SELLER'S DISCLOSURE OF PROPERTY CONDITION
10-23-2013
APPROVEDBY TIIE TEXASREALESTATECOMMISSION(TREC) IOUAI.HOUSINC OPPOR TUNIIY
S E L L E R 'SD IS C LOSURE OF PROPERTYCONDITION
C O N C E R N I NTGH EP R O P E R T Y AT T H I SN O T I C EI S A D I S C L O S U RO E F S E L L E R ' SK N O W I - E D GO EF T H E C O N D I T I O N OF THEPROPERTY A S O F T H E D A T ES I G N E DB Y S E L L E R ANt] IS NOT A SUBSTITUTEFOR ANY INSPECI'IONS OR WAI]RANTIESTHE PURCHASERMAY WISH TO OBTAIN IT IS NOT A WARRANTY O F A N Y K I N DB Y S E L I . E R OR SELLER'S AGENTS
seller fl is 1
notoccupying thePropertylf unoccupied, howlongsincesellerhasoccupred thepropertv?
The Propertyhasthe itemscheckedbelow [Writeyes (y), No (N),or Unknown(U)] ----Range -. Oven Dishwasher
_
Microwave
lraslr Compactor
-
Pispe5sl
-Y
WinciowScreerrs
-
Rain Gutters
-
FireDetectionEquipment
-
In[s1s6rn System
--
SmokeDetector
--
Smokt-. Detector-llearing lmpaired
-
S a t e l l i tD e ish
-.-
asher/Dryer Hookups -
$ssuritySystem
/
-
TVAntenna
-
C a b l eI V W i r i n g
-
PlumbingSystem
-
SepticSystcm
-
Patio/pecking
_
OutdoorGrilt
-
Pool
__-- PoolEquipment
_
Fences
-
Sauna
-
gps
-
Pool fleater
-_
_
llot Tub
-
Fireplace(s) & chimney (Woodburning)
_
AutomaticLawnSprinklerSystem pi1spl36e(s) & chimney(Mock)
-
N a t u r aGl a sL i n e s
_
GasFixtures
-
LiqutdPropaneGas:
Garage.
-
Attached
GarageDoorOpener(s)
LP comrnunrty(captive)
-
Lp on property
-..-
N()tAttaohed
--
Carport
--
Etectronic
_-
Controt(s) Electrrc
RoofType
(approx) need of
T R E CN o O P - H 'l-X l l l a c k l l c a l l : s t a r -e1 5 l . C \ It ll I llictr. 76-157 l ' l t t r n c .l 5 . l - 7 t ) 6 - . l 7 5 6 I r a r : l 5 . l - 7 9 6 - 5 ( ) 5I
( hristB i llck
P r o d u c e d w i t h z i p F o r m @ b y z i p l o g t x1 9 0 7 0 I r f l e e n M i l e R o a d
Fraser.Michrgan4g026wwwzroLoorxcom
Iintitlt-d
Seller's Drsclosure Notice Concerning theproperty al
E -
53q
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.-fX
pase2
10-23-2013
(Street Address and()itv) Does the properlyhave working snrokedetectorsinsralledin accordancewith the smoke detectorrequirementsof Chapter766. Health and Safety Code? Ves o l L J n k n o w nl f t h e a n s w e rt o t h i s q u e s t i o ni s n o o r u n k n o w ne, x o l a i n [ (Attachadditionalsheets if necessar-v).
*
C h a p t e7r 6 6o f t h c H e a l t ha n c lS a f e t yC o d r :r e q u i r e O s n e - f a m iol yr t w o - f a m i ldyw e l l i n gtso h a v ew o r k i n gs m o k ed e t e c t o risn s t a l l e idn accordance with the requirernents of thr-.buildinqcode in effectrn the area in whichthe dwellingis located,includingperformance, location, and powersourcerequirernentsli you do nrttknow the buildinqcode requirernents in effectin your area,you may cnecK u n K n o wanD o v eo r c o n t a c yt o u r l o c a lb u i l d i n (otf f i c i aflo r m o r er n f o r m a t i oAn b u y e rm a y r e q u i r ea s e l l e rt o i n s t a lsl m o k e detectors f o r t h eh e a r i n gt r n p a i r eidf : ( 1 ) t h e b u y e ro r a m e r n b uor f t h e b u y e r ' sf a m i l yw h o w i l lr e s i d ei n t h e d w e l l i n gr s h e a r i n gi m p a i r e d( ,2 ) the b u y e rg i v e st h e s e l l e rw r i t t e ne v i d e n c t - ' otfh e h e a r i n gi n r p a i r m e nf rto m a l i c e n s e dp h y s i c r a na,n d ( 3 ) w i t h t n1 o d a y s a f t e rt h e effectivedate,the buyermakesa writtenrL\quest for the sellerto installsmokedetectorsfor the hearingimpairedand specifiesthe l o c a t i o nfso r t h e I n s t a l l a t i oTn h e p a r t i e sr n a ya g r e ew h o w i l l b e a rt h e c o s t o f i n s t a l l r ntgh e s m o k ed e t e c t o r sa n d w h i c h b r a n do f smokedetcctorsto install
Are you (Seller)aware of any known ddefect e f e c t s / n t al fL n t ctions i n a n y o f t h e f o l l o w i n g ? if you are not aware //
I n t e r i oW r atts
tl
-- t
,4/ Exterior Walls
/
/v, noor fl, w"trrlr"n"ut
- /l
l'
Plurnbingsewers/Septics
N
Ornu,Structural (t)escribe) Crrmponents
Yes
if you are aware,write No (N)
oeilinos
Floors
n*,r'
// *u,oo*,
r ouoaatton/Stab(s)
y'Y . Siciewalks
- /y' .r.iu.*ry, l/
IntercomSystent
Electrrcal Systenrs
Lightrng[:ixtures
lf the answerto any of the aboveis yes, explain (Attachacldrtional sheetsif necessarv)
A r e y o u( S c l l e ra) w a r eo f a n y o f t h e f o l l o w i ncqo n d r t i o n sW? r i t eYes (Y) if you arc aware,writeNo (N) if you are not aware ActiveTermites(inclucles woo(ldestroyi,r(l Insccrs) Termite o r W o o dR o t D a m a q eN e e d t n ef l e p a r l PreviousTermiteDanrage ',I A / ' F ' r e v i o L rTs e r m i t e I r e : n m e . . n t P r e v i o u sI ' l o o d i r r q al /r '
r m p r o p e rL J r a t n a g e *r,",
PenL.tration
L o c a t e di n 1 0 0 - Y e - . a F rl o o d p l a i n P r e s e n t F l o o d l n s u r a n c r :C o v e r a g e lV --
/
,'r"rron"Structuralor tloof Repair l-lazardous OrToxrcWaste
a_ +
A s b e s t o sC o r n p o n e n t s
t_
_L
[ Je r a - f o r m a l d e h yIdnes u l a t i o n R a d o nG a s L e a dR a s e dP a i n t
_L A l u m i n u mW i r r n q PreviousFires
-A U n p l a t t eEd a s e m e n t s
L a n d f i l lS , e t t l i n g ,S o i t M o v e r n e n t ,F a u l t l - i n e s
Subsurface Structureor Pits
S i n g l eB l o c k a b l eM a i n l ) r a i n i n p o o l / l ] o t T u b / S p a .
P r e v i o uU s s eo f P r e m i s e sf o r M a n u f a c t u roef M e t h a m p h e t a m i n e
l f t h e a n s w e rt o a n y o f t h e i : b o v e r s y e s , e x p l a i n
sdditional sheetsif necessary)
- A s i n g l eb l o c k a b l e m a i nd r a i nm a y c a u s ea s u c t i o ne n t r a p r n e n h ta z a r df o r a n i n d i v r s u a r
Produced with zrpForm@ by zrpLoqix 1BO/0 Frftc(rnl\,lrleRoad Fraser l\4rchiqan48026
turyytarD!-agq.eqrlL
Seller's Disclosure NoticeConcerning theproperty ut
53 ?
t= . Tlr,^ ,/
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L* cn, p
Page 3
10-23-2013
(StreetAddressand Citv)
6
Are you (Seller)awareof any of the following?WriteYes (Y) if you are aware,writeNo (N) if you are not
aware
N ' Roo^ additions,structuralmodifications,or other allerationsor repairs made without necessary permtts or not In compliance withbuildingcodes in effectat that time Homeowners' Associationor maintenance fees or assessments y'
Onr"commonarea" (facilitlessuch as pools,tenniscour'ts,walkways,or other areas)co-ownedin undrvrded interestwith others
.t
/v - enynottcesof violationsof deed restrictions or governmental ordinances affectingthe conditionor use of the property N- Anyconditionon the Propertywhichmateriallyaffectsthe physicalhealthor safety of an individual. I 'v Any rainwaterharvesting systemlocatedon the propertythat is largerthan 500 gallonsand that uses a publicwatersupplyas an auxilrary walersource Any lawsuitsdrrectlyor indtrectly affectingthe property lf the answerto any of the aboveis yes, explain (Attachadditional sheetsif necessarv):
7
lf the propertyls locatedin a coastalarea that is seawardof the Gulf Intracoastal WateMay or within 1,OOO feet of the mean high tide borderingthe Gulf of Mexicr>,the propertymay be sub,lectto the Open BeachesAct or the Dune protectionAct (Chapter61 or 63, NaturalResourcesCode, respectively) and a beachfrontconstructioncertificateor dune protectionpermit nray be requiredfor repairs or improvementsContact the local governmentwith ordinance authoritv over construction adjacentto publicbeachesfor more information
Signatureof
T h e u n d e r s r g n e dp u r c h a s e r h e r e b y a c k n o w l e d g e s r e c e i p t o f t h e f o r e g o i n g n o t i c e
Signatureof Purchaser
Date
Signatureof Purchaser
Date
TRECNo OP-H Produced with zrpForm@ by zrplogix 180/o rrifteen Mire Road, Fraser, Michrgan 48026
oLooiLconl
L in ri t l e d
APPROVEDBY THE TEXASREALESTATECOMMISSION
10-10-1 1
A D D E N D U MF OR S E LLER' SDISCLOSURE OF INFORMATION ON LEAD-BASEDPAINTAND LEAD-BASEDPAINTHAZARDS A S R E QUIREDBY FEDERALLAW -t ryr c o N C ER NrI H NE Gp R o p E RA fi q { . fh; ftl x 7LW &L", (Street Address andCity)
A' LEAD WARNING STATEMENT: "Every purchaser of any interest in residential real property on which a residentialdwellingwas built prior to 1978 is notifiedthat such property may present exposureto lead from leadb a s e d p a i n t t h a t m a y p l a c e y o u n g c h i l d r e na t r i s k o f d e v e l o p i n gl e a d p o i s o n i n g L e a d p o i s o n i n gi n y o u n g c h i l d r e n m a y p r o d u c e p e r m a n e n t n e u r o l o g i c a ld a m a g e , i n c l u d i n g l e a r n i n g d i s a b i l i t i e s ,r e d u c e d i n t e l l i g e n c eq u o t i e n t , b e h a v i o r apl r o b l e m s ,a n d i m p a i r e dm e m o r y L e a d p o i s o n i n ga l s o p o s e s a p a r t i c u l a r i s k t o p r e g n a n tw o m e n T h e seller of any interest in residentialreal property is required to provide the buyer with any informationon leadbased paint hazards from risk assessmentsor inspectionsin the seller's possessionand notify the buyer of any known lead-basedpaint hazards A risk assessmentor inspectionfor possible lead-painthazards is recommended priorto purchase" NOTICE:Inspectormust be properly certified as required by federal law. B . S E L L E R ' SD I S C L O S U R E : 1 PRESENCE OF LEAD-BASED P A I N TA N D / O RL E A D - B A S E D P A I N TH A Z A R D S( c h e c ko n e b o x o n l v ) : Q (a) Knownlead-basedpaintand/orlead-basedpainthazardsare presentin the Property(explain): 2
R E C O R D SA N D R E P O R T SA V A I L A B L E T O S E L L E R( c h e c ko n e b o xo n t v ) : fl (a) Seller has provided the purchaserwith all available records and reports pertainingto lead-basedpaint and/orlead-basedpainthazardsin the propertvflistdocuments):
Seller has no reports or records pertainingto lead-basedpaint and/or lead-basedpaint hazards in the Property c . B U Y E R ' SR I G H T S( c h e c ko n e b o x o n l y ) : D 1 Buyer waives the opportunityto conduct a risk assessmentor inspectionof the Propertyfor the presenceof l e a d - b a s epda i n to r l e a d - b a s e p d a i n th a z a r d s J 2 Within ten days after the effectivedate of this contract,Buyer may have the Propertyinspectedby inspectors selected by Buyer lf lead-basedpaint or lead-basedpaint hazards are present, Buyer may terminatethis contractby giving Seller written notice within 14 days afler the effectivedate of this contract,and the earnest m o n e yw i l lb e r e f u n d e dt o B u y e r D . B U Y E R ' SA C K N O W L E D G M E N(Tc h e c ka p p l i c a b l b eo x e s ) : D 1 Buyerhas receivedcopresof all informationlistedabove Q 2 Buyerhas receivedthe pamphletProtect YourFamilylrom Lead in Your Home E . B R O K E R S 'A C K N O W L E D G M E N TB: r o k e r sh a v e i n f o r m e dS e l l e ro f S e l l e r ' so b l i g a t i o n su n d e r4 2 U . S . C .4 8 5 2 d t o : (a) provide Buyer with the federally approved pamphlet on lead poisoning prevention; (b) complete this a d d e n d u m(; c ) d i s c l o s ea n y k n o w n l e a d - b a s e dp a i n t a n d / o rl e a d - b a s e dp a i n t h a z a r d si n t h e P r o p e r t y (; d ) d e l i v e ra l l records and reports to Buyer pertainingto lead-basedpaint and/or lead-basedpaint hazards in the Property;(e) provide Buyer a period of up to 10 days to have the Propertyinspected;and (f) retain a completedcopy of this addendumfor at least3 yearsfollowingthe sale Brokersare awareof theirresponsibility to ensurecompliance F . CERTIFICATIONOF ACCURACY: The followingpersons have reviewedthe informationabove and certify,to the bestof theirknowledge,that the informationthey have providedis true and accurate
Buyer
Date
Buyer
Date
OtherBroker
Date
ListingBroker
Date
The form of this addendum has been approved by the lexas Real t,state Commissionfor use only with similarlyapproved or promulgated 'lllF-C forms of contracts Such approval relates to this contract form only forms are intendedfor use only by trained real estate licensees No representationis made as to the legal validity or adequacy of any provisionin any spectfictransactions lt is not suitable for complex t r a n s a c t i o nTse x a s R e aEl s t a t e C o m m i s s i o n , PtO jox12188,^ustin,fX787112188,512-936,3000(http://wwwtrectexasgov)
( T A R - 1 9 0 61)0 - 1 0 -11 B l a c k R e a l E s r a l e l 5 l 5 ( Rl l l H i c o I \ C h ri s L iB l a c k
TREC No. OP-L /6J:7
Phone 154,796--1756 Fax: 254-796-5954 Produced wrth lrpForm@ by zrpLogrx '180/0 Friteen lMrle Road Fraser, N4rchigan48026 \M ziolootx.cotrl
Utrtitled
APPROVEDBY TIIE TEXASREALESTATECOMMISSION(TREC) IOUAI.HOUSINC OPPOR TUNIIY
S E L L E R 'SD IS C LOSURE OF PROPERTYCONDITION
C O N C E R N I NTGH EP R O P E R T Y AT T H I SN O T I C EI S A D I S C L O S U RO E F S E L L E R ' SK N O W I - E D GO EF T H E C O N D I T I O N OF THEPROPERTY A S O F T H E D A T ES I G N E DB Y S E L L E R ANt] IS NOT A SUBSTITUTEFOR ANY INSPECI'IONS OR WAI]RANTIESTHE PURCHASERMAY WISH TO OBTAIN IT IS NOT A WARRANTY O F A N Y K I N DB Y S E L I . E R OR SELLER'S AGENTS
seller fl is 1
notoccupying thePropertylf unoccupied, howlongsincesellerhasoccupred thepropertv?
The Propertyhasthe itemscheckedbelow [Writeyes (y), No (N),or Unknown(U)] ----Range -. Oven Dishwasher
_
Microwave
lraslr Compactor
-
Pispe5sl
-Y
WinciowScreerrs
-
Rain Gutters
-
FireDetectionEquipment
-
In[s1s6rn System
--
SmokeDetector
--
Smokt-. Detector-llearing lmpaired
-
S a t e l l i tD e ish
-.-
asher/Dryer Hookups -
$ssuritySystem
/
-
TVAntenna
-
C a b l eI V W i r i n g
-
PlumbingSystem
-
SepticSystcm
-
Patio/pecking
_
OutdoorGrilt
-
Pool
__-- PoolEquipment
_
Fences
-
Sauna
-
gps
-
Pool fleater
-_
_
llot Tub
-
Fireplace(s) & chimney (Woodburning)
_
AutomaticLawnSprinklerSystem pi1spl36e(s) & chimney(Mock)
-
N a t u r aGl a sL i n e s
_
GasFixtures
-
LiqutdPropaneGas:
Garage.
-
Attached
GarageDoorOpener(s)
LP comrnunrty(captive)
-
Lp on property
-..-
N()tAttaohed
--
Carport
--
Etectronic
_-
Controt(s) Electrrc
RoofType
(approx) need of
T R E CN o O P - H 'l-X l l l a c k l l c a l l : s t a r -e1 5 l . C \ It ll I llictr. 76-157 l ' l t t r n c .l 5 . l - 7 t ) 6 - . l 7 5 6 I r a r : l 5 . l - 7 9 6 - 5 ( ) 5I
( hristB i llck
P r o d u c e d w i t h z i p F o r m @ b y z i p l o g t x1 9 0 7 0 I r f l e e n M i l e R o a d
Fraser.Michrgan4g026wwwzroLoorxcom
Iintitlt-d
Seller's Drsclosure Notice Concerning theproperty al
E -
53q
-i-1,.J /tu
.-fX
pase2
10-23-2013
(Street Address and()itv) Does the properlyhave working snrokedetectorsinsralledin accordancewith the smoke detectorrequirementsof Chapter766. Health and Safety Code? Ves o l L J n k n o w nl f t h e a n s w e rt o t h i s q u e s t i o ni s n o o r u n k n o w ne, x o l a i n [ (Attachadditionalsheets if necessar-v).
*
C h a p t e7r 6 6o f t h c H e a l t ha n c lS a f e t yC o d r :r e q u i r e O s n e - f a m iol yr t w o - f a m i ldyw e l l i n gtso h a v ew o r k i n gs m o k ed e t e c t o risn s t a l l e idn accordance with the requirernents of thr-.buildinqcode in effectrn the area in whichthe dwellingis located,includingperformance, location, and powersourcerequirernentsli you do nrttknow the buildinqcode requirernents in effectin your area,you may cnecK u n K n o wanD o v eo r c o n t a c yt o u r l o c a lb u i l d i n (otf f i c i aflo r m o r er n f o r m a t i oAn b u y e rm a y r e q u i r ea s e l l e rt o i n s t a lsl m o k e detectors f o r t h eh e a r i n gt r n p a i r eidf : ( 1 ) t h e b u y e ro r a m e r n b uor f t h e b u y e r ' sf a m i l yw h o w i l lr e s i d ei n t h e d w e l l i n gr s h e a r i n gi m p a i r e d( ,2 ) the b u y e rg i v e st h e s e l l e rw r i t t e ne v i d e n c t - ' otfh e h e a r i n gi n r p a i r m e nf rto m a l i c e n s e dp h y s i c r a na,n d ( 3 ) w i t h t n1 o d a y s a f t e rt h e effectivedate,the buyermakesa writtenrL\quest for the sellerto installsmokedetectorsfor the hearingimpairedand specifiesthe l o c a t i o nfso r t h e I n s t a l l a t i oTn h e p a r t i e sr n a ya g r e ew h o w i l l b e a rt h e c o s t o f i n s t a l l r ntgh e s m o k ed e t e c t o r sa n d w h i c h b r a n do f smokedetcctorsto install
Are you (Seller)aware of any known ddefect e f e c t s / n t al fL n t ctions i n a n y o f t h e f o l l o w i n g ? if you are not aware //
I n t e r i oW r atts
tl
-- t
,4/ Exterior Walls
/
/v, noor fl, w"trrlr"n"ut
- /l
l'
Plurnbingsewers/Septics
N
Ornu,Structural (t)escribe) Crrmponents
Yes
if you are aware,write No (N)
oeilinos
Floors
n*,r'
// *u,oo*,
r ouoaatton/Stab(s)
y'Y . Siciewalks
- /y' .r.iu.*ry, l/
IntercomSystent
Electrrcal Systenrs
Lightrng[:ixtures
lf the answerto any of the aboveis yes, explain (Attachacldrtional sheetsif necessarv)
A r e y o u( S c l l e ra) w a r eo f a n y o f t h e f o l l o w i ncqo n d r t i o n sW? r i t eYes (Y) if you arc aware,writeNo (N) if you are not aware ActiveTermites(inclucles woo(ldestroyi,r(l Insccrs) Termite o r W o o dR o t D a m a q eN e e d t n ef l e p a r l PreviousTermiteDanrage ',I A / ' F ' r e v i o L rTs e r m i t e I r e : n m e . . n t P r e v i o u sI ' l o o d i r r q al /r '
r m p r o p e rL J r a t n a g e *r,",
PenL.tration
L o c a t e di n 1 0 0 - Y e - . a F rl o o d p l a i n P r e s e n t F l o o d l n s u r a n c r :C o v e r a g e lV --
/
,'r"rron"Structuralor tloof Repair l-lazardous OrToxrcWaste
a_ +
A s b e s t o sC o r n p o n e n t s
t_
_L
[ Je r a - f o r m a l d e h yIdnes u l a t i o n R a d o nG a s L e a dR a s e dP a i n t
_L A l u m i n u mW i r r n q PreviousFires
-A U n p l a t t eEd a s e m e n t s
L a n d f i l lS , e t t l i n g ,S o i t M o v e r n e n t ,F a u l t l - i n e s
Subsurface Structureor Pits
S i n g l eB l o c k a b l eM a i n l ) r a i n i n p o o l / l ] o t T u b / S p a .
P r e v i o uU s s eo f P r e m i s e sf o r M a n u f a c t u roef M e t h a m p h e t a m i n e
l f t h e a n s w e rt o a n y o f t h e i : b o v e r s y e s , e x p l a i n
sdditional sheetsif necessary)
- A s i n g l eb l o c k a b l e m a i nd r a i nm a y c a u s ea s u c t i o ne n t r a p r n e n h ta z a r df o r a n i n d i v r s u a r
Produced with zrpForm@ by zrpLoqix 1BO/0 Frftc(rnl\,lrleRoad Fraser l\4rchiqan48026
turyytarD!-agq.eqrlL
Seller's Disclosure NoticeConcerning theproperty ut
53 ?
t= . Tlr,^ ,/
-
L* cn, p
Page 3
10-23-2013
(StreetAddressand Citv)
6
Are you (Seller)awareof any of the following?WriteYes (Y) if you are aware,writeNo (N) if you are not
aware
N ' Roo^ additions,structuralmodifications,or other allerationsor repairs made without necessary permtts or not In compliance withbuildingcodes in effectat that time Homeowners' Associationor maintenance fees or assessments y'
Onr"commonarea" (facilitlessuch as pools,tenniscour'ts,walkways,or other areas)co-ownedin undrvrded interestwith others
.t
/v - enynottcesof violationsof deed restrictions or governmental ordinances affectingthe conditionor use of the property N- Anyconditionon the Propertywhichmateriallyaffectsthe physicalhealthor safety of an individual. I 'v Any rainwaterharvesting systemlocatedon the propertythat is largerthan 500 gallonsand that uses a publicwatersupplyas an auxilrary walersource Any lawsuitsdrrectlyor indtrectly affectingthe property lf the answerto any of the aboveis yes, explain (Attachadditional sheetsif necessarv):
7
lf the propertyls locatedin a coastalarea that is seawardof the Gulf Intracoastal WateMay or within 1,OOO feet of the mean high tide borderingthe Gulf of Mexicr>,the propertymay be sub,lectto the Open BeachesAct or the Dune protectionAct (Chapter61 or 63, NaturalResourcesCode, respectively) and a beachfrontconstructioncertificateor dune protectionpermit nray be requiredfor repairs or improvementsContact the local governmentwith ordinance authoritv over construction adjacentto publicbeachesfor more information
Signatureof
T h e u n d e r s r g n e dp u r c h a s e r h e r e b y a c k n o w l e d g e s r e c e i p t o f t h e f o r e g o i n g n o t i c e
Signatureof Purchaser
Date
Signatureof Purchaser
Date
TRECNo OP-H Produced with zrpForm@ by zrplogix 180/o rrifteen Mire Road, Fraser, Michrgan 48026
oLooiLconl
L in ri t l e d
APPROVEDBY THE TEXASREALESTATECOMMISSION
10-10-1 1
A D D E N D U MF OR S E LLER' SDISCLOSURE OF INFORMATION ON LEAD-BASEDPAINTAND LEAD-BASEDPAINTHAZARDS A S R E QUIREDBY FEDERALLAW -t ryr c o N C ER NrI H NE Gp R o p E RA fi q { . fh; ftl x 7LW &L", (Street Address andCity)
A' LEAD WARNING STATEMENT: "Every purchaser of any interest in residential real property on which a residentialdwellingwas built prior to 1978 is notifiedthat such property may present exposureto lead from leadb a s e d p a i n t t h a t m a y p l a c e y o u n g c h i l d r e na t r i s k o f d e v e l o p i n gl e a d p o i s o n i n g L e a d p o i s o n i n gi n y o u n g c h i l d r e n m a y p r o d u c e p e r m a n e n t n e u r o l o g i c a ld a m a g e , i n c l u d i n g l e a r n i n g d i s a b i l i t i e s ,r e d u c e d i n t e l l i g e n c eq u o t i e n t , b e h a v i o r apl r o b l e m s ,a n d i m p a i r e dm e m o r y L e a d p o i s o n i n ga l s o p o s e s a p a r t i c u l a r i s k t o p r e g n a n tw o m e n T h e seller of any interest in residentialreal property is required to provide the buyer with any informationon leadbased paint hazards from risk assessmentsor inspectionsin the seller's possessionand notify the buyer of any known lead-basedpaint hazards A risk assessmentor inspectionfor possible lead-painthazards is recommended priorto purchase" NOTICE:Inspectormust be properly certified as required by federal law. B . S E L L E R ' SD I S C L O S U R E : 1 PRESENCE OF LEAD-BASED P A I N TA N D / O RL E A D - B A S E D P A I N TH A Z A R D S( c h e c ko n e b o x o n l v ) : Q (a) Knownlead-basedpaintand/orlead-basedpainthazardsare presentin the Property(explain): 2
R E C O R D SA N D R E P O R T SA V A I L A B L E T O S E L L E R( c h e c ko n e b o xo n t v ) : fl (a) Seller has provided the purchaserwith all available records and reports pertainingto lead-basedpaint and/orlead-basedpainthazardsin the propertvflistdocuments):
Seller has no reports or records pertainingto lead-basedpaint and/or lead-basedpaint hazards in the Property c . B U Y E R ' SR I G H T S( c h e c ko n e b o x o n l y ) : D 1 Buyer waives the opportunityto conduct a risk assessmentor inspectionof the Propertyfor the presenceof l e a d - b a s epda i n to r l e a d - b a s e p d a i n th a z a r d s J 2 Within ten days after the effectivedate of this contract,Buyer may have the Propertyinspectedby inspectors selected by Buyer lf lead-basedpaint or lead-basedpaint hazards are present, Buyer may terminatethis contractby giving Seller written notice within 14 days afler the effectivedate of this contract,and the earnest m o n e yw i l lb e r e f u n d e dt o B u y e r D . B U Y E R ' SA C K N O W L E D G M E N(Tc h e c ka p p l i c a b l b eo x e s ) : D 1 Buyerhas receivedcopresof all informationlistedabove Q 2 Buyerhas receivedthe pamphletProtect YourFamilylrom Lead in Your Home E . B R O K E R S 'A C K N O W L E D G M E N TB: r o k e r sh a v e i n f o r m e dS e l l e ro f S e l l e r ' so b l i g a t i o n su n d e r4 2 U . S . C .4 8 5 2 d t o : (a) provide Buyer with the federally approved pamphlet on lead poisoning prevention; (b) complete this a d d e n d u m(; c ) d i s c l o s ea n y k n o w n l e a d - b a s e dp a i n t a n d / o rl e a d - b a s e dp a i n t h a z a r d si n t h e P r o p e r t y (; d ) d e l i v e ra l l records and reports to Buyer pertainingto lead-basedpaint and/or lead-basedpaint hazards in the Property;(e) provide Buyer a period of up to 10 days to have the Propertyinspected;and (f) retain a completedcopy of this addendumfor at least3 yearsfollowingthe sale Brokersare awareof theirresponsibility to ensurecompliance F . CERTIFICATIONOF ACCURACY: The followingpersons have reviewedthe informationabove and certify,to the bestof theirknowledge,that the informationthey have providedis true and accurate
Buyer
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Buyer
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OtherBroker
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ListingBroker
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The form of this addendum has been approved by the lexas Real t,state Commissionfor use only with similarlyapproved or promulgated 'lllF-C forms of contracts Such approval relates to this contract form only forms are intendedfor use only by trained real estate licensees No representationis made as to the legal validity or adequacy of any provisionin any spectfictransactions lt is not suitable for complex t r a n s a c t i o nTse x a s R e aEl s t a t e C o m m i s s i o n , PtO jox12188,^ustin,fX787112188,512-936,3000(http://wwwtrectexasgov)
( T A R - 1 9 0 61)0 - 1 0 -11 B l a c k R e a l E s r a l e l 5 l 5 ( Rl l l H i c o I \ C h ri s L iB l a c k
TREC No. OP-L /6J:7
Phone 154,796--1756 Fax: 254-796-5954 Produced wrth lrpForm@ by zrpLogrx '180/0 Friteen lMrle Road Fraser, N4rchigan48026 \M ziolootx.cotrl
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