l U;#;Iffi,;;;;;;;;;r
SELLER'S PROPERTY DISCLOSURE, Under Maine Law, certain information must be made available to buyers prior to or during preparation of an off'er. This statement has been prepared io assist prospective buyers in evaluating this property. This disclosure is not a warranty of the condition of the property and is not part of any contract between the Seller and any Buyer. The Seller authorizes the Listing Broker in this tiansaction to disclose the information in this statement to other real estate licensees and to prospective buyers of this property. The Seller agrees to notify the Listing Broker promptly of any changes in the informatibn and this form will be appropriately changed with an amendment date. Inspections zLre highly recommended.
NOTE: DO NOT LEAVE ANY OLIESTIONS BLANK. WRITE N/A (NOT APPLICABLE) OR UITIKNOWN IF NEEDED. PROPERTY LOCATED AT:
TYPE OF SYSTEM:
E
E Drilt"d oug E o*rer MALFUNCTIONS: Are you aware of or have you experienced any malfunctions with the (public/private/other) water system?
Pump: E Quality: E
Yes Yes
E E
No E No E]
Nfa
E
Quantiry:
Unknown YES to any question, please expl4i4-jn the coq;nept qqction peloq oryith anachmenl.
ll WATERTEST: Haveyouhadthewaterrested?........JOUJQ df-,.Wlk
...*rf,{J-$..
"l U;#;Iffi,;;;;;;;;;r..
Yes
,/ ffNo E
E v.q E
-'-'.. 6*
Unknown
No
rFyES: Dareormosrrecen..esr: E No To your knowledge, have any test results evet been reported astunsatisfactory or satisfactory with notation? EvesENo IF YES, are test results available? ...................f..... E yes E No
cW
What steps were taken to remedy the problem?
IF PRIVATE:
INSTALLATION: Location: lnstalled BY:
DATE of Installation:
Number of Persons currently using system?
USE:
E] yes E No E
Does system supply water for more than one household?
unkrown
COMMENTS: Source of SECTION I information:
TYPE OF SYSTEM:
r
QUASI-PTJBLIC:
IF PUBLIC OR
inspected?
[.
Yes
,/ [lZfro
If yes, what results: Have you experienced any problems such as line or other malfunctions? What steps were taken to remedy the problem?
Have you had the sewer line
o
Ll
Yes LIJ-{o
IF PRTVATE:
tr tr tr
TANK: Tank Size: Tank Type:
Septic Tank 500 Gal. Concrete
tr Holding Tank El Cesspool El Other: tr 1000 Gal. E Unkoo*n E Oth..; tr Metal EUnknown EOther:
Location:
OR E Unknown
Date Last Pumped:
Name of Company Pumping Tank:
Date of Installation:
If.yes, give the date and describe the problem: Date of Last Servicing of tank:
Name of Company Servicing Tank:
IF YES: Location: Dite of installation of leach field: Date of Last Servicing of leach field:
If
yes, give the date and describe the problem
lnstalled by: Name of Company Servicing leach
field
& what steps were taken to remedy:
Does Seller have records of the septic system design indicating the number of bedrooms the system was designed IF YES, is it available? Is System located in a Shoreland Y"t ............ Is System located in a Coastal Shoreland yes
Zone?.................. Zone?
E E
COMMENTS: Source of SECTION II information: Page 1 The Christopher Group, LLC,PO Box 3l
Rom Cady
of3 - SPD Buyer(s) Initials
Seller(s) Initial
I BIue Hill,ME 04614
Phone: (207)266-383 I
Produced with zipFom@ by ziplogix 18070 Fitteen Mile Road, Faser, Michigan
48026 w.ziplooix.cofli
for?EYesENo
E E
No No
E E
unknown Unknown
PROPERTY LOCATED AT
Age of system(s)/source(s) Name of company that servlces Date of most recent service call Annual consumption per system./ sorirce (i.e., gallons, kilowatt
Malfunction per system(s)i source(s) within oast 2 vea nent information es
tlINo Ll
Unknown
Is it Sleeved?
No
Yes
E
Unknown
[-ast Cleaned: Had a chimnev fire:
Direct/Power'Vent:
E E
Yes Yes
E E
No E Unknown No E] Unknown
COMMENTS: Source of SECTION III information:
The licensee is disclosing that the Seller is making representations contained herein. TINDERGROUND STORAGE TANKS - Current or previously existing: Are there now, or have there ever been, any underground storage tanks on your property'/
A.
IF YES: Are tanks in current use? E Yes E No IF NO above: How long have tank(s) been out of service? What materials are, or were, stored.in the tank(s)? Age oftank(s): Size of tank(s):
I
Unknown
Location: Have you experienced any problems such as leakage?
lf
Yes E No El EYesENoE
Unknown Unknown
tr tr tr
Unknown Unknown Unknown
No
E
Unknown
No
E
Unknown
No
E
Unknown
El
Are tanks registered with the Dept. of Environmental Protection? tanks are no longer in use, have tanks been abandoned according to D.E.P.?
COMMENTS: Source of information:
ASBESTOS - Current or previously existing: as insulation on the heating system pipes or duct work?
o r o
E
in the siding?
in flooring
tiles? E
Yes Yes
EI No E E No E
Yes
unknown Unknown
Yes Yes
tr tr
No No
Source of information:
COMMENTS:
C.
RADON/AIR - Current or previously
existing:
IF YES: Date:
/ By:
If applicable,
Results:
steps were
.............. Ef No Results & Comments:
Has the property been tested since remedial steps? Are test results available? Yes
E
....
E
Yes
Source of information: RADONAVATER - Current or previously existing:
IF YES: Date:
By:
If applicable, What remedial steps were taken?
Results:
Has the property been tested since remedial stepsJ .............. Are test results available? Yes Results
E
E.
E No
.........tr Yes
E
& Commenfs:
Source of information: LEAD-BASED PAINT/PAINT H,A,ZARDS - Current or previously existing: (Note: Lead-based paint is most commonly found in homes ''/ constructed prior to l97B) ves unkno*n Is there now or has there ever been lead-based paint and/or lead-based paint hazards on the property? Unknown but possible due to age IF YES, describe location and the basis for the determination: Do you know of any records or reports pertaining to such lead-based paint or lead-based paint hazards: IF YES, describe: Are you aware of any cracking, peeling or flaking paint? COMMENTS: Source of information:
tr tr
Q/o E
EYesENo
PageZ of 3 - SPD Buyer(s) Initials Produced with zipForrn@ by
ziplogix
.18070
Seller(s) Initials Fifteen Mile Road, Fraser, Michigan
48026 wWw.ziploqix.com
PROPERTY LOCATED
F.
OTHETR.
AT
HAZARDOUS MATERIALS - Curenr or previously existing:
TOXI.MATERIAL: LAND FILL:
E Yes MN" O Unknown EI yes Vr'X E Unkno*n RADIOACTIVE MATERIAL: E yes ffio E Urknown
oTHER
Source of information:
Buyers are encouraged to seek information from prbfessionals regarding any specific issue or concern.
Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life eq;ates, private way, private road/homeowner associations (including condominiums and PUD's) or restrictive yes Unkro*n
covenants?
p/No d
E
IF YES: Explain: What is your source of information:
Are there any tax exemption or reduction for this property for any reason including but not limited to: Tree Growth, Open S Veteran's, Homestead Exemption, Blind, Working Waterfront? yes .... IF YES: Explain: Forest Management and Harvest Plan available? E] Yes
....:....................
o
Is this h.ouse currently covered by a flood insurance policy?
a
Equipment leased or not owned (e.g., propane tag$, hot water heater, satellite dish): Type
a
Year Principal Struqture
a
Roof: Year Shingles/OtherInstalled: Water, Commeltts:
Built:
Farmland,
E E E
E
.. . .|fO.......
.......
E
y.s
unkrown Unknown
unknown
What year did Seller acquire property?
I
or leakage:
I EI6[t orn cdJ,";t'', 6 yes ! E UnknowY Comments: I I Unknown Comments: Hastheproperty ever$t€ntestedformold? r Mold: Hastheproperty everbSt€ntestedformold? [ Yes OX" If YES, are test results availabie? fl Yes E No E6o n! Unknown o Electrical: I Fuses S/Cir.uirBreaker tr Oll,;2_ ! Unknown r Has all or a portion of the property been surveyed? EKyes yEs is the survey available? My.. E No E Unknown If yES. 8L. tr No o
FoundationlBasement: Sump Pump:
a
ManufacturedHousing:
a
Yes Water, moisture or leakage since you owned the property: Prior water, moisture or ieakage? Yes
MobileHome-fl Yes E No E unknown Modular-E yes E No E unknown KNOWN MATERIAL DIIFECTS about Physical Condition andlor value of Property, incfuding those that may have an adverse impact on health/safety:
hAn{-
Source of SECTION
V information:
Seller shall be responsible and liable for any failure to provide known information regarding known material def'ects to the Buyer.
ATTACHMENTS EXPLAINING CI]RRENT PROBI-EMS, PAST REPAIRS OR ADDITIONAL INFORMATION
DISCLOSURE: EyesENo
As Sellers, we.have provided the above information and represent that information is correct. To the best 111 equipment, unless otherwise noted on this form, are in opeiational condition.
IN ANY
ofour knowledge, all
SECTION IN
systems and
sort, whether state, municipal,
e@n DATE I/!Ve have read and received a.copy_ of_this di.sclosure, the arsenic in wood fact sheet, the arsenic in water brochure, and understand that I/we should seek infonhation from qualified prblessionals if Uwe have questions or coflcerns.
BI]YER
DATE
BUYER
DATE
Maine Association of REALTORS@/Copyright @ 2017.
All Rights
Page3of3-SPD
Reserved. Revised 2016.
Produced with zipForm@ by ziplogix
1
8070 Fifteen Mile Road, Fraser, Michigan
48026 www.ziolooix.com
A EqUALHOU$ilG OPPONIUNITY
NOTE: DO NOT LEAVE ANY OLIESTIONS BLANK. WRITE N/A (NOT APPLICABLE) OR UITIKNOWN IF NEEDED. PROPERTY LOCATED AT:
TYPE OF SYSTEM:
E
E Drilt"d oug E o*rer MALFUNCTIONS: Are you aware of or have you experienced any malfunctions with the (public/private/other) water system?
Pump: E Quality: E
Yes Yes
E E
No E No E]
Nfa
E
Quantiry:
Unknown YES to any question, please expl4i4-jn the coq;nept qqction peloq oryith anachmenl.
ll WATERTEST: Haveyouhadthewaterrested?........JOUJQ df-,.Wlk
...*rf,{J-$..
"l U;#;Iffi,;;;;;;;;;r..
Yes
,/ ffNo E
E v.q E
-'-'.. 6*
Unknown
No
rFyES: Dareormosrrecen..esr: E No To your knowledge, have any test results evet been reported astunsatisfactory or satisfactory with notation? EvesENo IF YES, are test results available? ...................f..... E yes E No
cW
What steps were taken to remedy the problem?
IF PRIVATE:
INSTALLATION: Location: lnstalled BY:
DATE of Installation:
Number of Persons currently using system?
USE:
E] yes E No E
Does system supply water for more than one household?
unkrown
COMMENTS: Source of SECTION I information:
TYPE OF SYSTEM:
r
QUASI-PTJBLIC:
IF PUBLIC OR
inspected?
[.
Yes
,/ [lZfro
If yes, what results: Have you experienced any problems such as line or other malfunctions? What steps were taken to remedy the problem?
Have you had the sewer line
o
Ll
Yes LIJ-{o
IF PRTVATE:
tr tr tr
TANK: Tank Size: Tank Type:
Septic Tank 500 Gal. Concrete
tr Holding Tank El Cesspool El Other: tr 1000 Gal. E Unkoo*n E Oth..; tr Metal EUnknown EOther:
Location:
OR E Unknown
Date Last Pumped:
Name of Company Pumping Tank:
Date of Installation:
If.yes, give the date and describe the problem: Date of Last Servicing of tank:
Name of Company Servicing Tank:
IF YES: Location: Dite of installation of leach field: Date of Last Servicing of leach field:
If
yes, give the date and describe the problem
lnstalled by: Name of Company Servicing leach
field
& what steps were taken to remedy:
Does Seller have records of the septic system design indicating the number of bedrooms the system was designed IF YES, is it available? Is System located in a Shoreland Y"t ............ Is System located in a Coastal Shoreland yes
Zone?.................. Zone?
E E
COMMENTS: Source of SECTION II information: Page 1 The Christopher Group, LLC,PO Box 3l
Rom Cady
of3 - SPD Buyer(s) Initials
Seller(s) Initial
I BIue Hill,ME 04614
Phone: (207)266-383 I
Produced with zipFom@ by ziplogix 18070 Fitteen Mile Road, Faser, Michigan
48026 w.ziplooix.cofli
for?EYesENo
E E
No No
E E
unknown Unknown
PROPERTY LOCATED AT
Age of system(s)/source(s) Name of company that servlces Date of most recent service call Annual consumption per system./ sorirce (i.e., gallons, kilowatt
Malfunction per system(s)i source(s) within oast 2 vea nent information es
tlINo Ll
Unknown
Is it Sleeved?
No
Yes
E
Unknown
[-ast Cleaned: Had a chimnev fire:
Direct/Power'Vent:
E E
Yes Yes
E E
No E Unknown No E] Unknown
COMMENTS: Source of SECTION III information:
The licensee is disclosing that the Seller is making representations contained herein. TINDERGROUND STORAGE TANKS - Current or previously existing: Are there now, or have there ever been, any underground storage tanks on your property'/
A.
IF YES: Are tanks in current use? E Yes E No IF NO above: How long have tank(s) been out of service? What materials are, or were, stored.in the tank(s)? Age oftank(s): Size of tank(s):
I
Unknown
Location: Have you experienced any problems such as leakage?
lf
Yes E No El EYesENoE
Unknown Unknown
tr tr tr
Unknown Unknown Unknown
No
E
Unknown
No
E
Unknown
No
E
Unknown
El
Are tanks registered with the Dept. of Environmental Protection? tanks are no longer in use, have tanks been abandoned according to D.E.P.?
COMMENTS: Source of information:
ASBESTOS - Current or previously existing: as insulation on the heating system pipes or duct work?
o r o
E
in the siding?
in flooring
tiles? E
Yes Yes
EI No E E No E
Yes
unknown Unknown
Yes Yes
tr tr
No No
Source of information:
COMMENTS:
C.
RADON/AIR - Current or previously
existing:
IF YES: Date:
/ By:
If applicable,
Results:
steps were
.............. Ef No Results & Comments:
Has the property been tested since remedial steps? Are test results available? Yes
E
....
E
Yes
Source of information: RADONAVATER - Current or previously existing:
IF YES: Date:
By:
If applicable, What remedial steps were taken?
Results:
Has the property been tested since remedial stepsJ .............. Are test results available? Yes Results
E
E.
E No
.........tr Yes
E
& Commenfs:
Source of information: LEAD-BASED PAINT/PAINT H,A,ZARDS - Current or previously existing: (Note: Lead-based paint is most commonly found in homes ''/ constructed prior to l97B) ves unkno*n Is there now or has there ever been lead-based paint and/or lead-based paint hazards on the property? Unknown but possible due to age IF YES, describe location and the basis for the determination: Do you know of any records or reports pertaining to such lead-based paint or lead-based paint hazards: IF YES, describe: Are you aware of any cracking, peeling or flaking paint? COMMENTS: Source of information:
tr tr
Q/o E
EYesENo
PageZ of 3 - SPD Buyer(s) Initials Produced with zipForrn@ by
ziplogix
.18070
Seller(s) Initials Fifteen Mile Road, Fraser, Michigan
48026 wWw.ziploqix.com
PROPERTY LOCATED
F.
OTHETR.
AT
HAZARDOUS MATERIALS - Curenr or previously existing:
TOXI.MATERIAL: LAND FILL:
E Yes MN" O Unknown EI yes Vr'X E Unkno*n RADIOACTIVE MATERIAL: E yes ffio E Urknown
oTHER
Source of information:
Buyers are encouraged to seek information from prbfessionals regarding any specific issue or concern.
Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life eq;ates, private way, private road/homeowner associations (including condominiums and PUD's) or restrictive yes Unkro*n
covenants?
p/No d
E
IF YES: Explain: What is your source of information:
Are there any tax exemption or reduction for this property for any reason including but not limited to: Tree Growth, Open S Veteran's, Homestead Exemption, Blind, Working Waterfront? yes .... IF YES: Explain: Forest Management and Harvest Plan available? E] Yes
....:....................
o
Is this h.ouse currently covered by a flood insurance policy?
a
Equipment leased or not owned (e.g., propane tag$, hot water heater, satellite dish): Type
a
Year Principal Struqture
a
Roof: Year Shingles/OtherInstalled: Water, Commeltts:
Built:
Farmland,
E E E
E
.. . .|fO.......
.......
E
y.s
unkrown Unknown
unknown
What year did Seller acquire property?
I
or leakage:
I EI6[t orn cdJ,";t'', 6 yes ! E UnknowY Comments: I I Unknown Comments: Hastheproperty ever$t€ntestedformold? r Mold: Hastheproperty everbSt€ntestedformold? [ Yes OX" If YES, are test results availabie? fl Yes E No E6o n! Unknown o Electrical: I Fuses S/Cir.uirBreaker tr Oll,;2_ ! Unknown r Has all or a portion of the property been surveyed? EKyes yEs is the survey available? My.. E No E Unknown If yES. 8L. tr No o
FoundationlBasement: Sump Pump:
a
ManufacturedHousing:
a
Yes Water, moisture or leakage since you owned the property: Prior water, moisture or ieakage? Yes
MobileHome-fl Yes E No E unknown Modular-E yes E No E unknown KNOWN MATERIAL DIIFECTS about Physical Condition andlor value of Property, incfuding those that may have an adverse impact on health/safety:
hAn{-
Source of SECTION
V information:
Seller shall be responsible and liable for any failure to provide known information regarding known material def'ects to the Buyer.
ATTACHMENTS EXPLAINING CI]RRENT PROBI-EMS, PAST REPAIRS OR ADDITIONAL INFORMATION
DISCLOSURE: EyesENo
As Sellers, we.have provided the above information and represent that information is correct. To the best 111 equipment, unless otherwise noted on this form, are in opeiational condition.
IN ANY
ofour knowledge, all
SECTION IN
systems and
sort, whether state, municipal,
e@n DATE I/!Ve have read and received a.copy_ of_this di.sclosure, the arsenic in wood fact sheet, the arsenic in water brochure, and understand that I/we should seek infonhation from qualified prblessionals if Uwe have questions or coflcerns.
BI]YER
DATE
BUYER
DATE
Maine Association of REALTORS@/Copyright @ 2017.
All Rights
Page3of3-SPD
Reserved. Revised 2016.
Produced with zipForm@ by ziplogix
1
8070 Fifteen Mile Road, Fraser, Michigan
48026 www.ziolooix.com
A EqUALHOU$ilG OPPONIUNITY
