DSC-8020 â âFarm or Vacant Land or Lot Disclosure Statement
Reference
Farm or Vacant Land or Lot Disclosure Statement This document has legal consequences. If you do not understand it, consult your attorney. 1
The following is a disclosure statement made by Seller concerning the following property (the “Property”):
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Section Township Range Street Address
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County
5 6
Section Township Range
___________ Parcel No(s).
City
__________ Farm No(s)
State
Zip Code
__________________________ # of Acres (more or less)
7 8 9 10 11
This Disclosure Statement may assist a Buyer in evaluating the Property, but it is not a warranty of any kind by Seller or any broker orreal estate licensee involved in this transaction, and is not a substitute for any inspection or warrantieswarranty a Buyer may wish to obtain. Real estate brokers and licensees involved in the salethis transaction do not inspect the Property for defects or guarantee the accuracy of theany information provided in this formherein.
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TO THE SELLER: Please complete the following form, including past history orand known problems if known. Do not leave any spaces blank. If the condition is not applicable to your Property (or unknown), mark “N/A” (or “Unknown”) in the blank. The following statements are representations made by the Seller and are not representations ofNOT by any broker orreal estate licensee. Complete and truthful disclosure of the history and condition of the Property gives you the best protection against futurepotential charges that you violated a legal disclosure obligation to a Buyer. Your answers (or the answers you fail to provide, either way,) may have legal consequences, even after the closing of the sale.a transaction. This questionnaireform should help you meet your disclosure obligations, but it may not cover all aspects of the Property. If you know of or suspect some condition which may negatively affect the value of the Property or impair the health or safety of future occupants (e.g., environmental hazards, physical condition or material defects in the Property or title thereto), then you may use the space at the end of this form to furthershould describe that condition and/or attach additional pages if additionalmore space is required. TO THE BUYER: Since these disclosures are based on the Seller’s actual knowledge, you cannot be sure that there are, in fact, no problems with the Property simply because the Seller is not aware of them. The answers givenstatements made by the Seller are limited to the Property and are not warranties of theits condition of the Property. Thus, you may want to. You should condition your offer on a professional inspection(s) of the Property or any off-site conditions as you deem necessary. Conditions of the Property that you can see on a reasonable inspection and/or that are disclosed herein should either be taken into account in setting the purchase price, or you should make the correction of these conditions by the Seller a requirement of the sale contract. IF YOU SIGN A SALE CONTRACT TO PURCHASE THE PROPERTY, THAT CONTRACT, AND NOT THIS DISCLOSURE STATEMENT, WILL PROVIDE FOR WHAT IS TO BE INCLUDED IN THE SALE. IF YOU EXPECT CERTAIN ITEMS OR EQUIPMENT TO BE INCLUDED THEY MUST BE SPECIFIED AS INCLUDED IN THE SALE CONTRACT.
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A. 1. SURVEY, EASEMENTS, FLOODING. To the best of your knowledge: (1) A. When did you purchase the landProperty? (2) B. Has the landProperty been surveyed? ................................................................................. Yes No Year surveyed ________ (3) C. What company or person performed the survey? Name _____________________________________________________________ Phone Address (4)D. If this is platted land, has a certificate of survey been completed? ?............................................. Yes No If “Yes,” by whom? _______________________________________________ When? (5) E. Has the plat been recorded in the land records? ................................................................. Yes No If “Yes,” Plat Book # __________ Page # __________
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F.To the best of your knowledge: (6) Are there any encroachments or boundary line disputes? Yes No (7) G. Are there any easements other than utility or drainage easements? ................................... Yes No (8)H. Is the Property in a designated 100 year flood plain or wetlands areafloodway of any kind? Yes
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I.
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No Do you have a Flood Certificate regarding the Property? .......................................................... (9)J. Has there ever been a flood or other disaster at the Property? ..................................... (10) K. Have there ever been drainage problems affecting the Property or adjacent properties?? L. Have you ever purchased flood insurance? ............................................................................... Give the detailsM.
No No No No (11) If any of questions 61.F through 91.L are answered “Yes.”,” briefly describe the details.
B (check box if additional _____________________________________________
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Yes Yes Yes Yes
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attached)
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2. USE RIGHTS AND OTHER RESTRICTIONS. To the best of your knowledge: (1) A. Do any of the following types ofexist regarding the Property: (1) Subdivision or other recorded indentures, covenants, conditions, or restrictions affect the land:?................ Yes No a. Subdivision or other recorded covenants, conditions, or restrictions ...................................................... (2)? Yes No b. A right of first refusal to purchase??....................................................................................... Yes No c.(3) Variances, special use permits, or other zoning restrictions specific to this Property? ?.......... Yes No (2) If (4) Have any of the above questions (B1) are answered “Yes,” do you have written copies of these covenants, conditionsmineral rights been severed or restrictions? transferred?......................................................... If “Yes,” describe: _____________________________________________________ (3)B. Have you ever received notice from any person or authority as to anyof a breach of any of these covenants, conditions or restrictions? the above? Yes No If “Yes,” describe: _____________________________________________________ CC. Are there any farming or crop-share agreement rights in the Property?..................................... Yes No D. Are there any animal feeding operations (“AFO”) or concentrated animal feeding operations (“CAFO”) at the Property? (if “Yes”, please identify Class size and any permits issued below)………… .. Yes No E. Are there any gas & oil leases or other severed or transferred mineral rights (clay, etc.)?…. .. Yes No F. Are there any leasehold interests or tenant rights in the Property? …………………………….... Yes No G. If any of the above questions are answered “Yes,” briefly describe the details. (check box if additional pages are attached) ______________________________________________
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3. CONDITION OF THE PROPERTY. To the best of your knowledge: (1) A. Are there any structures, improvements, or personal property included in the available for sale? Yes If “Yes,” list all items: Are there any problems or defects with any of these items? ....................................................... Yes No If “Yes,” describe all problems or defects: (2) B. Are there any operating or abandoned oil wells, or buried storage tanks, or buried debris or waste on the Property? ?......... Yes No If “Yes,” give details: (3) C. Is there any hazardous or toxic substance in or on thisthe Property or any adjacent property? (including but not limited to mold or lead in the soils)? ................................................................ Yes No If “Yes,” give details: (4) Have any soil tests been performed ............................................................................................................D. If “Yes,” When? _________ By Whom? .............................................................................................................. E. Note: if “Yes”,§260.213 RSMo requires Seller to disclose the location of the site, and Buyer should be aware that Buyer may be held liable to the State for remedial action…………………… Yes No DSC-8020
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No
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F.
Have any soil tests been performed?....... G. Results:
.............................................................. Yes
No
(5) Does the Formatted: Indent: Left: 0.19", Tab stops: 5.83", Right + Not at 0.21" + 0.5" + 0.75" + 1" + 1.25" + 1.5" + 4" + Property have any fill or uncompacted soils? 7" ?.................................................................................................. Yes No If “Yes,” describe location and depth: (6) H. Are there any settling or soil movement problems on this Property or any adjacent property? ?.......................................... Yes LeftNo Formatted: Tab stops: 6.31", + 7", Left + Not at 6.13" If “Yes,” give details: (7) I. Is there a large-scaleany infestation, rot or disease in the trees on the Property? ?.......................................... Yes No Formatted: Tab stops: 7", Left If “Yes,” give details: D J. Is any part of the Property located in a “wetlands area” designated by the Natural Resources Conservation Service (“NRCS”) or Farm Service Authority (“FSA”)?............................................... Yes No K. If any of the above questions are answered “Yes,” briefly describe the details. (check box if additional pages are attached) ______________________________________________
4. UTILITIES. To the best of your knowledge: (1)A. Have any percolationsoil analysis tests for sanitary systems been performed? ................... Yes If “Yes,” When? __________ By Whom? Results: Results: (2) Are
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No
B.
Do any of the following presently existingexist within the Property? a. (1) Connection to public water? Yes No d. A water well? ...................................... (5) Connection to shared sewer?.................... Yes No b. (2) Connection to public sewer? Yes No e. (6) Private Sewer/Septic tank? ........... .. /Lagoon?.......... Yes No c. (3) Connection to private water .......... f. (7) Connection to electric utility? Yes……………... Yes No system off Property?….…….. Yes No g. (8) Connection to natural gas service? Yes?........... Yes No (3)(4) Connection to shared water? Yes No (9) A water well?............................................. Yes No C. Are any of the following existing at the boundary of the Property? a. (1) Public water system access? Yes Nod. (5) Electric Service Access?........................... Yes No (2) Public sewer system access? Yes No (6) Natural gas access? ........................... Yes?.................................. Yes No b. Private(3) Shared water system access ? ............................................. Yes No e. (7) Telephone system access? ... ?....................... Yes No c. Electric service(4) Shared sewer system access ? ......................................................... Yes No (8) Other:______________________________________ (4) D. ............................................ Have any utility access charges been paid? ................. ………………………………………………….... Yes No If “Yes,” which charges have been paid? E5. FEDERAL/STATE/LOCAL FARM PROGRAMS. To the best of your knowledge: (1) CRP ..............................................................................................................................................A. Is Property enrolled in CRP (Conservation Reserve Program) Was Property enrolled in CRP?)? ............. Yes No If “Yes,” complete the following: _____ total acres put in CRP _____ last year of participation _____ per acre bid in _____ enrollment year _____ annual payment (2) WRPB. .........................................................................................................................................Is Property enrolled in WRP (Wetlands Reserve Program) was Property enrolled in WRP?)? ................................. Yes No If “Yes,” complete the following: _____ total acres put in WRP _____ last year of participation DSC-8020
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_____ per acre bid in _____ enrollment year _____ annual payment (3) DCP (Direct and Counter-cyclical Payment Program) or ACRE Program. Was Property enrolled in DCP? Yes No Was Property enrolled in ACRE Program? Yes No If “Yes,” what is the total annual payment? $ ____________________ (4) CSP (Cost Share Program) (usually a 10-year program). Is the Property currently participating in any CSPC. ? .............................................................. Yes No If “Yes,” check applicable boxes: _____ Soil/Water _____ Terracing _____ Seeding (Cost Share Program must be maintained or the original owner can be fined.) (5) Other Programs (please identify any other federal, state or local farm loan, price support or subsidy programs in which the Property currently participates): _____________________________________________________
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F. Leasehold/Tenant Rights (Include Farming, Gas And Oil Leases, etc.): (Check and complete applicable box(es)). (a) Are there leasehold interests or tenant rights in the Property? .......................................................... Yes If yes, please complete the following: Lessee/Tenant is: Rent is: Agreement between Seller and lessee ends on or before Copy of Lease is attached. (b) Are there any farming or crop-share agreement rights in the Property? ............................................. Yes If yes, please complete the following: Tenant/Farmer is: Split or Rent is: Agreement between Seller and Tenant ends on or before Copy of Agreement is attached.
193 194 195
(c) Are there additional leasehold interest or tenant rights? (Attach description, if so). .......................... Yes
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No
No
No
G
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6. OTHER MATTERS. To the best of your knowledge: (1) Are you aware that the PropertyA. Is or was the Property used as a site for methamphetamine production or the place of residence of a person convicted of a crime involving any controlled substance related thereto? ........................................................................................................................... Yes No If “Yes,” MAR Form DSC-5000 must be filled out in conjunction with this form. (2) If “Yes,” §441.236 RSMo requires disclosure to potential lessees and §442.606 RSMo requires disclosure to purchasers of real estate. MR Form DSC-5000 (“Disclosure of Information Regarding Methamphetamine/Controlled Substances”) may be filled out in conjunction with these matters. B. Is there anything else that may materially and adversely affect the value or desirability of Property, (e.g., pending claims or, litigation, notice from anya governmental authority of violation of anya law or regulation, proposed zoning changes, street changes, threat of condemnation, or neighborhood noise or nuisance?)? ........................................................................................ Yes No If “Yes,” givebriefly describe the details: . (check box if additional pages are attached) ________________
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H. SELLER’S STATEMENT (to be signed at time of listing)ACKNOWLEDGMENT The undersigned Seller represents that the information set forth in the foregoingthis Disclosure Statement is accurate and complete to the best of Seller’s knowledge as of the date of Seller’s signature below. Seller does not intend this Disclosure Statement to be a warranty or guarantee of any kind. Seller hereby authorizes the listing broker to provide this information to prospective buyers of the Property and to real estate brokers and sales people representing such buyers. Seller will fully and promptly disclose in writing to Buyer any new information pertaining to the Property that is discovered by or made known to Seller at any time prior to closing or settlement and constitutes an adverse material fact or would make any existing information set forth herein false or materially misleading. licensees representing such buyers.
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Seller Date Printed Name: ______________________________
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BUYER’S ACKNOWLEDGEMENT AND AGREEMENT 1. I understand and agree that the information in this form is limited to information of which Seller has actual knowledge and that Seller needcan only make an honest effort at fully revealing the information requested. 2. This Property is being sold to me without warranties or guaranties of any kind by Seller or any Brokerreal estate licensee concerning the condition or value of the Property. 3. I understand I have the right to make an independent investigation of my own.independently investigate the Property. I have been specifically advised to have the Property and any other conditions examined by professional inspectors as I deem fit. 4. I acknowledge that neither Seller nor any Brokerreal estate licensee is an expert at detecting or repairing physical defects in the Property. 5. I specifically representI acknowledge that there are no important representations concerning the condition or value of the Property made by Seller or any Brokerreal estate licensee on which I am relying except as may be fully set forth in writing and signed by either of them.
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Buyer Date Printed Name: ______________________________
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Seller Date Printed Name: ________________________________ Formatted: Space Before: 6 pt
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Buyer Date Printed Name: ________________________________
Approved by legal counsel for use exclusively by members of the Missouri REALTORS®, Columbia, Missouri. No warranty is made or implied as to the legal validity or adequacy of this document, or that it complies in every respect with the law or that its use is appropriate for all situations. Local law, customs and practice, and differing circumstances in each transaction, may each dictate that amendments to this document be made. Last Revised 12/31/09. ©1996 Missouri REALTORS® 15. ©2015 Missouri REALTORS®
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Farm or Vacant Land or Lot Disclosure Statement This document has legal consequences. If you do not understand it, consult your attorney. 1
The following is a disclosure statement made by Seller concerning the following property (the “Property”):
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2 3
Section Township Range Street Address
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4
County
5 6
Section Township Range
___________ Parcel No(s).
City
__________ Farm No(s)
State
Zip Code
__________________________ # of Acres (more or less)
7 8 9 10 11
This Disclosure Statement may assist a Buyer in evaluating the Property, but it is not a warranty of any kind by Seller or any broker orreal estate licensee involved in this transaction, and is not a substitute for any inspection or warrantieswarranty a Buyer may wish to obtain. Real estate brokers and licensees involved in the salethis transaction do not inspect the Property for defects or guarantee the accuracy of theany information provided in this formherein.
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TO THE SELLER: Please complete the following form, including past history orand known problems if known. Do not leave any spaces blank. If the condition is not applicable to your Property (or unknown), mark “N/A” (or “Unknown”) in the blank. The following statements are representations made by the Seller and are not representations ofNOT by any broker orreal estate licensee. Complete and truthful disclosure of the history and condition of the Property gives you the best protection against futurepotential charges that you violated a legal disclosure obligation to a Buyer. Your answers (or the answers you fail to provide, either way,) may have legal consequences, even after the closing of the sale.a transaction. This questionnaireform should help you meet your disclosure obligations, but it may not cover all aspects of the Property. If you know of or suspect some condition which may negatively affect the value of the Property or impair the health or safety of future occupants (e.g., environmental hazards, physical condition or material defects in the Property or title thereto), then you may use the space at the end of this form to furthershould describe that condition and/or attach additional pages if additionalmore space is required. TO THE BUYER: Since these disclosures are based on the Seller’s actual knowledge, you cannot be sure that there are, in fact, no problems with the Property simply because the Seller is not aware of them. The answers givenstatements made by the Seller are limited to the Property and are not warranties of theits condition of the Property. Thus, you may want to. You should condition your offer on a professional inspection(s) of the Property or any off-site conditions as you deem necessary. Conditions of the Property that you can see on a reasonable inspection and/or that are disclosed herein should either be taken into account in setting the purchase price, or you should make the correction of these conditions by the Seller a requirement of the sale contract. IF YOU SIGN A SALE CONTRACT TO PURCHASE THE PROPERTY, THAT CONTRACT, AND NOT THIS DISCLOSURE STATEMENT, WILL PROVIDE FOR WHAT IS TO BE INCLUDED IN THE SALE. IF YOU EXPECT CERTAIN ITEMS OR EQUIPMENT TO BE INCLUDED THEY MUST BE SPECIFIED AS INCLUDED IN THE SALE CONTRACT.
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A. 1. SURVEY, EASEMENTS, FLOODING. To the best of your knowledge: (1) A. When did you purchase the landProperty? (2) B. Has the landProperty been surveyed? ................................................................................. Yes No Year surveyed ________ (3) C. What company or person performed the survey? Name _____________________________________________________________ Phone Address (4)D. If this is platted land, has a certificate of survey been completed? ?............................................. Yes No If “Yes,” by whom? _______________________________________________ When? (5) E. Has the plat been recorded in the land records? ................................................................. Yes No If “Yes,” Plat Book # __________ Page # __________
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F.To the best of your knowledge: (6) Are there any encroachments or boundary line disputes? Yes No (7) G. Are there any easements other than utility or drainage easements? ................................... Yes No (8)H. Is the Property in a designated 100 year flood plain or wetlands areafloodway of any kind? Yes
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No Do you have a Flood Certificate regarding the Property? .......................................................... (9)J. Has there ever been a flood or other disaster at the Property? ..................................... (10) K. Have there ever been drainage problems affecting the Property or adjacent properties?? L. Have you ever purchased flood insurance? ............................................................................... Give the detailsM.
No No No No (11) If any of questions 61.F through 91.L are answered “Yes.”,” briefly describe the details.
B (check box if additional _____________________________________________
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Yes Yes Yes Yes
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attached)
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2. USE RIGHTS AND OTHER RESTRICTIONS. To the best of your knowledge: (1) A. Do any of the following types ofexist regarding the Property: (1) Subdivision or other recorded indentures, covenants, conditions, or restrictions affect the land:?................ Yes No a. Subdivision or other recorded covenants, conditions, or restrictions ...................................................... (2)? Yes No b. A right of first refusal to purchase??....................................................................................... Yes No c.(3) Variances, special use permits, or other zoning restrictions specific to this Property? ?.......... Yes No (2) If (4) Have any of the above questions (B1) are answered “Yes,” do you have written copies of these covenants, conditionsmineral rights been severed or restrictions? transferred?......................................................... If “Yes,” describe: _____________________________________________________ (3)B. Have you ever received notice from any person or authority as to anyof a breach of any of these covenants, conditions or restrictions? the above? Yes No If “Yes,” describe: _____________________________________________________ CC. Are there any farming or crop-share agreement rights in the Property?..................................... Yes No D. Are there any animal feeding operations (“AFO”) or concentrated animal feeding operations (“CAFO”) at the Property? (if “Yes”, please identify Class size and any permits issued below)………… .. Yes No E. Are there any gas & oil leases or other severed or transferred mineral rights (clay, etc.)?…. .. Yes No F. Are there any leasehold interests or tenant rights in the Property? …………………………….... Yes No G. If any of the above questions are answered “Yes,” briefly describe the details. (check box if additional pages are attached) ______________________________________________
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3. CONDITION OF THE PROPERTY. To the best of your knowledge: (1) A. Are there any structures, improvements, or personal property included in the available for sale? Yes If “Yes,” list all items: Are there any problems or defects with any of these items? ....................................................... Yes No If “Yes,” describe all problems or defects: (2) B. Are there any operating or abandoned oil wells, or buried storage tanks, or buried debris or waste on the Property? ?......... Yes No If “Yes,” give details: (3) C. Is there any hazardous or toxic substance in or on thisthe Property or any adjacent property? (including but not limited to mold or lead in the soils)? ................................................................ Yes No If “Yes,” give details: (4) Have any soil tests been performed ............................................................................................................D. If “Yes,” When? _________ By Whom? .............................................................................................................. E. Note: if “Yes”,§260.213 RSMo requires Seller to disclose the location of the site, and Buyer should be aware that Buyer may be held liable to the State for remedial action…………………… Yes No DSC-8020
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F.
Have any soil tests been performed?....... G. Results:
.............................................................. Yes
No
(5) Does the Formatted: Indent: Left: 0.19", Tab stops: 5.83", Right + Not at 0.21" + 0.5" + 0.75" + 1" + 1.25" + 1.5" + 4" + Property have any fill or uncompacted soils? 7" ?.................................................................................................. Yes No If “Yes,” describe location and depth: (6) H. Are there any settling or soil movement problems on this Property or any adjacent property? ?.......................................... Yes LeftNo Formatted: Tab stops: 6.31", + 7", Left + Not at 6.13" If “Yes,” give details: (7) I. Is there a large-scaleany infestation, rot or disease in the trees on the Property? ?.......................................... Yes No Formatted: Tab stops: 7", Left If “Yes,” give details: D J. Is any part of the Property located in a “wetlands area” designated by the Natural Resources Conservation Service (“NRCS”) or Farm Service Authority (“FSA”)?............................................... Yes No K. If any of the above questions are answered “Yes,” briefly describe the details. (check box if additional pages are attached) ______________________________________________
4. UTILITIES. To the best of your knowledge: (1)A. Have any percolationsoil analysis tests for sanitary systems been performed? ................... Yes If “Yes,” When? __________ By Whom? Results: Results: (2) Are
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No
B.
Do any of the following presently existingexist within the Property? a. (1) Connection to public water? Yes No d. A water well? ...................................... (5) Connection to shared sewer?.................... Yes No b. (2) Connection to public sewer? Yes No e. (6) Private Sewer/Septic tank? ........... .. /Lagoon?.......... Yes No c. (3) Connection to private water .......... f. (7) Connection to electric utility? Yes……………... Yes No system off Property?….…….. Yes No g. (8) Connection to natural gas service? Yes?........... Yes No (3)(4) Connection to shared water? Yes No (9) A water well?............................................. Yes No C. Are any of the following existing at the boundary of the Property? a. (1) Public water system access? Yes Nod. (5) Electric Service Access?........................... Yes No (2) Public sewer system access? Yes No (6) Natural gas access? ........................... Yes?.................................. Yes No b. Private(3) Shared water system access ? ............................................. Yes No e. (7) Telephone system access? ... ?....................... Yes No c. Electric service(4) Shared sewer system access ? ......................................................... Yes No (8) Other:______________________________________ (4) D. ............................................ Have any utility access charges been paid? ................. ………………………………………………….... Yes No If “Yes,” which charges have been paid? E5. FEDERAL/STATE/LOCAL FARM PROGRAMS. To the best of your knowledge: (1) CRP ..............................................................................................................................................A. Is Property enrolled in CRP (Conservation Reserve Program) Was Property enrolled in CRP?)? ............. Yes No If “Yes,” complete the following: _____ total acres put in CRP _____ last year of participation _____ per acre bid in _____ enrollment year _____ annual payment (2) WRPB. .........................................................................................................................................Is Property enrolled in WRP (Wetlands Reserve Program) was Property enrolled in WRP?)? ................................. Yes No If “Yes,” complete the following: _____ total acres put in WRP _____ last year of participation DSC-8020
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Reference 167 168 169 170 171 172 173 174 175 176 177
_____ per acre bid in _____ enrollment year _____ annual payment (3) DCP (Direct and Counter-cyclical Payment Program) or ACRE Program. Was Property enrolled in DCP? Yes No Was Property enrolled in ACRE Program? Yes No If “Yes,” what is the total annual payment? $ ____________________ (4) CSP (Cost Share Program) (usually a 10-year program). Is the Property currently participating in any CSPC. ? .............................................................. Yes No If “Yes,” check applicable boxes: _____ Soil/Water _____ Terracing _____ Seeding (Cost Share Program must be maintained or the original owner can be fined.) (5) Other Programs (please identify any other federal, state or local farm loan, price support or subsidy programs in which the Property currently participates): _____________________________________________________
178 179 180 181 182 183 184 185 186 187 188 189 190 191 192
F. Leasehold/Tenant Rights (Include Farming, Gas And Oil Leases, etc.): (Check and complete applicable box(es)). (a) Are there leasehold interests or tenant rights in the Property? .......................................................... Yes If yes, please complete the following: Lessee/Tenant is: Rent is: Agreement between Seller and lessee ends on or before Copy of Lease is attached. (b) Are there any farming or crop-share agreement rights in the Property? ............................................. Yes If yes, please complete the following: Tenant/Farmer is: Split or Rent is: Agreement between Seller and Tenant ends on or before Copy of Agreement is attached.
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(c) Are there additional leasehold interest or tenant rights? (Attach description, if so). .......................... Yes
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No
No
No
G
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6. OTHER MATTERS. To the best of your knowledge: (1) Are you aware that the PropertyA. Is or was the Property used as a site for methamphetamine production or the place of residence of a person convicted of a crime involving any controlled substance related thereto? ........................................................................................................................... Yes No If “Yes,” MAR Form DSC-5000 must be filled out in conjunction with this form. (2) If “Yes,” §441.236 RSMo requires disclosure to potential lessees and §442.606 RSMo requires disclosure to purchasers of real estate. MR Form DSC-5000 (“Disclosure of Information Regarding Methamphetamine/Controlled Substances”) may be filled out in conjunction with these matters. B. Is there anything else that may materially and adversely affect the value or desirability of Property, (e.g., pending claims or, litigation, notice from anya governmental authority of violation of anya law or regulation, proposed zoning changes, street changes, threat of condemnation, or neighborhood noise or nuisance?)? ........................................................................................ Yes No If “Yes,” givebriefly describe the details: . (check box if additional pages are attached) ________________
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H. SELLER’S STATEMENT (to be signed at time of listing)ACKNOWLEDGMENT The undersigned Seller represents that the information set forth in the foregoingthis Disclosure Statement is accurate and complete to the best of Seller’s knowledge as of the date of Seller’s signature below. Seller does not intend this Disclosure Statement to be a warranty or guarantee of any kind. Seller hereby authorizes the listing broker to provide this information to prospective buyers of the Property and to real estate brokers and sales people representing such buyers. Seller will fully and promptly disclose in writing to Buyer any new information pertaining to the Property that is discovered by or made known to Seller at any time prior to closing or settlement and constitutes an adverse material fact or would make any existing information set forth herein false or materially misleading. licensees representing such buyers.
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Reference 223 224 225
Seller Date Printed Name: ______________________________
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BUYER’S ACKNOWLEDGEMENT AND AGREEMENT 1. I understand and agree that the information in this form is limited to information of which Seller has actual knowledge and that Seller needcan only make an honest effort at fully revealing the information requested. 2. This Property is being sold to me without warranties or guaranties of any kind by Seller or any Brokerreal estate licensee concerning the condition or value of the Property. 3. I understand I have the right to make an independent investigation of my own.independently investigate the Property. I have been specifically advised to have the Property and any other conditions examined by professional inspectors as I deem fit. 4. I acknowledge that neither Seller nor any Brokerreal estate licensee is an expert at detecting or repairing physical defects in the Property. 5. I specifically representI acknowledge that there are no important representations concerning the condition or value of the Property made by Seller or any Brokerreal estate licensee on which I am relying except as may be fully set forth in writing and signed by either of them.
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Buyer Date Printed Name: ______________________________
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Seller Date Printed Name: ________________________________ Formatted: Space Before: 6 pt
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Buyer Date Printed Name: ________________________________
Approved by legal counsel for use exclusively by members of the Missouri REALTORS®, Columbia, Missouri. No warranty is made or implied as to the legal validity or adequacy of this document, or that it complies in every respect with the law or that its use is appropriate for all situations. Local law, customs and practice, and differing circumstances in each transaction, may each dictate that amendments to this document be made. Last Revised 12/31/09. ©1996 Missouri REALTORS® 15. ©2015 Missouri REALTORS®
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