0 yes ($ ) 0 no If the Property is in more than one assoc iation, provide information about the other associations below or attach information to this notice.
-=
_
Any common area (facilities such as pools , tenn is courts, walkways, or other) co-owned in undivided interest with others . If yes, comple te the following : Any optional user fees for common facilities cha rged ? 0 yes 0 no If yes, descr ibe: _ Any notices of violations of deed restrictions or governme ntal ordinances affecting the condition or use of the Property. Any lawsuits or other legal proceed ings directly or indirectly affecting the Property. (Includes , but is not limited to: divorce, foreclo sure, heirship, bankruptcy, and taxes .) Any death on the Property except for those deaths caused by: natural causes, suicide, or accident unrelated to the condition of the Property . Any cond ition on the Property which materially affects the health or safety of an individual.
o
£
Any repairs or treatments, other than routine maintenance, made to the Property to remediate environmental hazards such as asbestos , radon, lead-based paint , urea-formaldehyde, or mold. If yes, attach any certificates or other documentation identifying the extent of the remediation (for example, certificate of mold remediat ion or other remediation) . Any rainwater harvesting system connected to the property's public water supply that is able to be used for indoor potable purposes.
If the answer to any of the items in Section 5 is yes, explain (attach additional sheets if necessary):
(TAR-1406) 9-01-11
Initialed by: Seller:
and Buyer:
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026
~,
www.zipLogix.com
_
_
Page 3 of 5
Hollaway, Sheila
7497 CR 2 . Anderson, TX 77830
Concerning the Property at
Secti on 6.
-""'"""'==~___="'____''__'_'''_'''''__
_
Seller 0 has )(has not attached a survey of the Property.
Section 7. With in the last 4 years, have you (Sell er) received any wr itten inspection reports from perso ns who regu lar ly pro vide inspec tjOns and who are either licensed as ins pectors or ot herw ise per mitted by law to perform inspections? 0 yes Ji,ro If yes, attach copies and complete the following: Inspection Date
Type
Name of Inspector
No. of Pages
Note : A buyer sh ould not re ly on the above-cited rep orts as a reflection o f the cu rren t co nditio n of the Prop erty . A buyer sho uld obtain insp ections from insp ectors chosen by the buy er.
Section 8. Check any tax exemption(s) wh ich you (Sell er) currently cl aim for the Prop erty : i;5(Homestead 0 p enior Citizen 0 Disabled -I;i(Agricultural 0 Disabled Veteran '0 Wildlife Management Other: 0 Unknown
o
Section 9. Have you (Selle r) ever rece ived proceeds for a cl aim for damage to the Pro perty (for examp le, an ins urance claim or a sett lement or aw~ in a legal proce eding ) and not used the pro ceeds to make t he repairs for whi ch t he clai m was made? 0 yes J>(.no If yes, explain: _
Sect ion 10. Does the property have working smoke det ectors installed in.3cordance with the smoke detector req uire ments of Chapter 766 of the Health and Safety Code?* 0 unknown ~n o 0 yes. If no or unknown, explain. (Attach additional sheets if necessary): -'_
*Chapter 766 of the Health and Safety Code requires one-family or two-family dwellings to have working smoke detectors installed in accordance with the requirements of the building code in effect in the area in which the dwelling is located, including performance, location, and power source requirements. If yo u do not know the building code requirements in effect in your area, you may check unknown above or contact your local building official for more information . A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a member of the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller written evidence of the hearing impairment from a licensed physician ; and (3) within 10 days after the effective date, the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired and specifies the locations for installation. The parties may agree who will bear the cost of installing the smoke detectors and which brand of smoke detectors to install.
Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including the broker(s), has instructed or influenced Seller to provide inaccurate information or to omit any material information.
Signature of Seller Printed Name: Sheila L Hollaway (TAR-1406) 9-01-11
Initialed by: Seller:
Date Signature of Seller Printed Name: and Buyer:
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026
Date _
v{;r..
www.zipLo qix.com
Page 4 of 5 Hollaway, Sheila
7497 CR 2 .
-=="-=-==..... Anderson , TX
Concerning the Prope rty at
~~'_'_'="_ 77830
_
ADDITIONAL NOTICES TO BUYER: (1)
The Texas Department of Public Sa fety mainta ins a database tha t the public may sea rch, at no cost, to dete rmine if registered sex offenders are located in certain zip code areas . To search the database, visi t www. txdps.s tate.tx.us . For information conce rning pas t c riminal activity in certai n areas or neighborhoods. contact the local police depa rtment.
(2)
If the property is located in a coastal area that is seaward of the Gulf Intracoastal Waterway or within 1,000 feet of the mean high tide bordering the Gulf of Mexico, the property may be subject to the Open Beac hes Act or the Dune Protec tion Act (Chapter 61 or 63, Natu ral Resources Code, respective ly) and a beach front construction certifi cate or dune protection perm it may be requ ired for repairs or improvem ents. Contact the local government wit h ordinan ce authori ty over construction adjacent to public beaches for more information .
(3)
If you are bas ing your offers on square footage . measure ments , or boundaries, you shou ld have those ite ms independently measured to veri fy any reported info rmatio n.
(4)
The following prov iders currently provi de service to the property :
Electric: -I'ik:~:') 0 ! .ti $" 11 t n ,, ' i
Sewer: Wate r:
~ Cab le : ~/i f>
h.
phone#: phone # :
(J /
(5)
"S/DD _
phone #: ...."...,..,:-_==_--=""""'~,...,..,-----
h:€;'\--.=-c', c l
phone #: phone #:
Trash: Natu ral Gas : Phone Co mpany : Propan e:
Q,30 -Sd-.S
phone #: phone # : phone # :
C,-e I"--\.-V'C ~\1 b k .
-(') DD --;':{j? -3474' --'7\"'-=-=--~.-=.;. :..J.,.I__---'""----' ---.L..-'----
_
_
,.=x---::;"",..,--::;-=---=---=-- - - SOD - 7~ ~ - 3 S ()0 _
This Se ller's Disclosure Notice was completed by Seller as of the date signed . The brokers have relied on this notice as true and correct and have no reason to believe it to be false or inaccu rate. YOU ARE ENCO URAGED TO HAVE AN INSPECTOR O F YO UR CHO ICE INSPECT THE PROP ERTY .
The undersigned Buyer acknowledges recei pt of the forego ing notice .
Signature of Buyer Printed Name:
_
Page 5 of 5
(TAR-1406) 9-01- 11 Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 4802 6
www.z ipLoqix.com
Hollaway, Sheila
~~ TEXAS ASSOCIATION OF REALTORS®
INFORMATION ABOUT ON-SITE SEWER FACILITY USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIAT ION OF REALTORS® IS NOT AUTHORIZED. ©Texas Association of REAL TORS®, Inc., 2004
7497 CR 215 Anderson , TX 77830
CONCERNING THE PROPERTY AT A.
DESCRIPTION OF ON-SITE SEWER FACILITY ON PROPERTY: ,
,
~ Septic Tank
(1) Type of Treatment System:
o Unknown
a Aerobic Treatment
O-- - - - - - - - - - -....,."...------.r- - - - - (2) Type of Distribution System:
12r-cL\ (\,C\ 3e
to-. -e-\ de;
a
Unknown
of Drain Field or Distribution System : ., --I-'OL-----'---"-l.....:S~--'--_t_'+it.l".l.. a Unknown (3) Approx imate L cation . ~. ~.j,.l.-"-.,-----I..=;::.,-...-+..l,l-o''-IL:''-;-'-~~,L.;l;--L.-'''-'''-'-~I'__'_.._'__f_J.''-'''';_:.>_s_-+-''-'-''_'_'1---=_l;.U'-''- f" y\ •
(4) Installer: .fL"'-"'-"''-'---r.LI...J.-'''''".........-'''-'''-'-''---''''-'-.........'--'-...v-_----L.
SELLER'S DISCLOSURE NOTICE ©Texas Associ ation of REALTO RS®, Inc. 2011
Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Seller's Disclosure Notice to a buyer on or before the effective date of a contract. This form complies with and contains additional disclosures which exceed the minimum disclosures required by the Code.
7497 CR 2 15 CONCERNING THE PROPERT Y AT
Anderson , TX
77830
THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE COND ITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO OBTA IN. IT IS NOT A WARRANTY OF ANY KIND BY SELLER , SELLER'S AGENTS, OR ANY OTHER AGENT . Seller 'Ris D is not occupying the Property. If unoccupied (by Seller), how long since Seller has occupied the Property? I or D never occupied the Property D Section 1,
The Property has the items marked below: (Mark Yes (V), No (N), or Unknown (U).)
This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey.
Item Cable TV Wiring Carbon Monoxide De\. Ceiling Fans Cooktop Dishwa sher Disposal Eme rgency Escape Ladder (s) Exhaust Fans Fences Fire Detection Equip. French Drain Gas Fixtures Natura l Gas Lines
V N U
./ ,/
./
j
vi .I
Item Liquid Propane Gas: -LP Community (Captive) -LP on Property Hot Tub Intercom System Microwave Outdoor Grill
V N U .
./
/
.;
./ .;
/
J
,/
Patio/Decking Plumbing System Pool Pool Equipment Pool Malnt, Accessories Pool Heater
j
./
" ,/
Item Centra l NC Evaporat ive Coolers WalllW indow AC Units Attic Fan(s) Central Heat Other Heat Oven Firep lace & Chimney Carport Garage Garage Door Openers Satellite Dish & Controls Security System Water Heater Water Softener Underq round Lawn Sprinkler Septic / On-Site Sewer Facility (TA R-1406) 9-01-11 Navasota R ealty.5 0~ S. Lasalle Navasora.FX 77868 Beall Skinner
./
Y N U
Iv' J
1.1 II
,/
J J IJ
I
I
.;
/
I j
,;
/
.I /
/ /
V N U
,/ ,/
,/
[.; I ./
( [,/
.I
[.I
1./ ,/
I)
Additional Information ; Dgas number of units: number of units: number of units: if yes, describe: Irl"'electric Dg as number of units: if yes, describe: number of ovens: 1- lZI'electric Dgas D other: D wood Dgas logs Dmock D other: D attached D not attached D attached D not attached number of units : number of remotes: D owned Efleased from ,.J, oL .,r ,1'-£,0
121 electric
Iv" J
1/
Item Pump: D sump D grinder Rain Gutters Range/Stove Roof/Attic Vents Sauna Smoke Detector Smoke Detector - Hearing Impaired Spa Trash Compactor TV Antenna Washer/Drver Hookup Window Screens Public Sewer System
o,
"'v
D owned D Iiaelectric D !iJo wned D D automatic if yes, attach
Initialed by: Seller:
leased from gas D other: number of units: -J-/l,)l~ leased from Dm anual areas covered: Information About On-Site Sewer Facility (TAR-1407) and Buyer:
-.-.a:1..- ,
Phone: (979)574- 1857 Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser , Michigan 48026
_
Fax wwwzipLogixc om
Page 1 of 5 Hollaway. Sheila
Concerning the Property at
7497 CR 2 Anderson , TX 77830
,
Water suppl y provided by: 0 city m'well 0 MUD 0 co-o p 0 unknown 0 other: _ Was the Property built before 1978? yes 0 no 0 unknown (If yes , complete, sign, and attach TAR-1906 concerning lead-based paint hazards), /I , Roof Type: Age : (approximate ) Ir there an overlay roof covering on the Property (shingles or roof covering placed over existing shingles or roof coveri ng)? yes 0 no 0 unknown
lit
.p
Are you (Seller ) aware of any of the items listed in this Section 1 that are not in working condition, that have defects, or are 0 yes (Z'J no If yes, desc ribe (attach additional sheets if necessary ): _ need of repair?
Section 2, Are you (Seifer) awa re of any defects or malfunctions in any of the following? : (Mark Ves (V) if you are aware and No (N) if you are not aware.) Item Basement Ceilinc s Doors Drivewa vs Electrical Systems Exterior Walls
V N
J -I
1/ J
/ j
Item Floors Foundation / Slabts) Interior Walls Lightinq Fixtures Plumbinq Systems Roof
If the answ er to any of the items in Section
,
,
V N
.;
I
.; /
Item Sidewalks Walls !(Fences ) Windows Other Structu ral Compone nts
V N
II
I
J ,/
explain (attach additional sheets if necessary):
_
Section 3. Ar e you (Seife r) aware of any of th e fo lfow in g co nditions : (Mark Ves (V) if you are aware and No (N) if you are no t awa re.) Condit ion Aluminum Wiring Asbestos Components Diseased Trees : Ooak wilt 0 Endanqered Species/Habitat on Prooertv Fault Lines Hazard ous or Toxic Waste Improper Drainaqe Intermittent or We ather Springs Landfill Lead-Based Paint or Lead-Based PI. Hazards Encroachments onto the Property Improvements encroachin g on others' property Located in 1OO-vear Floodpla in Located in Floodway Presen t Flood Ins, Coverage (If yes , attac h TAR -1414) Previous Ftoodino into the Structures Previous Floodinq onto the Property Previous Fires Previous Use of Premises for Manufac ture of Methamp hetamine (TAR-1406) 9-01-11
Initialed by: Seller:
V N
IJ ..J /
1.1 .I
I" Iv
IJ
1./
"
'.1
./
J .J
'.I
.I V 'J
II IJ IJ v vi
\/
'"
Iv
I" I,
'v
, V
Previous treatment for termites or WDI Previous termite or WDI darnaqe repaired Termite or WDI damage needing repair Single Blockable Main Drain in Pool/Hot Tub/Sp a'
II .I
j j
A
_
V N
Co ndi tion Previous Foundation Repairs Previous Roof Repairs Other Structural Repairs Radon Gas Settlinq Soil Move ment Subsurface Structure or Pits Underground Storage Tanks Unplatted Easements Unrecorded Easements Urea-formalde hvde Insulation Water Penetration Wetla nds on Property Wood Rot Active infestat ion of termites or other wood destroying insects (WDI)
,
and Buyer:
Produced wi th zip Form® by zipLog ix 18070 Fifteen Mile Road, Fraser, Michi gan 48026
CLI\ ,
www .zlpLoQlx.com
v .~
;:-
'" , 1/
Page 2 of 5 Hollaway, Sheila
7497 CR 2 . Anderson, TX 77830
Conc erning the Property at
_
-=====~=__:....:..;="__
If the answer to any of the items in Section 3 is yes , explain (attach additional sheets if necessary):
_
•A single blockable main drain may cause a suction entrapment hazard for an individual. Section 4. A re you (Seller) aware of any item, equipment, or system in o r on the Property that is in need of repai r, which has not been prev~ously disclosed in this no ice? 0 yes .~ no If yes, explain ~tt ac h additional sheets if necessary): ' .!: ~ ).
,
Section 5. Are you (Sell er) aware of any of the following (Mark Ves (V) if you are aware. Mark No (N) if you are not aware.)
~ •~
01
Room additions , structural modifications, or other alter ations or repairs made without necessa ry permits or not in compliance with building codes in effect at the time . Homeowne rs' assoc iations or maintenance fees or assessments . If yes, complete the following : Name of association: = _ Manager's name : Phone: -.,..,,....Fees or assessments are: $ per and are: 0 mandatory 0 voluntary Any unpaid fees or assessme nt for the Property? 0 yes ($ ) 0 no If the Property is in more than one assoc iation, provide information about the other associations below or attach information to this notice.
-=
_
Any common area (facilities such as pools , tenn is courts, walkways, or other) co-owned in undivided interest with others . If yes, comple te the following : Any optional user fees for common facilities cha rged ? 0 yes 0 no If yes, descr ibe: _ Any notices of violations of deed restrictions or governme ntal ordinances affecting the condition or use of the Property. Any lawsuits or other legal proceed ings directly or indirectly affecting the Property. (Includes , but is not limited to: divorce, foreclo sure, heirship, bankruptcy, and taxes .) Any death on the Property except for those deaths caused by: natural causes, suicide, or accident unrelated to the condition of the Property . Any cond ition on the Property which materially affects the health or safety of an individual.
o
£
Any repairs or treatments, other than routine maintenance, made to the Property to remediate environmental hazards such as asbestos , radon, lead-based paint , urea-formaldehyde, or mold. If yes, attach any certificates or other documentation identifying the extent of the remediation (for example, certificate of mold remediat ion or other remediation) . Any rainwater harvesting system connected to the property's public water supply that is able to be used for indoor potable purposes.
If the answer to any of the items in Section 5 is yes, explain (attach additional sheets if necessary):
(TAR-1406) 9-01-11
Initialed by: Seller:
and Buyer:
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026
~,
www.zipLogix.com
_
_
Page 3 of 5
Hollaway, Sheila
7497 CR 2 . Anderson, TX 77830
Concerning the Property at
Secti on 6.
-""'"""'==~___="'____''__'_'''_'''''__
_
Seller 0 has )(has not attached a survey of the Property.
Section 7. With in the last 4 years, have you (Sell er) received any wr itten inspection reports from perso ns who regu lar ly pro vide inspec tjOns and who are either licensed as ins pectors or ot herw ise per mitted by law to perform inspections? 0 yes Ji,ro If yes, attach copies and complete the following: Inspection Date
Type
Name of Inspector
No. of Pages
Note : A buyer sh ould not re ly on the above-cited rep orts as a reflection o f the cu rren t co nditio n of the Prop erty . A buyer sho uld obtain insp ections from insp ectors chosen by the buy er.
Section 8. Check any tax exemption(s) wh ich you (Sell er) currently cl aim for the Prop erty : i;5(Homestead 0 p enior Citizen 0 Disabled -I;i(Agricultural 0 Disabled Veteran '0 Wildlife Management Other: 0 Unknown
o
Section 9. Have you (Selle r) ever rece ived proceeds for a cl aim for damage to the Pro perty (for examp le, an ins urance claim or a sett lement or aw~ in a legal proce eding ) and not used the pro ceeds to make t he repairs for whi ch t he clai m was made? 0 yes J>(.no If yes, explain: _
Sect ion 10. Does the property have working smoke det ectors installed in.3cordance with the smoke detector req uire ments of Chapter 766 of the Health and Safety Code?* 0 unknown ~n o 0 yes. If no or unknown, explain. (Attach additional sheets if necessary): -'_
*Chapter 766 of the Health and Safety Code requires one-family or two-family dwellings to have working smoke detectors installed in accordance with the requirements of the building code in effect in the area in which the dwelling is located, including performance, location, and power source requirements. If yo u do not know the building code requirements in effect in your area, you may check unknown above or contact your local building official for more information . A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a member of the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller written evidence of the hearing impairment from a licensed physician ; and (3) within 10 days after the effective date, the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired and specifies the locations for installation. The parties may agree who will bear the cost of installing the smoke detectors and which brand of smoke detectors to install.
Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including the broker(s), has instructed or influenced Seller to provide inaccurate information or to omit any material information.
Signature of Seller Printed Name: Sheila L Hollaway (TAR-1406) 9-01-11
Initialed by: Seller:
Date Signature of Seller Printed Name: and Buyer:
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026
Date _
v{;r..
www.zipLo qix.com
Page 4 of 5 Hollaway, Sheila
7497 CR 2 .
-=="-=-==..... Anderson , TX
Concerning the Prope rty at
~~'_'_'="_ 77830
_
ADDITIONAL NOTICES TO BUYER: (1)
The Texas Department of Public Sa fety mainta ins a database tha t the public may sea rch, at no cost, to dete rmine if registered sex offenders are located in certain zip code areas . To search the database, visi t www. txdps.s tate.tx.us . For information conce rning pas t c riminal activity in certai n areas or neighborhoods. contact the local police depa rtment.
(2)
If the property is located in a coastal area that is seaward of the Gulf Intracoastal Waterway or within 1,000 feet of the mean high tide bordering the Gulf of Mexico, the property may be subject to the Open Beac hes Act or the Dune Protec tion Act (Chapter 61 or 63, Natu ral Resources Code, respective ly) and a beach front construction certifi cate or dune protection perm it may be requ ired for repairs or improvem ents. Contact the local government wit h ordinan ce authori ty over construction adjacent to public beaches for more information .
(3)
If you are bas ing your offers on square footage . measure ments , or boundaries, you shou ld have those ite ms independently measured to veri fy any reported info rmatio n.
(4)
The following prov iders currently provi de service to the property :
Electric: -I'ik:~:') 0 ! .ti $" 11 t n ,, ' i
Sewer: Wate r:
~ Cab le : ~/i f>
h.
phone#: phone # :
(J /
(5)
"S/DD _
phone #: ...."...,..,:-_==_--=""""'~,...,..,-----
h:€;'\--.=-c', c l
phone #: phone #:
Trash: Natu ral Gas : Phone Co mpany : Propan e:
Q,30 -Sd-.S
phone #: phone # : phone # :
C,-e I"--\.-V'C ~\1 b k .
-(') DD --;':{j? -3474' --'7\"'-=-=--~.-=.;. :..J.,.I__---'""----' ---.L..-'----
_
_
,.=x---::;"",..,--::;-=---=---=-- - - SOD - 7~ ~ - 3 S ()0 _
This Se ller's Disclosure Notice was completed by Seller as of the date signed . The brokers have relied on this notice as true and correct and have no reason to believe it to be false or inaccu rate. YOU ARE ENCO URAGED TO HAVE AN INSPECTOR O F YO UR CHO ICE INSPECT THE PROP ERTY .
The undersigned Buyer acknowledges recei pt of the forego ing notice .
Signature of Buyer Printed Name:
_
Page 5 of 5
(TAR-1406) 9-01- 11 Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 4802 6
www.z ipLoqix.com
Hollaway, Sheila
~~ TEXAS ASSOCIATION OF REALTORS®
INFORMATION ABOUT ON-SITE SEWER FACILITY USE OF THIS FORM BY PERSONS WHO ARE NOT MEMBERS OF THE TEXAS ASSOCIAT ION OF REALTORS® IS NOT AUTHORIZED. ©Texas Association of REAL TORS®, Inc., 2004
7497 CR 215 Anderson , TX 77830
CONCERNING THE PROPERTY AT A.
DESCRIPTION OF ON-SITE SEWER FACILITY ON PROPERTY: ,
,
~ Septic Tank
(1) Type of Treatment System:
o Unknown
a Aerobic Treatment
O-- - - - - - - - - - -....,."...------.r- - - - - (2) Type of Distribution System:
12r-cL\ (\,C\ 3e
to-. -e-\ de;
a
Unknown
of Drain Field or Distribution System : ., --I-'OL-----'---"-l.....:S~--'--_t_'+it.l".l.. a Unknown (3) Approx imate L cation . ~. ~.j,.l.-"-.,-----I..=;::.,-...-+..l,l-o''-IL:''-;-'-~~,L.;l;--L.-'''-'''-'-~I'__'_.._'__f_J.''-'''';_:.>_s_-+-''-'-''_'_'1---=_l;.U'-''- f" y\ •
(4) Installer: .fL"'-"'-"''-'---r.LI...J.-'''''".........-'''-'''-'-''---''''-'-.........'--'-...v-_----L.
