Pittman Grove Church Road RPD
STATEOF NORTH CAROLINA RESIDENTIALPROPERTYDISCLOSURESTATEMENT l.
INSTRUCTIONS TO PROPERTY OWNERS Ci.S.'171irr-quircsownerstll'residontialreal estatc(singlc-fantill'homcsand buildingswith up to tirur dwelling unis) to lurnish purchasersa propcrty dix-krsurc statement.This lbrm is the txrly one approvcdlbr this purposc.A disclosurestatefllent musl be furnishcd in conncctionwith thc sale. cxch:Lnge,option and salc undcr a lease r.vithoption to purcha-sc(unless the tcnallt is alrc:rdy occupying or intends to occupy thc dwelling). A disclosurestatomcntis not requircdlbr some transactions, including thc lirst salc of a dwelling which has ncver bccn inhabitcd an6 transactiqnsol' rcsidcntialproporly made pursuantto a lease with option to purchascwhcre the lessccnccupiesor intenclsto occupy thc clwclling.Iilr a conrpletc list ol excniptiont sceG.S. 47ll-2.
You musl checkone of the boxeslirr cacho1thc 2l questionson the rcversesideol'this lctrm. 'Ycs" a. If you check lbl any qucstion.)()u nlustcxplain your answerandcither describcthc ploblcrntr anacha rcport liorn an cngincer.conrractor,pcsr controloperator0f0theIeXpertorpublicagencydes:ribingit.Il.youattacharepor1'youwillnotbcliablefilranyinaccuratoorinctlntpletein eontainedin it so longas you wcrc nol grosslyncgligentin drtainingor transmittingtre inlirrmation. bc. *
If' you chrck "No". yott are stating that you havc no actual knowledgcof any pnrblem. Il' you check 'Nrl' and you know there is a problem. )-ou may be liablc lirr making an internlionalmisslatemL'nl. I[-you check 'No Ilcprcsentatitxr", you haveno duty to disclos thc conditionsor characteristics til'the pn)perty.evenifyou shguldhavc knpwn ol liem. Il'you check 'Ycs" tx "No" imcl somethinghappcnslo lhe propcfly to make your Statenrcntincon'ector inaccurate(lir cxanrple,thc rool begins to leak), you must pr()nlptlygive the purchascra correctedStatcnrnt or conoct fte p(rblcm-
IfyouareaSSistedint}resa]col'yourpropcrtybyaliccnscdrealestatcbrtlkcr'ytluarestillrcsptxrsihlc1ilrcontp|ctingari1deliverg purchaserslandthebrtkcrtnustdi*-loscanynratcriaJl'actsaboutyourpr()pt:l.tywhichtheykntlwtlrreastlnablyshouldknow.regardless on thc Stalement. 4.
You must give the complttcd Satement to thc purchaserno latcr lhan thc tirnc lhe purchascrmakesan ofliir to purchirscyour property. Il'you <Jo nol, lhe purchascrcan, undcr cortain conditions.ciurccl any rcsultingcontract(See "Nrte to Purchasers" beltw). You shgultl give the purchas:r a copy clf the Sutcnicnl containing y()ur sigaturc and kcep a copy signed by the purchaserlilr your records.
Note to Purchasers: lf the owner does not give you a Residential Property Disclosure Statement by the time you make lrc)uroffer to purchasethe property, you may under certain conditions catEel any resulting contract and be entiued to a refund of any deposit monies you may have paid. To cancel the contact lfi)u must personally deliver or mail written notice cf your decision to cancel to the owner or tte owner's agent within three calendar days following your receipt of the Statement,or three calerdar days following the date of the contract, whichever occurs first However, in no event does the Disclosure Act permit you to cancel a contract after settlement of the transaction or (in the case cf a sale or exchange)alter !,ou have occupied the property, whichever occurs first, 5.
In thc spaccbclou type or print in ink thc addrcssol thc propcrty(suflicient to idcntily it) and your nanie.'Ihen sign and clate Propcrty Adclress:5558, Owncrls Name(s): Ou rtrr( ,s) Lt bttm,lulg,e
5466,
5430 Pittman
M McCo
and
crove
Church Road
Emil
dnrittc(l
tbeJoresigningundthotilll htfonutionistrueotdLorrectusot'tltedute.s:ignetl
r)atcn/a
Ou'ner Signature:
or dller
-c{ -tl t
Duren/a l-1-L'?'
Ou'ncrSignature: Punltrtse4,r) utlott
/
0l
O (()P\'
!tf Illl:t
sure .\tuteiltent: tlut they ltate exnrined it beJore signing: thut the-tturulersttntl that this is
pro.fe.tsionaI.
Purdras:rSignalure
I)ate n/a
Purchasr: r Signalurc
l)atc n/a
PREPARED BY: Wendy Harris, Broker, ABR ResidentialPropertyDisclosureStalement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,O2008, Version 6.16. SoftwareRegisteredlo: OfficeManager,Team Harris Inc. 01/03/0815:33:01
Page I of 3
Propcrty'Address/Descriptirn: 5558, 5465, 5430 Pittnran n
Growe Church Road
/a
[Ntlte:Inthis'tbrnt,,,pr()pert\.,,refersonllndvvlli.ngunit('s)undnot,s|tetl's, hegarding the property identilicd above,do you know of any problem (malfunction or defect) with any of the lblkrwing: No Yes* No Representation l.
I{)L-iM)ATION, SI-AI}, I'IRI]I'LACITS/CHIMNLjYS, I,L(X)R.S.WINIX)WS (INCI-UDIN(; STORM WINIX)WS ANI) SCRIJIiNS).U)ORS, C}JII,INGS,IN'IIJRIOR ANI) IiX'II.]RIORWAI,I-S. A]-fACHI'I) GAITAGl]. Pn lIO. I)IlCK OR (II Hlllt S'IRUC'ruli.At-COMPON]1N l.Sincluding to thcnr'J........... -Eanymodilications a. Sidingis n M"*nn.y ! wuxl ! Cornposition/Hartlboard vinyl E S),nthcticSruccon Ott., h.
EI
tr!
E El
tr
Approximatt tgc ()l \lruelurc.)
ROOIr(leakagetr othcrprohlem)'l........ a. Approximateageof rool'covering? 3.
!n
tr
n! !n !tr tr!
K
Wn lllR SIlllPAGIr.l-[iAKA(iB, DAMPNIISSOR SI'ANI)IN(; WAll1R in thebascnicnt. crawlspaceor slab'1.....................
a. Heal Sourceis: ! tiuou.. ! geatl\mp n Baseb.artl! Orh.. b.CoolingSourccis:f]CentralFilrccdAir.!wottAvin.h)wUnil(s)m
c.
B E K K
tr tr
liuclSource n propancf] Clit n Ott.. is: fl Itlccrricityfl Narural(ia^s
Wn'lfjR SUPPLY(inclutlingwatcrqualit4quilnriryandwarcrpresurc)'l ...................... a . W a l c r s u p p l y i s :! ( i t y / ( ' , , u n t y ! ( . , r r u n u n i r l S y . l c r u n l , r i r a r , ' W c l l n r t r h , . r . - T I U " k ' r * t r h . w a r c r p i p c s a r:e ! t , , p p . , n C a l r a n i z t d D t , i a . r i e n r t t h . ,
!n -
T] SI]WIiR AND/OR SEP'I]C]SYS'I'TJM'] . _ . . _ . - - _ . . - - - - . - - - - - - I- J- . n a. Sewagcdisposalsystc'nr is: Septrt'fank I Scptiehnkwith l)unip ! ComniunirySystcnr! Conncctetl l r r ( - ti v / ( - o u n t y S y 5 l e n )l - l ( ' i t y / ( ' o u n t y S y s l e n r a v a r l a h l cL l S l r t i g h t I T e { w u \ t r \ 4 a h ' l d { r c q n! r( ')itn l o u s r ' n r i c
T-r U
or othersew0rsyslemInotc:useof'thistypc ol'systcmvirilatc\slrrc lar,rl) LJ 11hc. tsUII.t'-lN APPLIANCES (RANGROVIjN, Al"lAcHlil)
MICROWAVIT. H(X)I)/lAN, DISHWASHITR.
10. PRIiSIINI INI'lrSlAlloN. OR l)AMnGIl I,ROM PAST INlrl..S'lAlIONOlr WOOD l)lis I'ROYIN(;INSBCTS OR OR(;ANISMS which ha.snot beenrepaircd'l
K K K E
tr R
Itr
tr
!n
E
12. Ol'HltR SYSTEMSAND ITIXIURITS: CIIN'IRAL VACIUUN4P(X)L,HOI"I Ull. SPA.A l'llc I,AN. IIXHAUSl'FAN, CI.]II,IN(iFAN, SUMPPUMP, IRRIGAI'IONSYS'II]M.'IV CAtsI-I'WIRIN(; 0R S A I l r l l . l l F . D I S H .( ) R ( ) l l l l i R S Y S ' l l : M S l
Also regarding the property identified alxtve, including the lot, other improvements,and fixturts locatej thereon,do y3u krxrw of any: 14. I',NVIRONMEN'IAL HAZAI{I)S (substances, materialsor prulucls) includingasbestos. lirrni..rldehyclc, radon ga\. n)ethanoga-s.lead-based paint,undergroundsturagelank.or othcrhaz.ardous (T k)xic nnlofial (whcther
EI E
l5.COMMI]|lc]IAI-(XINI)US|'ItIALNUISANC]ljS(noise-'otlor.snxlkc,etc.)af.t'ecting I6. VIOI,AIIONS 0II I]UI[,I)ING C(DES. ZOMN(; oRDINNNCBS, RES'flIIC]'IIVIJCOVIiNANI'S OR OIHT]R I,ANI)-USIIRIJS'I]I,ICIoNSOITI}UILDING COI)IJSINCI,UI)INGlHTi IIAII,URETO OI}'IAIN I'ROI'ER PIJRMI-fSI()IT I{OOM ADI)TI'IONSOII O'IH}]R S'IRUC'fURAI- CfIAN(;HS']
m
!n
tr
trn
E
20. I1.(X)D HAZAIiD (r that the propertyis in a FHDlil{ALLY-l)}iSI(;NA'l}il)FI-OODI)t.AIN'I
tr! !n !n
El tr tr
2 1. PRIVA'Iti ROAI)(S) OR S I Ii.liIr'ISadjoingingrhc propefly'l a . I f y e s , d o y o u k n o w t t l a n c x i s t i n g o ' # n c r s a s s o c i a t i ( n ( ) r n n i n l e n r n c c a g r e L - n l c n t t o nr o t aaidnot ar si nt rt o h ce l '. l.
t! !!
E E.
I7. UIII,ITY OR O'IHER I'ASIIMENTS,SHNREDDI{IVIJWAYS.I'AIIIY WAI-IS oR IJNCITOAC]HMINI.S FROM OR ON AI).tACtrNI pRopL,lillr l ................... . 'ltiNANClllS, 1 8 . LAWSUI fS, I,ORIiCLOSUI{ES, I}ANKRUPTCY, JUlXiMlrN'lS. lAX I-ttiNS. PROPOSEI)ASSI]SSMBN'I'S, MI]CHANICS'I-IIJNS,MA'fTiRIAII4IJNS'I,IIJNS. OITNOl'tL]}JIROM ANY GOVERNMITN1ALAC;ltNCYthatcouldaftbcrtirlc 1orhc propcrty'l........... 1 9 . owNrir{s' ASS(x_rA'noN oR "coMMoN At{r,tA"}i)c,liNStis oR n ssltssMliNl st............
If trtu answere
to any of the above21 questioru,pleaseexplain (Attach additional sheets,if necessary):
P R E P A R E DB Y : W e n d y H a r r i s , B r o k e r , A B R ResidenlialPropertyDisclosureStatement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,02008, Version 6.16. SoftwareRegisteredto: Otfice Manager,Team Harris Inc. 0 1 / 0 3 / 0 815 : 3 3 : 0 1
Page 2 of 3
P R E P A R E DB Y : W e n d y H a r r i s , B r o k e r , A B R ResidentialPropertyDisclosureStatement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,@2008,Version 6.16. SoftwareRegjsteredto: Office Manager,Team Harris Inc. 0 l / 0 3 / 0 81 5 : 3 3 : 0 1
Page 3 ot 3
INSTRUCTIONS TO PROPERTY OWNERS Ci.S.'171irr-quircsownerstll'residontialreal estatc(singlc-fantill'homcsand buildingswith up to tirur dwelling unis) to lurnish purchasersa propcrty dix-krsurc statement.This lbrm is the txrly one approvcdlbr this purposc.A disclosurestatefllent musl be furnishcd in conncctionwith thc sale. cxch:Lnge,option and salc undcr a lease r.vithoption to purcha-sc(unless the tcnallt is alrc:rdy occupying or intends to occupy thc dwelling). A disclosurestatomcntis not requircdlbr some transactions, including thc lirst salc of a dwelling which has ncver bccn inhabitcd an6 transactiqnsol' rcsidcntialproporly made pursuantto a lease with option to purchascwhcre the lessccnccupiesor intenclsto occupy thc clwclling.Iilr a conrpletc list ol excniptiont sceG.S. 47ll-2.
You musl checkone of the boxeslirr cacho1thc 2l questionson the rcversesideol'this lctrm. 'Ycs" a. If you check lbl any qucstion.)()u nlustcxplain your answerandcither describcthc ploblcrntr anacha rcport liorn an cngincer.conrractor,pcsr controloperator0f0theIeXpertorpublicagencydes:ribingit.Il.youattacharepor1'youwillnotbcliablefilranyinaccuratoorinctlntpletein eontainedin it so longas you wcrc nol grosslyncgligentin drtainingor transmittingtre inlirrmation. bc. *
If' you chrck "No". yott are stating that you havc no actual knowledgcof any pnrblem. Il' you check 'Nrl' and you know there is a problem. )-ou may be liablc lirr making an internlionalmisslatemL'nl. I[-you check 'No Ilcprcsentatitxr", you haveno duty to disclos thc conditionsor characteristics til'the pn)perty.evenifyou shguldhavc knpwn ol liem. Il'you check 'Ycs" tx "No" imcl somethinghappcnslo lhe propcfly to make your Statenrcntincon'ector inaccurate(lir cxanrple,thc rool begins to leak), you must pr()nlptlygive the purchascra correctedStatcnrnt or conoct fte p(rblcm-
IfyouareaSSistedint}resa]col'yourpropcrtybyaliccnscdrealestatcbrtlkcr'ytluarestillrcsptxrsihlc1ilrcontp|ctingari1deliverg purchaserslandthebrtkcrtnustdi*-loscanynratcriaJl'actsaboutyourpr()pt:l.tywhichtheykntlwtlrreastlnablyshouldknow.regardless on thc Stalement. 4.
You must give the complttcd Satement to thc purchaserno latcr lhan thc tirnc lhe purchascrmakesan ofliir to purchirscyour property. Il'you <Jo nol, lhe purchascrcan, undcr cortain conditions.ciurccl any rcsultingcontract(See "Nrte to Purchasers" beltw). You shgultl give the purchas:r a copy clf the Sutcnicnl containing y()ur sigaturc and kcep a copy signed by the purchaserlilr your records.
Note to Purchasers: lf the owner does not give you a Residential Property Disclosure Statement by the time you make lrc)uroffer to purchasethe property, you may under certain conditions catEel any resulting contract and be entiued to a refund of any deposit monies you may have paid. To cancel the contact lfi)u must personally deliver or mail written notice cf your decision to cancel to the owner or tte owner's agent within three calendar days following your receipt of the Statement,or three calerdar days following the date of the contract, whichever occurs first However, in no event does the Disclosure Act permit you to cancel a contract after settlement of the transaction or (in the case cf a sale or exchange)alter !,ou have occupied the property, whichever occurs first, 5.
In thc spaccbclou type or print in ink thc addrcssol thc propcrty(suflicient to idcntily it) and your nanie.'Ihen sign and clate Propcrty Adclress:5558, Owncrls Name(s): Ou rtrr( ,s) Lt bttm,lulg,e
5466,
5430 Pittman
M McCo
and
crove
Church Road
Emil
dnrittc(l
tbeJoresigningundthotilll htfonutionistrueotdLorrectusot'tltedute.s:ignetl
r)atcn/a
Ou'ner Signature:
or dller
-c{ -tl t
Duren/a l-1-L'?'
Ou'ncrSignature: Punltrtse4,r) utlott
/
0l
O (()P\'
!tf Illl:t
sure .\tuteiltent: tlut they ltate exnrined it beJore signing: thut the-tturulersttntl that this is
pro.fe.tsionaI.
Purdras:rSignalure
I)ate n/a
Purchasr: r Signalurc
l)atc n/a
PREPARED BY: Wendy Harris, Broker, ABR ResidentialPropertyDisclosureStalement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,O2008, Version 6.16. SoftwareRegisteredlo: OfficeManager,Team Harris Inc. 01/03/0815:33:01
Page I of 3
Propcrty'Address/Descriptirn: 5558, 5465, 5430 Pittnran n
Growe Church Road
/a
[Ntlte:Inthis'tbrnt,,,pr()pert\.,,refersonllndvvlli.ngunit('s)undnot,s|tetl's, hegarding the property identilicd above,do you know of any problem (malfunction or defect) with any of the lblkrwing: No Yes* No Representation l.
I{)L-iM)ATION, SI-AI}, I'IRI]I'LACITS/CHIMNLjYS, I,L(X)R.S.WINIX)WS (INCI-UDIN(; STORM WINIX)WS ANI) SCRIJIiNS).U)ORS, C}JII,INGS,IN'IIJRIOR ANI) IiX'II.]RIORWAI,I-S. A]-fACHI'I) GAITAGl]. Pn lIO. I)IlCK OR (II Hlllt S'IRUC'ruli.At-COMPON]1N l.Sincluding to thcnr'J........... -Eanymodilications a. Sidingis n M"*nn.y ! wuxl ! Cornposition/Hartlboard vinyl E S),nthcticSruccon Ott., h.
EI
tr!
E El
tr
Approximatt tgc ()l \lruelurc.)
ROOIr(leakagetr othcrprohlem)'l........ a. Approximateageof rool'covering? 3.
!n
tr
n! !n !tr tr!
K
Wn lllR SIlllPAGIr.l-[iAKA(iB, DAMPNIISSOR SI'ANI)IN(; WAll1R in thebascnicnt. crawlspaceor slab'1.....................
a. Heal Sourceis: ! tiuou.. ! geatl\mp n Baseb.artl! Orh.. b.CoolingSourccis:f]CentralFilrccdAir.!wottAvin.h)wUnil(s)m
c.
B E K K
tr tr
liuclSource n propancf] Clit n Ott.. is: fl Itlccrricityfl Narural(ia^s
Wn'lfjR SUPPLY(inclutlingwatcrqualit4quilnriryandwarcrpresurc)'l ...................... a . W a l c r s u p p l y i s :! ( i t y / ( ' , , u n t y ! ( . , r r u n u n i r l S y . l c r u n l , r i r a r , ' W c l l n r t r h , . r . - T I U " k ' r * t r h . w a r c r p i p c s a r:e ! t , , p p . , n C a l r a n i z t d D t , i a . r i e n r t t h . ,
!n -
T] SI]WIiR AND/OR SEP'I]C]SYS'I'TJM'] . _ . . _ . - - _ . . - - - - . - - - - - - I- J- . n a. Sewagcdisposalsystc'nr is: Septrt'fank I Scptiehnkwith l)unip ! ComniunirySystcnr! Conncctetl l r r ( - ti v / ( - o u n t y S y 5 l e n )l - l ( ' i t y / ( ' o u n t y S y s l e n r a v a r l a h l cL l S l r t i g h t I T e { w u \ t r \ 4 a h ' l d { r c q n! r( ')itn l o u s r ' n r i c
T-r U
or othersew0rsyslemInotc:useof'thistypc ol'systcmvirilatc\slrrc lar,rl) LJ 11hc. tsUII.t'-lN APPLIANCES (RANGROVIjN, Al"lAcHlil)
MICROWAVIT. H(X)I)/lAN, DISHWASHITR.
10. PRIiSIINI INI'lrSlAlloN. OR l)AMnGIl I,ROM PAST INlrl..S'lAlIONOlr WOOD l)lis I'ROYIN(;INSBCTS OR OR(;ANISMS which ha.snot beenrepaircd'l
K K K E
tr R
Itr
tr
!n
E
12. Ol'HltR SYSTEMSAND ITIXIURITS: CIIN'IRAL VACIUUN4P(X)L,HOI"I Ull. SPA.A l'llc I,AN. IIXHAUSl'FAN, CI.]II,IN(iFAN, SUMPPUMP, IRRIGAI'IONSYS'II]M.'IV CAtsI-I'WIRIN(; 0R S A I l r l l . l l F . D I S H .( ) R ( ) l l l l i R S Y S ' l l : M S l
Also regarding the property identified alxtve, including the lot, other improvements,and fixturts locatej thereon,do y3u krxrw of any: 14. I',NVIRONMEN'IAL HAZAI{I)S (substances, materialsor prulucls) includingasbestos. lirrni..rldehyclc, radon ga\. n)ethanoga-s.lead-based paint,undergroundsturagelank.or othcrhaz.ardous (T k)xic nnlofial (whcther
EI E
l5.COMMI]|lc]IAI-(XINI)US|'ItIALNUISANC]ljS(noise-'otlor.snxlkc,etc.)af.t'ecting I6. VIOI,AIIONS 0II I]UI[,I)ING C(DES. ZOMN(; oRDINNNCBS, RES'flIIC]'IIVIJCOVIiNANI'S OR OIHT]R I,ANI)-USIIRIJS'I]I,ICIoNSOITI}UILDING COI)IJSINCI,UI)INGlHTi IIAII,URETO OI}'IAIN I'ROI'ER PIJRMI-fSI()IT I{OOM ADI)TI'IONSOII O'IH}]R S'IRUC'fURAI- CfIAN(;HS']
m
!n
tr
trn
E
20. I1.(X)D HAZAIiD (r that the propertyis in a FHDlil{ALLY-l)}iSI(;NA'l}il)FI-OODI)t.AIN'I
tr! !n !n
El tr tr
2 1. PRIVA'Iti ROAI)(S) OR S I Ii.liIr'ISadjoingingrhc propefly'l a . I f y e s , d o y o u k n o w t t l a n c x i s t i n g o ' # n c r s a s s o c i a t i ( n ( ) r n n i n l e n r n c c a g r e L - n l c n t t o nr o t aaidnot ar si nt rt o h ce l '. l.
t! !!
E E.
I7. UIII,ITY OR O'IHER I'ASIIMENTS,SHNREDDI{IVIJWAYS.I'AIIIY WAI-IS oR IJNCITOAC]HMINI.S FROM OR ON AI).tACtrNI pRopL,lillr l ................... . 'ltiNANClllS, 1 8 . LAWSUI fS, I,ORIiCLOSUI{ES, I}ANKRUPTCY, JUlXiMlrN'lS. lAX I-ttiNS. PROPOSEI)ASSI]SSMBN'I'S, MI]CHANICS'I-IIJNS,MA'fTiRIAII4IJNS'I,IIJNS. OITNOl'tL]}JIROM ANY GOVERNMITN1ALAC;ltNCYthatcouldaftbcrtirlc 1orhc propcrty'l........... 1 9 . owNrir{s' ASS(x_rA'noN oR "coMMoN At{r,tA"}i)c,liNStis oR n ssltssMliNl st............
If trtu answere
to any of the above21 questioru,pleaseexplain (Attach additional sheets,if necessary):
P R E P A R E DB Y : W e n d y H a r r i s , B r o k e r , A B R ResidenlialPropertyDisclosureStatement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,02008, Version 6.16. SoftwareRegisteredto: Otfice Manager,Team Harris Inc. 0 1 / 0 3 / 0 815 : 3 3 : 0 1
Page 2 of 3
P R E P A R E DB Y : W e n d y H a r r i s , B r o k e r , A B R ResidentialPropertyDisclosureStatement,REC 4.22, Rev. 1/08. North CarolinaReal EstateCommission RealFA$T@Software,@2008,Version 6.16. SoftwareRegjsteredto: Office Manager,Team Harris Inc. 0 l / 0 3 / 0 81 5 : 3 3 : 0 1
Page 3 ot 3
