Farm or Vacant Land or Lot Disclosure Statement
Gabel
Refercnce-
ffitm
AssoctAlloNoF REALTORSO
Farmor Vacant Land or Lot DisclosureStatement
This document has legat consquences lf ynu do not underdand it consult your atitomey. "Property"):
1 The followingis a disclosurestatementmade by Seller concemingthe folloralngProperty(the ---6-592q-- -qamden*19W19W_ 40N 40N -edsarde-W-2 -_ 27 27 U9, @untY ziP code state 3 Secfion TownCrlp Range of 3!Y lilO !J 4 This disclosurestatementmay assista Buyerin evaluatingthe Prgpertyrbut it is not q=wanant)r a Buyer wananties for any.i1-sqg$p[_or substitute is not a transactaon, and in this ticense6 or urofer s $id;iany for defects Property the inspect nbt do sale in the 6 mav wishto o6iiin. neiiestate brokersand licenieesinvolved provided form. in this information the of 7 or duaranteethe accuracy aen;e compEte thefotbwingfum, inctudingpast historyor probtem"-lf.!\n-YnrPg4o.!,lffiy? 6 idiiE'iEdlEn; ,n (or--unKnow.n") g any spacesblank.tf the conditbn is nof applicabbto your Pryperty(or unknown),mart< 10|frffiatoiiigarerepresentatidnsmadetiyt!eSeitte.r-and.?9not.representat!on;9t^a7yPt9!"[:! 1i liCeisee.compjeie iia trutniut disctosureof the tiistory and conditign9f the Propefty.givesyou the best obt,g_?!!oJ1]9:F!!2{r!ou, answersor the thatyou viotatd q tslg?t'disctosurc piaecian igiifrsi rutire.c.nary.es 12 'aiiwers after the ctosing3t,!!1":3P:Ili? te.g.il mai.iaie wav, gglseguences,bven diinei yo"u i;'ii;-ir;rine, 1i iioirt ie7pyitu meetyoir disi:tosureofiligations,hutit may not corrcrall aspecfsof the Prop?rtyl! 14 questionnairc tQ health suspea sorneconaiinn whichmay negdtivetyaffect the iqlqe of the Property-or.impa.iJ id 'o;;;t"ty l:oi-ii6iiH* (e.g.,environmenta't haiards, ithysica!rynlition or mateial defectsin the Property ;ifitire-&upants i6 17 or titte t'hercto),then yan may useing spacgat theend of thisform to further describethat ondition and/orattach 18 additionalpadesif adaitimal spareis reguired. i9 7o iHE 6AY€n: sTnie ttrej6 disctosuiesare based on the Se//e/s knowledge,you cannot be surc that there n are, in fact,niprciteis with the Propertysimply_becaus the Selteris not awate of them-fl9, a1sy91s^giy9!ll 21 the Seilerare'not warrantiesof the bonititionof the Property.Thus,you may want to conditionyour otter on a Z. professionatinspection(s)of the e.rgoe(v. Cond.itbnsof the.Propgrty!h?t !9:t_?3! _s.?"on a reasonaote inipeiian inat{rinit aie'aisclosedh'ereih shoutdeitherbe taken into account in.the OyrclTay-91199^o.1y9y n of the sale contqact-lF YOU Sl9N A 24 shoutdmake ne conectnn of these coditions by the Set/era reqyt!?rygnt p9l!!849T,-4ryD.!9!.rHrs DrscLosuRE
THAT zi s;rtE Conr'iiAci'ii'iLidn SE-iuE-Fn6?Enw, IN THESALE.IF YOUEXPECTCERTAIN TO BE NCLUDED WHAT IS FOi N STAriiCii,**7it-FNOVIOC n
N
n 30 31 p. 33
u
,N THESALE THEYHusT BE sPEo'F,EDAS INCLUDED lreni oA doiJ[pnEvi ro BE INoLUDED
CONTRACT. A" SURVEY, EASETENTS, FLOODING /"',' (*t 4 rv -. /{, (1) When did you purcfiasethe land? l2l Has the land been surveYed? Year suweyed 2o i/ perfgrnledthe srrvey? (3) What cornPanyd l.lame
35
es fl No
Phorcfzl-: taf-Zeq
Address
s
37 38 39 4 41 42 43 4 45 6 47 I 49 50 51 52 53
,/ V 7J
To the beet of your knowledge: .-.-..,-.[Ves X or boundarylinedisputes?................ (6) Areth6reanyencroaEhments E . .....UYes easements? ..-........... utilihj or drain'agp other than there ani.asetnents Are i?t plain year area? ..6Yes wetlands . 6r 100 ftooo .....-.. in designated a Property fs the E igi [Yes M Property?...............::-...... fre ttooO disaster dt a or othei Oeen ever Has there igi properties? ......... IYes adjacent problems or Projerty E the affecting if b) ffaue thereever beendrainage 'Yes." questions ansrered 6 through I are of if ti Cive the detailsif any
wo t'to No t'to No
B. USE RESTRICTIONS.To the best of your knowledge:
(1) Do any of the folloving types of covenants, cmditions, or restrictionsaffect the land: or restrictircns?............,... conditions, or otherrecordedcovenants, a SirOOivislon b. A rightof firstrefusaltopurchae? ................ c. Variarces,specialuse permits,or otherzoningrestrictionsspecific
tlsc-g)20
flYesfi tto lYes R No
nvesfrruo Fage I of3
Gabel
Reference
v 56 56 57 58 59 @
c
[]Yes fN o
/ coNDlTlOXOr rHe pnopeRrv. To the bectof your knowledge:. in thesale..'-..-..'.'-' ' tl Yes ffi l{o included personal or imprwements, fip"tty (il Arethereanystructures,
lf -Yx,'ristarl ltqns: '-"-'-"""Arethereanyproblems 'Y6,' defet,Is; des;qiDe.all Ptoblens or If oil ,r'letls,ourieOstoragetanks,or burieddebrisor any opeiatn! or aOanOoned tnere Are l1l [J ves BNo wasteon the Property? lf 'Yes,' give ddails: pertyor any adjacentproperty (g) i" tn"reiaiy hazardousor to """"""'-"" fl Yes F No (including but not limitedto moldor leadin the soils)?."""'
63 64 65 6 67 68 @
lf 'Yes,' give debils:
70 71 T2 T3 74 75 76
(4)fr",15",1nr'll,T,'i!53i 'Yeg'Wfren? Whorn? lf Results:
.------__-
D
85 86 87 88 89 90 91 g2 93 gl
a b. G
s 96 w
E
a. b. c.
r yes& ruo
-l
BY
(5) DoestneFroperty have arryfill or uncompacted
n
98 99 100 101 102 103 1U 105 106 107 108 109 110 111 112 113
as to any Drea 'orffisffitfA"notantE-(31 Have yot ever received.notie fror.n.a.lypeftnn or authority ./ ff'Yesr' d*crtbe:
Q.
u
n Yes ; No
thesetovenants,conditionsor resffictions?.'----..-.--.'
61
78 79 80 81 82 83
do you havewriftencooiesof 14 lf any d the abovequestions(81)are answered'Yes," """"' ' 617{":"""" .--..-..."..""""-'-':'-" conditionsoi restrictions? frte$ covenants,
.'......
tl Yes K No L
--lf 'Yq- describe location and depth: propedyir D yes h ruo adjacent orany Property proOterns on nis morrement or scil (6) Are there */qqili$ lf nYes,,'givedetails: -(Z) ls there a-large-scaleinfestation, rct or disease in the trees on the Property?.-----------."""""""" ll -Y6,- give details:UTILITIES. To the best of your knowledge: ' tl Yes fl No ' (1) Have any percolationtests Oeenpe*irmed?............ BYWhom? lI'Yes,-Wtren? =---_ Results:
the Property? presently.gxistigwithin (2) Areanyof thefollouring d A'wat6rrrvell?....---.. Y- Kl l$ E Yo K*o connectionto publicwater?-.-.-...........u tank?---..'-t S"pti" -- K rtO ! Yes Kllo to prOii"r"'*n.--.... Ll Vo Connection Ll Yes E lto utility? elecbic to Cohnection f :-.-...i..'connectionto privatewater _ : gas flyes K t*to sbrvice? natural to property?..-......:..........:.....: Cgnnection tl Yes C r,ro -g off sysfiem Propefy? dthe ' i'3i 4'e any ot ttr6totlowtng-exisfiingatt*ggyn-dary ""' tl Ves M No d. Natdrallas access? pubticwatersystemaccesiZ...... F-V; 41 G Yes [.l No e. Telephoiesystemaccess? E i; Private\ ratersystemaccess?--...... F E t-tt Electricserviceaccess?.-,., El Yes U fS paid! charges-been access Li Yes .Wfr utitity (41 Haveany 'Yer,i paid? have been chatges which lf / I FART PROGRAMS FEDERAUSTATE'LOCAL [J Yes F*o ReserveProgram)Was Propertyenrolledin CRP? (i) CRp (Conservation Il'Y8," comPlde ilre following: -enroilment annualpaym!fl,^^ year peracreUd in J,^ u Yes Fno ReserveProgram)rrvaseropertyenrolledin wRP?-.@(2)wRPTwetlands \ lf nYes,,'comPldefrtefollowing: annualpayment ye?r__ _ peracreOidin _ _snnClment Ptqg ACRE qt. Paymql -- f roglam)_or (3) Dnpl$ilect andCountercyclical, tto y; NrYv#'piopertvinrorieo in ACREProgram? t-i vesfr was propertyenronedin ocpii / \ lf -Yeq- wtrat is tne tdal annual payment? $ --(4) CSP (Cost Share Program)(usuallya 1O-yearprogram) n \,-A ^,U tTl{:: lsthe Propefi cunenfly participatingin any CSP? lteeotflg --Tenacing If 'Yes,' cngp;Xqplicabtefoxes: ---soilffiater frnd.) (Cost S;;are prcdnn must Oe mAntained or the original oYns. an be local farm loan, price suppart or subsidy A btn"r erograms-1please identify any other federal, s(ate or prqrams in which the Property cunently participates):------
DSC-8020
Page 2 of 3
114 115 116 117 118 119 120 121 12. 123 124 125 126 127 128 129 130 131 132 133 1U 135 136 137 138 139 140 141 142 143 1M 145 16 147 148 149 150 151 152 153 1U 155 156 157 158 159 160 161 162 163
Leasehold/TenantRights (lnclude Farming, Gas And Oil Leaees,etc.): (Check and complete applicablebox(es)) ( a ) Are there lereefptO int6iests or tenant iibtrts in the Property? lf yes, pleasecomplete the bllowing: Lessee/Tenantis: Rent is: or before Agreem is attached of Leaee [-]Gopy (b) Arsiier6 any farming or cropshare agreement rights in the Property? lf yes, pleasecompletethe bllowing: is: TenanUFarmer F.
Splitor Rentis:_AgreementOe
. fjYes
*o " l-JYes A-{.,^ /J#\
or before-
[Gopy of Agreement b attacherl. (c) Are there aOOitionatleasenoH interest or tenant rights?(Affach description,if so)
i:{I
G. OTHER IIATTERS (1) Are you awarethat the Propertyis or was used as a site for methamphetamineproduction bi tne plice of residenceof a personconvictedof a crime involvingany controlledsubstan"" ,- voo rf/N., lf -yes,n MAR Form DSC-iOOOmust be filled out in conjunctlon with this form(2) ls there anythingelse that may materially and adversely affect the value or desirabilityof authority of violation irioperty, e.g.,'pend-ingclaims or litigation,notice from any govemme_ntal of condemnation, threat of any tlw oi rdguhtion, proposedzbning changes, street changes, v^^ .1.r,,^ " r-r Ll Yes t( *o or neighborhoodnoise or nuisance? \ lf "Yes," give detalls: of listing) (fo time at be signed H. SELLER'S STATEIIENT f[e unOersignedSeller rbpresenis that the informatioi set forth in the foregoing disclosure statement is accurateand completeto tire best of Seller'sknowledge-Seller doe919t intend this disclosurestatementto be a wananty oi g["r*tee of any kind. Seller hereby Jutnorizes the listing Broker to provide this information -"-t
-'
g-
of the proierty and to real eslatebrokersand salesp"op.l:j-t_pj?TJl19_:::llly^:tt^to prospectivebu-yers Seilerwill fully and promSly disclosein writingto Buyerany ne\^, discoveredby or made known to Seller at any time prior
pertaining to the ProPertYthat is
n false or
Seller Date Seller ANDAGREETENT BUYER'S I understandand agree that the informationin this form is limited to infiirmation of wtrich Seller has actual i." i."onted$ ;"d il'rii'sEriir ""eo &tt ;;ke ar honest effort at fully revealing the information requested. Z This property is being sold to me without wananties or guarantiesof any kind by Seller or any Broker concerningthe condition or value of the Property. 3 | understandI have the right to make an independent investigation of my ourn. I have been specifically advised to have the Property examined by professionalinspectors. I acknorledge that neigrerSeller nor any Broker is an expert at detecting or repairing physical defects in the Property. I specificallyrepresentthat there are no importanJrepresentationsconceming.theconditionor value of
i1'i{p6pgrrym-ioeoi'iJriei 6i inv-arorLiofiwrricnI dm relyingexceptas maybefullysefforthin writing and sigred by eitherof them.
Buyer
Date
Buyer
Missouti' No Appro\r€dby leSalcounsel for use e)(clusiEly by members of the li$ssouri Associalion ot Realbrs, Columl*a, this docume-ni,;; $rai it 6omptresin er€rv respect with the law or that its use is warranty rs maoe or rmpiled as to.the tegatratidity tirioeq,iiiiol that amendmentsto anorooriatefor a[ srtuatrons.Locat taw, customs and'piaciice dnc o-ifieringcirCunistancesin each transactioli,may each dictate no longer approved. are previoris document versioirs of this Att i-zit-log. fiii5l"#',j;;ioeoiiliiJliliiHeJ"eo @1996 Missouri Association of Realtors
Page3 of 3
BC-9120
Printedusinc Softwac frcm hofessimd Cmtutq
Fons Co. v
Refercnce-
ffitm
AssoctAlloNoF REALTORSO
Farmor Vacant Land or Lot DisclosureStatement
This document has legat consquences lf ynu do not underdand it consult your atitomey. "Property"):
1 The followingis a disclosurestatementmade by Seller concemingthe folloralngProperty(the ---6-592q-- -qamden*19W19W_ 40N 40N -edsarde-W-2 -_ 27 27 U9, @untY ziP code state 3 Secfion TownCrlp Range of 3!Y lilO !J 4 This disclosurestatementmay assista Buyerin evaluatingthe Prgpertyrbut it is not q=wanant)r a Buyer wananties for any.i1-sqg$p[_or substitute is not a transactaon, and in this ticense6 or urofer s $id;iany for defects Property the inspect nbt do sale in the 6 mav wishto o6iiin. neiiestate brokersand licenieesinvolved provided form. in this information the of 7 or duaranteethe accuracy aen;e compEte thefotbwingfum, inctudingpast historyor probtem"-lf.!\n-YnrPg4o.!,lffiy? 6 idiiE'iEdlEn; ,n (or--unKnow.n") g any spacesblank.tf the conditbn is nof applicabbto your Pryperty(or unknown),mart< 10|frffiatoiiigarerepresentatidnsmadetiyt!eSeitte.r-and.?9not.representat!on;9t^a7yPt9!"[:! 1i liCeisee.compjeie iia trutniut disctosureof the tiistory and conditign9f the Propefty.givesyou the best obt,g_?!!oJ1]9:F!!2{r!ou, answersor the thatyou viotatd q tslg?t'disctosurc piaecian igiifrsi rutire.c.nary.es 12 'aiiwers after the ctosing3t,!!1":3P:Ili? te.g.il mai.iaie wav, gglseguences,bven diinei yo"u i;'ii;-ir;rine, 1i iioirt ie7pyitu meetyoir disi:tosureofiligations,hutit may not corrcrall aspecfsof the Prop?rtyl! 14 questionnairc tQ health suspea sorneconaiinn whichmay negdtivetyaffect the iqlqe of the Property-or.impa.iJ id 'o;;;t"ty l:oi-ii6iiH* (e.g.,environmenta't haiards, ithysica!rynlition or mateial defectsin the Property ;ifitire-&upants i6 17 or titte t'hercto),then yan may useing spacgat theend of thisform to further describethat ondition and/orattach 18 additionalpadesif adaitimal spareis reguired. i9 7o iHE 6AY€n: sTnie ttrej6 disctosuiesare based on the Se//e/s knowledge,you cannot be surc that there n are, in fact,niprciteis with the Propertysimply_becaus the Selteris not awate of them-fl9, a1sy91s^giy9!ll 21 the Seilerare'not warrantiesof the bonititionof the Property.Thus,you may want to conditionyour otter on a Z. professionatinspection(s)of the e.rgoe(v. Cond.itbnsof the.Propgrty!h?t !9:t_?3! _s.?"on a reasonaote inipeiian inat{rinit aie'aisclosedh'ereih shoutdeitherbe taken into account in.the OyrclTay-91199^o.1y9y n of the sale contqact-lF YOU Sl9N A 24 shoutdmake ne conectnn of these coditions by the Set/era reqyt!?rygnt p9l!!849T,-4ryD.!9!.rHrs DrscLosuRE
THAT zi s;rtE Conr'iiAci'ii'iLidn SE-iuE-Fn6?Enw, IN THESALE.IF YOUEXPECTCERTAIN TO BE NCLUDED WHAT IS FOi N STAriiCii,**7it-FNOVIOC n
N
n 30 31 p. 33
u
,N THESALE THEYHusT BE sPEo'F,EDAS INCLUDED lreni oA doiJ[pnEvi ro BE INoLUDED
CONTRACT. A" SURVEY, EASETENTS, FLOODING /"',' (*t 4 rv -. /{, (1) When did you purcfiasethe land? l2l Has the land been surveYed? Year suweyed 2o i/ perfgrnledthe srrvey? (3) What cornPanyd l.lame
35
es fl No
Phorcfzl-: taf-Zeq
Address
s
37 38 39 4 41 42 43 4 45 6 47 I 49 50 51 52 53
,/ V 7J
To the beet of your knowledge: .-.-..,-.[Ves X or boundarylinedisputes?................ (6) Areth6reanyencroaEhments E . .....UYes easements? ..-........... utilihj or drain'agp other than there ani.asetnents Are i?t plain year area? ..6Yes wetlands . 6r 100 ftooo .....-.. in designated a Property fs the E igi [Yes M Property?...............::-...... fre ttooO disaster dt a or othei Oeen ever Has there igi properties? ......... IYes adjacent problems or Projerty E the affecting if b) ffaue thereever beendrainage 'Yes." questions ansrered 6 through I are of if ti Cive the detailsif any
wo t'to No t'to No
B. USE RESTRICTIONS.To the best of your knowledge:
(1) Do any of the folloving types of covenants, cmditions, or restrictionsaffect the land: or restrictircns?............,... conditions, or otherrecordedcovenants, a SirOOivislon b. A rightof firstrefusaltopurchae? ................ c. Variarces,specialuse permits,or otherzoningrestrictionsspecific
tlsc-g)20
flYesfi tto lYes R No
nvesfrruo Fage I of3
Gabel
Reference
v 56 56 57 58 59 @
c
[]Yes fN o
/ coNDlTlOXOr rHe pnopeRrv. To the bectof your knowledge:. in thesale..'-..-..'.'-' ' tl Yes ffi l{o included personal or imprwements, fip"tty (il Arethereanystructures,
lf -Yx,'ristarl ltqns: '-"-'-"""Arethereanyproblems 'Y6,' defet,Is; des;qiDe.all Ptoblens or If oil ,r'letls,ourieOstoragetanks,or burieddebrisor any opeiatn! or aOanOoned tnere Are l1l [J ves BNo wasteon the Property? lf 'Yes,' give ddails: pertyor any adjacentproperty (g) i" tn"reiaiy hazardousor to """"""'-"" fl Yes F No (including but not limitedto moldor leadin the soils)?."""'
63 64 65 6 67 68 @
lf 'Yes,' give debils:
70 71 T2 T3 74 75 76
(4)fr",15",1nr'll,T,'i!53i 'Yeg'Wfren? Whorn? lf Results:
.------__-
D
85 86 87 88 89 90 91 g2 93 gl
a b. G
s 96 w
E
a. b. c.
r yes& ruo
-l
BY
(5) DoestneFroperty have arryfill or uncompacted
n
98 99 100 101 102 103 1U 105 106 107 108 109 110 111 112 113
as to any Drea 'orffisffitfA"notantE-(31 Have yot ever received.notie fror.n.a.lypeftnn or authority ./ ff'Yesr' d*crtbe:
Q.
u
n Yes ; No
thesetovenants,conditionsor resffictions?.'----..-.--.'
61
78 79 80 81 82 83
do you havewriftencooiesof 14 lf any d the abovequestions(81)are answered'Yes," """"' ' 617{":"""" .--..-..."..""""-'-':'-" conditionsoi restrictions? frte$ covenants,
.'......
tl Yes K No L
--lf 'Yq- describe location and depth: propedyir D yes h ruo adjacent orany Property proOterns on nis morrement or scil (6) Are there */qqili$ lf nYes,,'givedetails: -(Z) ls there a-large-scaleinfestation, rct or disease in the trees on the Property?.-----------."""""""" ll -Y6,- give details:UTILITIES. To the best of your knowledge: ' tl Yes fl No ' (1) Have any percolationtests Oeenpe*irmed?............ BYWhom? lI'Yes,-Wtren? =---_ Results:
the Property? presently.gxistigwithin (2) Areanyof thefollouring d A'wat6rrrvell?....---.. Y- Kl l$ E Yo K*o connectionto publicwater?-.-.-...........u tank?---..'-t S"pti" -- K rtO ! Yes Kllo to prOii"r"'*n.--.... Ll Vo Connection Ll Yes E lto utility? elecbic to Cohnection f :-.-...i..'connectionto privatewater _ : gas flyes K t*to sbrvice? natural to property?..-......:..........:.....: Cgnnection tl Yes C r,ro -g off sysfiem Propefy? dthe ' i'3i 4'e any ot ttr6totlowtng-exisfiingatt*ggyn-dary ""' tl Ves M No d. Natdrallas access? pubticwatersystemaccesiZ...... F-V; 41 G Yes [.l No e. Telephoiesystemaccess? E i; Private\ ratersystemaccess?--...... F E t-tt Electricserviceaccess?.-,., El Yes U fS paid! charges-been access Li Yes .Wfr utitity (41 Haveany 'Yer,i paid? have been chatges which lf / I FART PROGRAMS FEDERAUSTATE'LOCAL [J Yes F*o ReserveProgram)Was Propertyenrolledin CRP? (i) CRp (Conservation Il'Y8," comPlde ilre following: -enroilment annualpaym!fl,^^ year peracreUd in J,^ u Yes Fno ReserveProgram)rrvaseropertyenrolledin wRP?-.@(2)wRPTwetlands \ lf nYes,,'comPldefrtefollowing: annualpayment ye?r__ _ peracreOidin _ _snnClment Ptqg ACRE qt. Paymql -- f roglam)_or (3) Dnpl$ilect andCountercyclical, tto y; NrYv#'piopertvinrorieo in ACREProgram? t-i vesfr was propertyenronedin ocpii / \ lf -Yeq- wtrat is tne tdal annual payment? $ --(4) CSP (Cost Share Program)(usuallya 1O-yearprogram) n \,-A ^,U tTl{:: lsthe Propefi cunenfly participatingin any CSP? lteeotflg --Tenacing If 'Yes,' cngp;Xqplicabtefoxes: ---soilffiater frnd.) (Cost S;;are prcdnn must Oe mAntained or the original oYns. an be local farm loan, price suppart or subsidy A btn"r erograms-1please identify any other federal, s(ate or prqrams in which the Property cunently participates):------
DSC-8020
Page 2 of 3
114 115 116 117 118 119 120 121 12. 123 124 125 126 127 128 129 130 131 132 133 1U 135 136 137 138 139 140 141 142 143 1M 145 16 147 148 149 150 151 152 153 1U 155 156 157 158 159 160 161 162 163
Leasehold/TenantRights (lnclude Farming, Gas And Oil Leaees,etc.): (Check and complete applicablebox(es)) ( a ) Are there lereefptO int6iests or tenant iibtrts in the Property? lf yes, pleasecomplete the bllowing: Lessee/Tenantis: Rent is: or before Agreem is attached of Leaee [-]Gopy (b) Arsiier6 any farming or cropshare agreement rights in the Property? lf yes, pleasecompletethe bllowing: is: TenanUFarmer F.
Splitor Rentis:_AgreementOe
. fjYes
*o " l-JYes A-{.,^ /J#\
or before-
[Gopy of Agreement b attacherl. (c) Are there aOOitionatleasenoH interest or tenant rights?(Affach description,if so)
i:{I
G. OTHER IIATTERS (1) Are you awarethat the Propertyis or was used as a site for methamphetamineproduction bi tne plice of residenceof a personconvictedof a crime involvingany controlledsubstan"" ,- voo rf/N., lf -yes,n MAR Form DSC-iOOOmust be filled out in conjunctlon with this form(2) ls there anythingelse that may materially and adversely affect the value or desirabilityof authority of violation irioperty, e.g.,'pend-ingclaims or litigation,notice from any govemme_ntal of condemnation, threat of any tlw oi rdguhtion, proposedzbning changes, street changes, v^^ .1.r,,^ " r-r Ll Yes t( *o or neighborhoodnoise or nuisance? \ lf "Yes," give detalls: of listing) (fo time at be signed H. SELLER'S STATEIIENT f[e unOersignedSeller rbpresenis that the informatioi set forth in the foregoing disclosure statement is accurateand completeto tire best of Seller'sknowledge-Seller doe919t intend this disclosurestatementto be a wananty oi g["r*tee of any kind. Seller hereby Jutnorizes the listing Broker to provide this information -"-t
-'
g-
of the proierty and to real eslatebrokersand salesp"op.l:j-t_pj?TJl19_:::llly^:tt^to prospectivebu-yers Seilerwill fully and promSly disclosein writingto Buyerany ne\^, discoveredby or made known to Seller at any time prior
pertaining to the ProPertYthat is
n false or
Seller Date Seller ANDAGREETENT BUYER'S I understandand agree that the informationin this form is limited to infiirmation of wtrich Seller has actual i." i."onted$ ;"d il'rii'sEriir ""eo &tt ;;ke ar honest effort at fully revealing the information requested. Z This property is being sold to me without wananties or guarantiesof any kind by Seller or any Broker concerningthe condition or value of the Property. 3 | understandI have the right to make an independent investigation of my ourn. I have been specifically advised to have the Property examined by professionalinspectors. I acknorledge that neigrerSeller nor any Broker is an expert at detecting or repairing physical defects in the Property. I specificallyrepresentthat there are no importanJrepresentationsconceming.theconditionor value of
i1'i{p6pgrrym-ioeoi'iJriei 6i inv-arorLiofiwrricnI dm relyingexceptas maybefullysefforthin writing and sigred by eitherof them.
Buyer
Date
Buyer
Missouti' No Appro\r€dby leSalcounsel for use e)(clusiEly by members of the li$ssouri Associalion ot Realbrs, Columl*a, this docume-ni,;; $rai it 6omptresin er€rv respect with the law or that its use is warranty rs maoe or rmpiled as to.the tegatratidity tirioeq,iiiiol that amendmentsto anorooriatefor a[ srtuatrons.Locat taw, customs and'piaciice dnc o-ifieringcirCunistancesin each transactioli,may each dictate no longer approved. are previoris document versioirs of this Att i-zit-log. fiii5l"#',j;;ioeoiiliiJliliiHeJ"eo @1996 Missouri Association of Realtors
Page3 of 3
BC-9120
Printedusinc Softwac frcm hofessimd Cmtutq
Fons Co. v
