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dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
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Trxns AssocrnrloN oF Rrerrons"
SELLER'S DISCLOSURE NOTICE @Tsxas Association ot BEALTORS@, lnc.2014
Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Selle/s Disclosure additionar discrosures whrch Notice to a buver on or berore
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CONCERNING THE PROPERTY AT
THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY ]NSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO OBTAIN. IT IS NOT A WARRANry OF ANY KIND BY SELLER, SELLEFI'S AGENTS, OR ANY OTHER AGENT.
/ Seller dir n is not occupying the Property. lf unoccupied (by Seller), how long since Seller has occupied or lnever occupied the Property the Property? tr Section 1. The Property has the items marked below: (Mark Yes (Y), No (N), or Unknown (U).) This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey.
Item Cable TV Wirinq Carbon Monoxide Det.
Ceilino Fans Cooktop Dishwasher Disposal
Emergency Escape Ladder(s) Exhaust Fans Fences Fire Detection Eouio. French Drain Gas Fixtures NaturalGas Lines
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PatiolDeckinq Plumbing System Pool Pool Equipment Pool Maint. Accessories Pool Heater
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Item CentralA/C Evaporative Coolers WallMindow AC Units Attic Fan(s) Central Heat Other Heat Oven Fireplace & Chimney Carport Garaoe Garaqe Door Openers Satellite Dish & Controls Security System Water Heater Water Softener Underoround Lawn Sprinkler Septic / On-Site Sewer Facility (TAR-1406) 01-01-14
Item Liquid Propane Gas: -LP Community (Captive) -LP on Propertv Hot Tub lntercom Svstem Microwave Outdoor Grill
YI N U E
N
n
m r1 number of units:
trl
number of units: if yes, describe:
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by: Buyer:
Item Y N U Pump: fl sump fl orinder E E Rain Gutters tr tr Ranqe/Stove LJ Roof/Attic Vents tr Sauna M 1Smoke Detector M r-t Smoke Detector Hearing E tr lmpaired Spa Mn Trash Comoactor E rl TV Antenna E E Washer/Drver Hookuo m tr Window Screens r:] E Public Sewer System r-'l rxl 11
tr
tr EIItr
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r tslrl r E ts tr &nr mnlr n ts f rr Etr trr rMr nm
n
-
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Additional lnformation Elelectric Eqas number of units: f,*
Y
U
Y Nl u
f Eilf
Elelectric
[]oas
number of units: if ves describe: hffff u,w* tw Als;mA,$t)4/n, number of ovens: Elelectric Eoas
flother:
Elwood Elqas loss nmock flother:
f
attached fl not attached attached El not attached
number of units:3 number of remotes:- {6i Elowned Dleased from Elowned Elleased from number of units: Elelectric ffsas f!other: Elowned Dleased from flautomatic Elmanual areascovered:
if ves. attach lnformation About On-Site Sewer Facility (TAR-1407)
f.]l-land
SGG BDG setter:[:l [1 12/30/15 8:25PM CST
12/30/15 8:12PM CST
Page 1 of 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
(lf yes, complete, sign, and attach TAR-1906 concerning lead-based paint hazards). Roof Type: Age: ls there an (shingles or roof covering covering)? El yei E[no E unknown
(approximate) shingles or roof
Are you (Seller) aware of any of lhe items listed in this Section 1 that are not in working .condition, that have defects, or are need of repair? E[yes E no lf yes, describe (attach additional sheets if necessary):
Section 2. Are you (Seller) aware of any defects or malfunctions in any of the following?: (Mark Yes (Y) if you ars aware and No (N) if you are not aware.)
Exterior Walls lf the answer to
of the items in Section 2 is
additional sheets if
Section 3. Are you (Seller) aware of any of the following conditions: (Mark Yes (Y) if you are aware and No (N) if you are not aware.)
Condition
Y
Aluminum Wirino Asbestos Components Diseased Trees: Efoak wilt D Endanqered Species/Habitat on Property Fault Lines Hazardous or Toxic Waste lmoroper Drainaoe lntermittent or Weather Sprinqs Landfill Lead-Based Paint or Lead-Based Pt. Hazards Encroachments onto the Propertv lmprovements encroachinq on others' property Located in 100-vear Floodplain Located in Floodway Present Flood lns. Coverage (lf yes, attach TAR-1414) Previous Floodino into the Structures Previous Floodinq onto the Property Located in Historic District Historic Prooertv Desionation Previous Use of Premises for Manufacture of Methamphetamine
(TAR-1406)01-01-14
tnitialedor'
N
n n B ft ftn & n n x m n tr x n s B n a n E n E n fI EI
il E
"rr"r'[J, n
Condition Previous Foundation Repairs Previous Roof Repairs Other Structural Repairs Radon Gas Settling Soil Movement Subsurface Structure or Pits Underoround Storage Tanks Unplatted Easements Unrecorded Easements Urea-f ormaldehyde I nsulation Water Penetration Wetlands on Property Wood Rot Active infestation of termites or other wood destroyinq insects (WDl) Previous treatment for termites or WDI Previous termite or WDI damage repaired Previous Fires Termite or WDI damaqe needinq repair Single Blockable Main Drain in Pool/Hot Tub/Sna.
BDG "n0.",,"r, [L,Lf 12/30/15 8:25PM CST
SGG
12/30/15 8:12PM CST
Y
N
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E
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E E
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Page 2 ot 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
concerninsrheproperty
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lf the answer to any of the items in Section 3 is yes,
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(attach additional sheets if
wd fiuzni(,f furud,ttlc u't, lN|, eg* U ;,.ffi l'tfr'. t J i4 fu4a't I
. iJH
additional sheets if necessary):
Section 5. Are you (Seller) aware ol any of the following (Mark Yes (Y) if you are aware. Mark No (N) if you are not aware.)
Y
N,
nEt
Room additions, structural modifications, or other alterations or repairs made without necessary permits or not in compliance with building codes in effect at the time.
dn
Homeowners'associations or maintenance fees or assessments. lf , complete the following: Name of association: Manager's name: 5',i2" qua ^ Fees or assessments are: are: voluntary Any unpaid fees or assessment ves lf the Property is in more than one association, provide information about the other associations below or attach information to this notice.
($.____J
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Any common area (facilities such as pools, tennis courts, walkways, or other) co-owned in undivided interest with others. lf yes, complete the following: Any optional user fees for common facilities charged? E yes E no lf yes, describe:
Any notices of violations of deed restrictions or governmental ordinances affecting the condition or use of the Property. Any lawsuits or other legal proceedings directly or indirectly affecting the Property. (lncludes, but is not limited to: divorce, foreclosure, heirship, bankruptcy, and taxes.)
Any death on the Property except for those deaths caused by: natural causes, suicide, or accident unrelated to the condition of the Property. Any condition on the Property which materially affects the health or safety of an individual.
Any repairs or treatments, other than routine maintenance, rnade to the Property to remediate environmental hazards such as asbestos, radon, lead-based paint, urea-formaldehyde, or mold. lf yes, attach any certificates or other documentation identifying the extent of the remediation (for example, certificate of mold remediation or other remediation).
Any rainwater harvesting system located on the property that is larger than 500 gallons and that uses a public water supply as an auxiliary water source. The Property is located in a propane gas system service area owned by a propane distribution system retailer.
(TAR-1406) 01-01-14
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setter:
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12/30/15 8:25PM CST
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12/30/15 8:12PM CST
Page 3 of 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
lf the answer to
(attach additional sheets if
of the items in Section 5 is
6. Seller tl tras dfras not attached a survey of the Property. Section 7. Within the last 4 years, have you (Seller) received any written inspection reports from Section
persons who regularly provide inspections and who are either licensed as inspectors or otheruise irermitted by law-to pefudrm inspections? Et yes dno lf yes, attach copies and complete the following: lnspection
Date
No. of Paqes
Name of lnspector
I Tvpe
Note: A buyer should not rely on the above-cited reports as a reflection of the current condition of the Property. A buyer should obtain inspections from inspectors chosen by the buyer.
Sectipn 8. Check any tax exemption(s) which you (Seller) currently claim for the Property: El Disabled E[ Homestead E Senior Citizen El Disabled veteran flwitotite Management E Agricultural El unknown Elother:
9. Have ygu (Seller) ever filed provider? El yes E[ no Section
a claim for
damage
to the
Property with any insurance
Section 10. Have you (Seller) ever received proceeds for a claim for damage to the Property (for in a legal proceeding) and not used the proceeds example, an insurance claim or a settlement or for which the claim was made? 9ves Mno lf yes. explain: to make the
Section 11. Does the property have working smoke detectors installed ip accordance with the smoke detector requirements of Chapter 766 of the Health and Safety Code?* Elunknown El no B yes. lf no or unknown,
frryvwht
(Attach additional sheets if q,tjL iwlfr/hd+ &f,tt Ldtr644al.
Ut W umaw ol ilu-
.Chapter 766 of the Health and Safety Code requires oneiamily or two-family dwellings to have working smoke detectors installed in accordance with the requirements of the building code in effect in the area in which the dwelling is located, including pertormance, location, and power source requirements. lf you do nat know the building code requirements in effect in your area, you may check unknawn above or contact your local building official for more information.
A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a member of the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller written evidence of the hearing impairment from a licensed physician; and (3) within 10 days after the effective date, the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired and specifies the locations for installation. The parties may agree who will bear the cost of installing the smoke detectors and which brand of smake detectors to install.
(TAB-1406) 01-01-14
tnitiated
by:
Buyer:f]-|and
BDG setter:[t, f-]SGG 12/30/15 8:25PM CST
12/30/15 8:12PM CST
Page 4 ol 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including the broker(s), has instructed or influenced Seller to provide inaccurate information or to omit any
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ADDITIONAL NOTICES TO BUYER:
(1)The Texas Department of Public Safety maintains a database that the public may search, at no cost, to determine if registered sex offenders are located in certain zip code areas. To search the database, visit Www.txdpS.State.tx.uq. For information concerning past criminal activity in certain areas or neighborhoods, contact the local police department.
(2) lf the property is located in a coastal area that is seaward of the Gulf lntracoastal Waterway or within 1,000 feet of the mean high tide bordering the Gulf of Mexico, the property may be subject to the Open Beaches Act or the Dune Protection Act (Chapter 61 or 63, Natural Resources Code, respectively) and a beachfront construction certificate or dune protection permit may be required for repairs or improvements. Contact the local government with ordinance authority over construction adjacent to public beaches for more information. (3) lf you are basing your offers on square footage, measurements, or boundaries, you should have those items independently measured to verify any reported information. (4) The following providers currently provide service to the property: phone #
fl{s
-{54- (tsz
phone # phone
* ete- 4z*- $qo(
phone #
r,"r#l 0lawrorl . Dirpo.a-l
phone # 5 i z
Natural Gas:
phone #:
Phone
co*p^nv,
eropane:
Nfrt
f]{,r{
phone
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7
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phone #:
(5) This Seller's Disclosure Notice was completed by Seller as of the date signed. The brokers have relied on this notice as true and correct and have no reason to believe it to be false or inaccurate. YOU ARE ENCOURAGED TO HAVE AN INSPECTOR OF YOUR CHOICE INSPECT THE PROPERTY.
The undersigned Buyer acknowledges receipt of the foregoing notice.
Printed Name:
(TAR-1406) 01-O1-14
Printed Name:
Page 5 of 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
,l {} Trxns Assocrerbu
or Rrnlrons
INFORMATION ABOUT ON-SITE SEWER FACILITY usE oF rHrs FoRM By eERSoNS
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oF REALToRS@ rs ruor aurHoRrzED.
CONCERNING THE PROPERTY AT
A.
DESCRIPTION OF ON€ITE SEWER FACILITY ON PROPERTY:
(1) Type of Treatment System:
(septic
n
(2) Type of Distribution
System:Jea
ftAerobic Treatment
Tank
[Unknown
ula fdl
flUnknown
(3) Approximate Location of Drain Field or Distribution System:.
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ui
flUnknown
,to.;se
(4) lnstaller:
IUnknown
(5) Approximate esr,
B.
.lar,ildit&
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IUnknown
MAINTENANCE INFORMATION:
(1) ls Seller aware of any maintenance contract in effect for the on-site sewer facility?
tfY""
E(o
lf
yes, name of maintenance contractor: Phone: contract expiration date: (Maintenance contracts must be in ettect to operate aerobic treatment and certain non-standard' sife sewer facilities.) (2) Approximate date any tanks were last pumped?
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5
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,
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(3) ls Seller aware of any defect or malfunction in the on-site sewer facility? lf yes, explain:
ftYes d*o
(4) Does Seller have manufacturer or warranty information available for review?
Elves druo
PLANNING MATERIALS, PERMITS, AND CONTRACTS:
(1) T[e following items concerning the on-site sewer facility are attached: Splanning materials ftpermit for original installation ffinal inspection when OSSF was installed
E|maintenancecontractf]manufacturerinformation[warrantyinformationL
(2) "Planning materials" are the supporting materials that describe the on-site sewer facility that are submitted to the permitting authority in order to obtain a permit to install the on-site sewer facility. (3)
lt may be necessary for transferred to the buyer.
(TAR 1407)
1-7-04
a buyer to have the permit to operate an on-site sewer facility
tnitialed for tdentification by Buye.
|-|l]"no
BDG .",'*l-lf]] 12/30/15 8:25PM CST
SGG
12/30/15 8:12PM CST
Page 1 of2
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
lnformation about On-Site Sewer Facility concerning
O. INFORMATION FROM GOVERNMENTAL AGENCIES: Pamphlets describing on-site sewer facilities are available from the Texas Agricultural Extension Service. lnformation in the following table was obtained from Texas Commission on Environmental Quality (TCEO) on 10124D0A2. The table estimates daily wastewater usage rates. Actual water usage data or other methods for calculating may be used if accurate and acceptable to TCEQ.
Facilitv Single family dwelling (1-2 bedrooms; less than 1,500 sf) Single family dwelling (3 bedrooms; less than 2,500 sf) Single family dwelling (4 bedrooms; less than 3,500 sf) Single family dwelling (5 bedrooms; less than 4,500 sf) Single family dwelling (6 bedrooms; less than 5,500 sf) Mobile home, condo, or townhouse (1-2 bedroom) Mobile home, condo, or townhouse (each add'l bedroom)
Usage (gal/day) Usage (gallday) without with watersavinq saving devices
waterdevices 225 300 375 450 525 225 75
180
244 300 360 420 180
60
This docurnent is not a substitute for any inspections or warranties. This document was completed to the best of Seller's knowledge and belief on the date signed. Seller and real estate agents are not experts about on-site sewer facilities. Buyer is encouraged to have the on-site sewer facility inspected by an inspector of Buyeds choice.
Receipt acknowledged by:
(TAR 1407) 1-7-04
Page 2 of 2
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
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SELLER'S DISCLOSURE NOTICE @Tsxas Association ot BEALTORS@, lnc.2014
Section 5.008, Property Code requires a seller of residential property of not more than one dwelling unit to deliver a Selle/s Disclosure additionar discrosures whrch Notice to a buver on or berore
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CONCERNING THE PROPERTY AT
THIS NOTICE IS A DISCLOSURE OF SELLER'S KNOWLEDGE OF THE CONDITION OF THE PROPERTY AS OF THE DATE SIGNED BY SELLER AND IS NOT A SUBSTITUTE FOR ANY ]NSPECTIONS OR WARRANTIES THE BUYER MAY WISH TO OBTAIN. IT IS NOT A WARRANry OF ANY KIND BY SELLER, SELLEFI'S AGENTS, OR ANY OTHER AGENT.
/ Seller dir n is not occupying the Property. lf unoccupied (by Seller), how long since Seller has occupied or lnever occupied the Property the Property? tr Section 1. The Property has the items marked below: (Mark Yes (Y), No (N), or Unknown (U).) This notice does not establish the items to be conveyed. The contract will determine which items will & will not convey.
Item Cable TV Wirinq Carbon Monoxide Det.
Ceilino Fans Cooktop Dishwasher Disposal
Emergency Escape Ladder(s) Exhaust Fans Fences Fire Detection Eouio. French Drain Gas Fixtures NaturalGas Lines
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PatiolDeckinq Plumbing System Pool Pool Equipment Pool Maint. Accessories Pool Heater
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Item CentralA/C Evaporative Coolers WallMindow AC Units Attic Fan(s) Central Heat Other Heat Oven Fireplace & Chimney Carport Garaoe Garaqe Door Openers Satellite Dish & Controls Security System Water Heater Water Softener Underoround Lawn Sprinkler Septic / On-Site Sewer Facility (TAR-1406) 01-01-14
Item Liquid Propane Gas: -LP Community (Captive) -LP on Propertv Hot Tub lntercom Svstem Microwave Outdoor Grill
YI N U E
N
n
m r1 number of units:
trl
number of units: if yes, describe:
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by: Buyer:
Item Y N U Pump: fl sump fl orinder E E Rain Gutters tr tr Ranqe/Stove LJ Roof/Attic Vents tr Sauna M 1Smoke Detector M r-t Smoke Detector Hearing E tr lmpaired Spa Mn Trash Comoactor E rl TV Antenna E E Washer/Drver Hookuo m tr Window Screens r:] E Public Sewer System r-'l rxl 11
tr
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Additional lnformation Elelectric Eqas number of units: f,*
Y
U
Y Nl u
f Eilf
Elelectric
[]oas
number of units: if ves describe: hffff u,w* tw Als;mA,$t)4/n, number of ovens: Elelectric Eoas
flother:
Elwood Elqas loss nmock flother:
f
attached fl not attached attached El not attached
number of units:3 number of remotes:- {6i Elowned Dleased from Elowned Elleased from number of units: Elelectric ffsas f!other: Elowned Dleased from flautomatic Elmanual areascovered:
if ves. attach lnformation About On-Site Sewer Facility (TAR-1407)
f.]l-land
SGG BDG setter:[:l [1 12/30/15 8:25PM CST
12/30/15 8:12PM CST
Page 1 of 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
(lf yes, complete, sign, and attach TAR-1906 concerning lead-based paint hazards). Roof Type: Age: ls there an (shingles or roof covering covering)? El yei E[no E unknown
(approximate) shingles or roof
Are you (Seller) aware of any of lhe items listed in this Section 1 that are not in working .condition, that have defects, or are need of repair? E[yes E no lf yes, describe (attach additional sheets if necessary):
Section 2. Are you (Seller) aware of any defects or malfunctions in any of the following?: (Mark Yes (Y) if you ars aware and No (N) if you are not aware.)
Exterior Walls lf the answer to
of the items in Section 2 is
additional sheets if
Section 3. Are you (Seller) aware of any of the following conditions: (Mark Yes (Y) if you are aware and No (N) if you are not aware.)
Condition
Y
Aluminum Wirino Asbestos Components Diseased Trees: Efoak wilt D Endanqered Species/Habitat on Property Fault Lines Hazardous or Toxic Waste lmoroper Drainaoe lntermittent or Weather Sprinqs Landfill Lead-Based Paint or Lead-Based Pt. Hazards Encroachments onto the Propertv lmprovements encroachinq on others' property Located in 100-vear Floodplain Located in Floodway Present Flood lns. Coverage (lf yes, attach TAR-1414) Previous Floodino into the Structures Previous Floodinq onto the Property Located in Historic District Historic Prooertv Desionation Previous Use of Premises for Manufacture of Methamphetamine
(TAR-1406)01-01-14
tnitialedor'
N
n n B ft ftn & n n x m n tr x n s B n a n E n E n fI EI
il E
"rr"r'[J, n
Condition Previous Foundation Repairs Previous Roof Repairs Other Structural Repairs Radon Gas Settling Soil Movement Subsurface Structure or Pits Underoround Storage Tanks Unplatted Easements Unrecorded Easements Urea-f ormaldehyde I nsulation Water Penetration Wetlands on Property Wood Rot Active infestation of termites or other wood destroyinq insects (WDl) Previous treatment for termites or WDI Previous termite or WDI damage repaired Previous Fires Termite or WDI damaqe needinq repair Single Blockable Main Drain in Pool/Hot Tub/Sna.
BDG "n0.",,"r, [L,Lf 12/30/15 8:25PM CST
SGG
12/30/15 8:12PM CST
Y
N
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n
il
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E E
E
EI
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Page 2 ot 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
concerninsrheproperty
".
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lf the answer to any of the items in Section 3 is yes,
TSU)/Z
(attach additional sheets if
wd fiuzni(,f furud,ttlc u't, lN|, eg* U ;,.ffi l'tfr'. t J i4 fu4a't I
. iJH
additional sheets if necessary):
Section 5. Are you (Seller) aware ol any of the following (Mark Yes (Y) if you are aware. Mark No (N) if you are not aware.)
Y
N,
nEt
Room additions, structural modifications, or other alterations or repairs made without necessary permits or not in compliance with building codes in effect at the time.
dn
Homeowners'associations or maintenance fees or assessments. lf , complete the following: Name of association: Manager's name: 5',i2" qua ^ Fees or assessments are: are: voluntary Any unpaid fees or assessment ves lf the Property is in more than one association, provide information about the other associations below or attach information to this notice.
($.____J
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trd nd NM tr tr
d
d
trd
trd
Any common area (facilities such as pools, tennis courts, walkways, or other) co-owned in undivided interest with others. lf yes, complete the following: Any optional user fees for common facilities charged? E yes E no lf yes, describe:
Any notices of violations of deed restrictions or governmental ordinances affecting the condition or use of the Property. Any lawsuits or other legal proceedings directly or indirectly affecting the Property. (lncludes, but is not limited to: divorce, foreclosure, heirship, bankruptcy, and taxes.)
Any death on the Property except for those deaths caused by: natural causes, suicide, or accident unrelated to the condition of the Property. Any condition on the Property which materially affects the health or safety of an individual.
Any repairs or treatments, other than routine maintenance, rnade to the Property to remediate environmental hazards such as asbestos, radon, lead-based paint, urea-formaldehyde, or mold. lf yes, attach any certificates or other documentation identifying the extent of the remediation (for example, certificate of mold remediation or other remediation).
Any rainwater harvesting system located on the property that is larger than 500 gallons and that uses a public water supply as an auxiliary water source. The Property is located in a propane gas system service area owned by a propane distribution system retailer.
(TAR-1406) 01-01-14
lnitiated
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""d
setter:
BDG
[L,
12/30/15 8:25PM CST
[t
SGG
12/30/15 8:12PM CST
Page 3 of 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
lf the answer to
(attach additional sheets if
of the items in Section 5 is
6. Seller tl tras dfras not attached a survey of the Property. Section 7. Within the last 4 years, have you (Seller) received any written inspection reports from Section
persons who regularly provide inspections and who are either licensed as inspectors or otheruise irermitted by law-to pefudrm inspections? Et yes dno lf yes, attach copies and complete the following: lnspection
Date
No. of Paqes
Name of lnspector
I Tvpe
Note: A buyer should not rely on the above-cited reports as a reflection of the current condition of the Property. A buyer should obtain inspections from inspectors chosen by the buyer.
Sectipn 8. Check any tax exemption(s) which you (Seller) currently claim for the Property: El Disabled E[ Homestead E Senior Citizen El Disabled veteran flwitotite Management E Agricultural El unknown Elother:
9. Have ygu (Seller) ever filed provider? El yes E[ no Section
a claim for
damage
to the
Property with any insurance
Section 10. Have you (Seller) ever received proceeds for a claim for damage to the Property (for in a legal proceeding) and not used the proceeds example, an insurance claim or a settlement or for which the claim was made? 9ves Mno lf yes. explain: to make the
Section 11. Does the property have working smoke detectors installed ip accordance with the smoke detector requirements of Chapter 766 of the Health and Safety Code?* Elunknown El no B yes. lf no or unknown,
frryvwht
(Attach additional sheets if q,tjL iwlfr/hd+ &f,tt Ldtr644al.
Ut W umaw ol ilu-
.Chapter 766 of the Health and Safety Code requires oneiamily or two-family dwellings to have working smoke detectors installed in accordance with the requirements of the building code in effect in the area in which the dwelling is located, including pertormance, location, and power source requirements. lf you do nat know the building code requirements in effect in your area, you may check unknawn above or contact your local building official for more information.
A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a member of the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller written evidence of the hearing impairment from a licensed physician; and (3) within 10 days after the effective date, the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired and specifies the locations for installation. The parties may agree who will bear the cost of installing the smoke detectors and which brand of smake detectors to install.
(TAB-1406) 01-01-14
tnitiated
by:
Buyer:f]-|and
BDG setter:[t, f-]SGG 12/30/15 8:25PM CST
12/30/15 8:12PM CST
Page 4 ol 5
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
Concerning the Property at
Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including the broker(s), has instructed or influenced Seller to provide inaccurate information or to omit any
zb-20 t5 Printed
rrrare, Serr
D CrooJ/oE
Printed
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(yolloe
ADDITIONAL NOTICES TO BUYER:
(1)The Texas Department of Public Safety maintains a database that the public may search, at no cost, to determine if registered sex offenders are located in certain zip code areas. To search the database, visit Www.txdpS.State.tx.uq. For information concerning past criminal activity in certain areas or neighborhoods, contact the local police department.
(2) lf the property is located in a coastal area that is seaward of the Gulf lntracoastal Waterway or within 1,000 feet of the mean high tide bordering the Gulf of Mexico, the property may be subject to the Open Beaches Act or the Dune Protection Act (Chapter 61 or 63, Natural Resources Code, respectively) and a beachfront construction certificate or dune protection permit may be required for repairs or improvements. Contact the local government with ordinance authority over construction adjacent to public beaches for more information. (3) lf you are basing your offers on square footage, measurements, or boundaries, you should have those items independently measured to verify any reported information. (4) The following providers currently provide service to the property: phone #
fl{s
-{54- (tsz
phone # phone
* ete- 4z*- $qo(
phone #
r,"r#l 0lawrorl . Dirpo.a-l
phone # 5 i z
Natural Gas:
phone #:
Phone
co*p^nv,
eropane:
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phone
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7
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phone #:
(5) This Seller's Disclosure Notice was completed by Seller as of the date signed. The brokers have relied on this notice as true and correct and have no reason to believe it to be false or inaccurate. YOU ARE ENCOURAGED TO HAVE AN INSPECTOR OF YOUR CHOICE INSPECT THE PROPERTY.
The undersigned Buyer acknowledges receipt of the foregoing notice.
Printed Name:
(TAR-1406) 01-O1-14
Printed Name:
Page 5 of 5
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,l {} Trxns Assocrerbu
or Rrnlrons
INFORMATION ABOUT ON-SITE SEWER FACILITY usE oF rHrs FoRM By eERSoNS
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^Xr:,.:XS1T;;..i:IlEJ,-g;rrfsocrAr4oN
oF REALToRS@ rs ruor aurHoRrzED.
CONCERNING THE PROPERTY AT
A.
DESCRIPTION OF ON€ITE SEWER FACILITY ON PROPERTY:
(1) Type of Treatment System:
(septic
n
(2) Type of Distribution
System:Jea
ftAerobic Treatment
Tank
[Unknown
ula fdl
flUnknown
(3) Approximate Location of Drain Field or Distribution System:.
Ea;'L
ui
flUnknown
,to.;se
(4) lnstaller:
IUnknown
(5) Approximate esr,
B.
.lar,ildit&
Lil'
t141
IUnknown
MAINTENANCE INFORMATION:
(1) ls Seller aware of any maintenance contract in effect for the on-site sewer facility?
tfY""
E(o
lf
yes, name of maintenance contractor: Phone: contract expiration date: (Maintenance contracts must be in ettect to operate aerobic treatment and certain non-standard' sife sewer facilities.) (2) Approximate date any tanks were last pumped?
C.
5
eft
c:t
,
ZO
i4
(3) ls Seller aware of any defect or malfunction in the on-site sewer facility? lf yes, explain:
ftYes d*o
(4) Does Seller have manufacturer or warranty information available for review?
Elves druo
PLANNING MATERIALS, PERMITS, AND CONTRACTS:
(1) T[e following items concerning the on-site sewer facility are attached: Splanning materials ftpermit for original installation ffinal inspection when OSSF was installed
E|maintenancecontractf]manufacturerinformation[warrantyinformationL
(2) "Planning materials" are the supporting materials that describe the on-site sewer facility that are submitted to the permitting authority in order to obtain a permit to install the on-site sewer facility. (3)
lt may be necessary for transferred to the buyer.
(TAR 1407)
1-7-04
a buyer to have the permit to operate an on-site sewer facility
tnitialed for tdentification by Buye.
|-|l]"no
BDG .",'*l-lf]] 12/30/15 8:25PM CST
SGG
12/30/15 8:12PM CST
Page 1 of2
dotloop signature verification: www.dotloop.com/my/verification/DL-136654860-4-343J
lnformation about On-Site Sewer Facility concerning
O. INFORMATION FROM GOVERNMENTAL AGENCIES: Pamphlets describing on-site sewer facilities are available from the Texas Agricultural Extension Service. lnformation in the following table was obtained from Texas Commission on Environmental Quality (TCEO) on 10124D0A2. The table estimates daily wastewater usage rates. Actual water usage data or other methods for calculating may be used if accurate and acceptable to TCEQ.
Facilitv Single family dwelling (1-2 bedrooms; less than 1,500 sf) Single family dwelling (3 bedrooms; less than 2,500 sf) Single family dwelling (4 bedrooms; less than 3,500 sf) Single family dwelling (5 bedrooms; less than 4,500 sf) Single family dwelling (6 bedrooms; less than 5,500 sf) Mobile home, condo, or townhouse (1-2 bedroom) Mobile home, condo, or townhouse (each add'l bedroom)
Usage (gal/day) Usage (gallday) without with watersavinq saving devices
waterdevices 225 300 375 450 525 225 75
180
244 300 360 420 180
60
This docurnent is not a substitute for any inspections or warranties. This document was completed to the best of Seller's knowledge and belief on the date signed. Seller and real estate agents are not experts about on-site sewer facilities. Buyer is encouraged to have the on-site sewer facility inspected by an inspector of Buyeds choice.
Receipt acknowledged by:
(TAR 1407) 1-7-04
Page 2 of 2
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