PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire Association
of REAL TORS® Standard Form
TO BE COMPLETED BY SELLER The following answers and explanations are true and complete to the best of SELLER'S knowledge. This statement has been prepared to assist prospective BUYERS in evaluating SELLER'S property. This disclosure is not a warranty of any kind by the SELLER, or any real estate FIRM representing the SELLER, and is not a substitute for any inspection by the BUYER. SELLERS authorize FIRM in this transaction to disclose the information in this statement to other real estate agents and to prospective buyers of this property. NOTICE TO SELLER(S): COMPLETE ALL INFORMATION AND STATE NOT APPLICABLE OR UNKNOWN AS APPROPRIATE. IF ANY OF THE INFORMATION IN THIS PROPERTY DISCLOSURE FORM CHANGES FROM THE DATE OF COMPLETION, YOU ARE TO NOTIFY THE LISTING FIRM PROMPTLY IN WRITING.
1. SELLER: 2. PROPERTY LOCATION: 3. 4. 5.
DonnaTaylor-BrownandDouglasBrown 8 Hunter Drive,HamptonNH CONDOMINIUM, CO-OP, PUD DISCLOSURE RIDER OR MULTIFAMILY DISCLOSURE RIDER ATTACHED? 0 Yes Ii] No SELLER: I2Jhas 0 has not occupied the property for22 years. WATER SUPPLY Please answer all questions regardless of type of water supply. a. TYPE OF SYSTEM: I2JPublic 0 Private 0 Seasonal I2JUnknown Drilled 0 Dug DOther -'- __ b. INSTALLATION: Location: _ Installed By: Date of Installation: _ ~~isthesoureeclyo~infurmation? _
o
c. d.
e.
USE: Number of persons currently using the system:=-2_-=,-==_ Does system supply water for more than one household? I2JYes 0 No MALFUNCTIONS: Are you aware of or have you experienced any malfunctions with the (public/private/other) water systems? Pump: Ii] Yes 0 No 0 N/A Quantity: 0 Yes I2JNo Quality: 0 Yes I2JNo 0 Unknown If YES to any question, please explain in Comments below or with attachment. WATER TEST: Have you had the water tested? 0 Yes I2JNo Date of most recent test _ IF YES to any question, please explain in Comments below or with attachment. Are you aware of any test results reported as unsatisfactory or satisfactory with notations? DYes D No IF YES, are test results available? 0 Yes 0 No ~at steps were taken to remedy the problem? COMMENTS: Townwater
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6.
SEWAGE DISPOSAL SYSTEM a. TYPE OF SYSTEM: Public: DYes Private: Ii]Yes b.
c.
Ii] No 0 No
Community/Shared: D? Yes I2JNo DUnknown Septic Design Available: I2JYes ONo
IF PUBLIC OR COMMUNITY/SHARED Have you experienced any problems such as line or other malfunctions? 0 Yes Ii] No ~at steps were taken to remedy the problem? IF PRIVATE: TANK: I2JSeptic Tank 0 Holding Tank 0 Cesspool 0 Unknown DOther_--::Tank Size Gal. D Unknown Ii] Other One1250gallontank and one500gallontank Tank Type I2JConcrete 0 Metal 0 Unknown OOther Location: Backyard 0 Location Unknown Date of Installation: 1993 Date of Last ServiCing:ii/06/20i4 Name of Company Servicing Tank: Wind RiverEnvironment:al' Have you experienced any malfunctions? DYes I2JNo
_ _ _
~~-~-----
d.
Comments:_~~--~~-~~----------------------------LEACH FIELD: Ii]Yes D No DOther IF YES, Location: Backyard Date of installation of leach field: 1993 Have you experienced any malfunctions? DYes Comments:
--= Size 840sq ft D Unknown 0 Installed By::::D~PW~B::..::uil::::· ::::::de::::;r.:::..s
_
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SELLER(S)INITIALS "'1~~~!!lF"fLld=o6/~;~=,5=jL----------------------------------------B-U-Y-ER-(S-)-IN-IT-IA-L-S 12:55PMEDT
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© 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED Page 1 of4
12.2014
PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire Association
of REAL TORS® Standard Form
TO BE COMPLETED BY SELLER PROPERTY LOCATION: 8 Hunter e.
Drive
Hampton,
NH
IS SYSTEM LOCATED ON "DEVELOPED WATERFRONT" as described in RSA 485-A? 0 Yes 121 No 0 Unknown IF YES, has a site assessment been done? DYes 121No O? Unknown Source of Information: _ Comments: ----,-FOR ADDITIONAL INFORMATION THE BUYER IS ENCOURAGED TO CONTACT THE NH DEPARTMENT OF ENVIRONMENTAL SERVICES SUBSURFACE SYSTEMS BUREAU
=-_=_
-7.
INSULATION
LOCATION Attic or Cap Crawl Space Exterior Walls Floors
Yes
121 0 (£I (£I D
8.
No D
Unknown D
If YES, Type
Amount
Unknown
0
0
0
D
D D D
D
0
121 121
D
D
HAZARDOUS MATERIAL a. UNDERGROUND STORAGE TANKS - Current or previously existing: Are you aware of any past or present underground storage tanks on your property? DYes 0 No D Unknown IF YES: Are tanks currently in use? DYes D No IF NO: How long have tank(s) been out of service? What materials are, or were, stored in the tank(s)? Age of tank(s): Size of tank(s): Location: ----------------------------------------Are you aware of any past or present problems such as leakage, etc? DYes D No Comments:
_ _ _
----------
b.
c.
d.
e.
If tanks are no longer in use, have the tanks been removed? D? Yes D No D Unknown ASBESTOS - Current or previously existing: As insulation on the heating system pipes or ducts? DYes 121No 0 Unknown In the siding? DYes 121 No D Unknown In the roofing shingles? DYes In flooring tiles? DYes 121 No D Unknown Other DYes If YES, Source of information: Comments:
121 No D No
DUnknown DUnknown _ _
RADON/AIR - Current or previously existing: Has the property been tested? 121Yes D No D Unknown If YES: Date: July 2003 By: ;:,;Se:.::a:=.:co:.::a:=.:st:.::An=al:.!.yti.='.::.:cal=Se::::fVl~':::.ce::.:s~ _ Results: 2,3 and 2,5 PCI\L If applicable, what remedial steps were taken? _ Has the property been tested since remedial steps? DYes D No Are test results available? DYes D No Comments: _ RADONIWATER - Current or previously existing: Has the property been tested? DYes D No 121 Unknown If YES: Date: By: -----------------------Results: If applicable, what remedial steps were taken? _ Has the property been tested since remedial steps? DYes D No Are test results available? DYes D No Comments: Town water LEAD-BASED PAINT - Current or previously existing: Are you aware of lead-based paint on this property? DYes 0 No If YES: Source of information: _ Are you aware of any cracking, peeling, or flaking lead-based paint? DYes 121No Comments: _
SELLER(S) INITIALS
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© 2014 NEW HAMPSHIRE ASS&:'iJ(¥JOO
06/;~15
OF R~Rt:9s®,
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BUYER(S) INITIALS
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INC, ALL RIGHTS RESERVED, FOR USE BY NHAR REALTOR® MEMBERS ONLY, ALL OTHER USE PROHIBITED Page 2 of 4
L 12,2014
PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire TO BE COMPLETED
Association
Form
0 Yes
121No
Source of information:
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Comments:
9.
Standard
BY SELLER
PROPERTY LOCATION: 8 Hunter Drive Hampton, NH f. Are you aware of any other hazardous materials? If YES:
of REAL TORS®
GENERAL INFORMATION a.
b.
Is this property subject to liens, encroachments, easements, rights-of-way, leases, restrictive covenants, attachments, life estates, or right of first refusal? 121Yes O? No 0 Unknown If YES, Explain: 20ft easement granted to Town of Hampton for underground sewer line Aug 1995 ~~~yoursou~ecl~furmation?=Ea~s~em~en=t~B~0~ok~~=3~0~~~7~~~,~W~a=n~D~~~5~6=~~~~----------------~~----------~ Is this property subject to special assessments, betterment fees, association fees, or any other transferable fees? DYes 121?No 0 Unknown If YES, Explain: Restrictive Covenants No dues have been collected in recent years. ~~~yoursou~eclinfurmation?=Bo=0~k~2~7~~~,~P=~~1~6
~
c.
Are you aware of any onsite landfills or any other factors, such as soil, flooding, drainage, 121Yes O? No If YES, Explain:had drainage issues this past winter in driveway and garage
d. e.
Are you aware of any problems with other buildings on the property? DYes 121No If YES, Explain: ---------------Are you receiving a tax exemption or reduction for this property for any reason including but not limited to current use, land conservation, etc.? 121YES 0 NO 0 UNKNOWN If YES, Explain: We receive a rebate for our septic system from town
f. g. h.
Is any part of this property in Current Use? 0 Yes 121No 0 Unknown If YES, Explain: Is this property located in a Federally Designated Flood Zone? 0 Yes 121No 0 Unknown Has the property been surveyed? DYes ONo 0Unknown If YES, By:
i.
If YES, is survey available? 0 Yes 0 No How is the property zoned?_R_es_id_e_n_ti_al
j.
k.
I.
etc?
_ _
0 Unknown ~
Heating System Age: 22 Type:_Fo_r_ce_d_H_o __ t_Air_· Fuel: -'-O_il TankiLocation:=Ba~s~em:.:.=en;.;;.;t'__ _ Owner of Tank: We own tank ~~~~'--------------~~------------------~------------------------------Annual Fuel Consumption: Price: Gallons: .::.80::.:0~ _ Comments: Central air conditioning Roof Age: 22 yrs Type of Roof Covering: :.:As::.lp::.h=a:.:lt~F=ib:.::e~rg2::1a:.:s.::.s ..::.Co:;::mc:.:p.::.:o::;::s:.:it.::.e _ Moisture or leakage: Had ice dams this past winter for first time and some top shingles come off. Comments: Repaired by Hall Brothers Roofing Foundation/Basement: I2IFull 0 Partial Moisture or leakage: :.:n.::..:on:.:.:e'--
0 Other:
--------------------
0 Type:
------------------------
m. n.
Comments: Chimney(s) Plumbing Comments:
o.
Domestic
p.
Electrical System Amps: 200 0 Circuit Breakers 0 Fuses Comments: ----------------------------------------------------------------~----~~------Modifications: Are you aware of any modifications or repairs made without the necessary permits? DYes 121No
q. r.
--------------------------------------------------------------------------------How Many? =2 Type:pvc and copper
Lined?.=.ye.:..:s'--
Last Cleaned: 06/09/2014 Problems?:.:n.::...o Age: 22 years
_
_ _
Hot Water:
Age:~8..L.ye.:..:a=.r~s
Type:Electric
Gallons: .::..80"--
_
If Yes, please explain: -,,...--;;=-:-=---=:-:-: __ ---==-_ Pest Infestation: Are you aware of any past or present pest infestations? 121Yes 0 No Type: ------------------Comments: Ants in the past. Remedied by whole house spraying and replacing back window. Occasional field mouse in winter, set bait
s.
Methamphetamine (Per RSA 477:4-g)
t.
Other (e.g. Alarm System,
SELLER(S)
INITIALS
J
O~5
Production: Do you have knowledge of methamphetamine 0 Yes 121No If YES, please explain:
L
Irrigation
06
production
ever occurring
on the property? _
System, etc.) Al==a=rm:.:..:...:.sy.z..::s:.::te::.m:..:...=in:.Jp::.la=..:c:.::e
BUYER(S)
4115
@2014 NEW HAMPSHIRE Ass8dfA¥IH'j1j OF R1£Rr'-ro~~®. INC. All
INITIALS
RIGHTS RESERVED. FOR USE BY NHAR REAL TOR® MEMBERS ONLY. All Page 3 of 4
_
D,J OTHER USE PROHIBITED
L 12.2014
PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire Association
of REAL TORS® Standard Form
TO BE COMPLETED BY SELLER PROPERTY LOCATION: 8 Hunter Drive Hampton, NH NOTICE TO PURCHASERIS): PRIOR TO SETTLEMENT YOU SHOULD EXERCISE WHATEVER DUE DILIGENCE YOU DEEM NECESSARY WITH RESPECT TO ADJACENT PARCELS IN ACCORDANCE WITH THE TERMS AND CONDITIONS AS MAY BE CONTAINED IN PURCHASE AND SALES AGREEMENT AND DEPOSIT RECEIPT. YOU SHOULD EXERCISE WHATEVER DUE DILIGENCE YOU DEEM NECESSARY WITH RESPECT TO INFORMATION ON ANY SEXUAL OFFENDERS REGISTERED UNDER NH RSA CHAPTER 651-B. SUCH INFORMATION MAY BE OBTAINED BY CONTACTING THE LOCAL POLICE DEPARTMENT. 10. ADDITIONAL INFORMATION a. ATTACHMENT EXPLAINING CURRENT PROBLEMS, PAST REPAIRS, OR ADDITIONAL INFORMATION? DYes 0No b. ADDITIONAL COMMENTS:
acuzzi Tub turns only turns on and off from wall switch. Replaced all window sills in front of house and repaired chimney flashing June 2015. Driveway sealed May 2015. Top roof tiles repaired by Hall Brothers Roofing April 2015.
Kitchen renovation completed January 2013. !Window replaced in 1st floor bath October 2012. iAlcoaRainguard installed September 2010 on all gutters. 10 year water repellent applied on north facing chimney February 2010.
ACKNOWLEDGEMENTS: SELLER ACKNOWLEDGES THAT HE/SHE HAS PROVIDED THE ABOVE