ti
$
LEAD-BASED PAINT AND LEAD.BASED PAINT HAZARDS DISCLOSURE, ACKNOWLEDG MENT AND ADDENDUM For Pre-l978 Housing Sales, Leases, or Rentals
ti*,:'*:'-{*
(C.A.R. Form FLD, Revised ,il03)
Pt trehaca Agreement, Anraam^^t l-l n^-'---', , , Purchase D Residentiar Lease
,;;;;;
nr"itn-io-roi"-ntrA;;,ru;J;;,
"r
, dated
a part of
the:
i,.
:
E'f,il,
I
California Residential , on
prop-eftyhbEnE
("property,') in is referred to as Buyer or is referred to as Seller or
which Tenant and Landlord
LEAD WARNING STATEMENT (SALE oR Every purchaser of any interest in residentiar rear property which a residential dwelling was'built prioi l-ul^c]lASE) on to tgze ls riotifieitf,at such property may present exposure lead-based paint that may.p'iace.young Jnirot"n to read from at risk of deveroping..reao poisoning. r-eat poisoning produce permanent neurblbgical'oam"ase, young chirdren may i""rrJ"g-r""'ir;i'.;ii#i'iti";, &;;;;'i"t"iii!!"t quotient,inbehaviorar and impaired memory' Lead poisonin! arJo probrems .poses a part'icular risk to pr"g*i *o,i"n. rn" seler of any interest in residential real prope'rty is requirJ tdpr*io; tn" ori"i'*itti'any intolmaion on i""o-n"""6 paint hazards assessments or inspections in the seller's from risk oossession not,ry tn. ouy", oi rny kno*il""o-based paint assessment or hazards. A inspection for possible lead-based paint "no nazaro.
ir i""omunded
risk
prior to purchase.
LEAD WARNING STATEMENT {LEASE oR.,lqNTA!} Housing built before 1978 may contain read-based from paint' paint chips and dust paint. Lead po"" health hazard'" ir not ni"n"ged properry. t-eaJ'expouure young children and oregnant women. is especiary harmfur to ""n Before renting pre-1978 nousin!, reisois #ust d;i;" the presence of read-based paint and/or lead-bised paint naiaro" i;lh" owetiing.-t-ei"""" i-r.i r"c"iv" iJliary approved pamphret on read poisoning prevention.
"rso
1. SELLER'S OR LANDLORD'S DISCLOSURE I (we) have no knowedge of lead-based paint andlor lead-based paint hazards in the housing other than the followng:
I (we) have no reports.or jg-gglds,perlaining to. lead-based paint and/or tead-based paint hazards than the following, which, previously or as ai in the nousins have beeri provided to Buyer or Tenan-t:
;tt;;fi;i6tfiil'"iil"'.orm
have provided Buver orrenant with the, pamp]]re rdr use in tne Stiie sucri
'ly;if;";n fy"f ,f ?i::7r":#:!:J:ln:""lflo9"dum, aiia6 to Eiii,iiiuii'tat Hazards and EafthquJflT:ffiilPhlet approved
;;
t,,protectd
"s'frr,-e
n6ilJJwners
EQr sales Transactions Qnly: Buyer has'10 days, unless otherwise.agrged in the real estate purchase contract, conduct a risk assessment oiinspection tor tle piedence to of tead-baJec pZini andl# r""i]fJ""o paint hazards.
fi!:HSi:Te
information above and certirv, to the best or my (our) knowledge, that the information
iL
- L-l
-tC
Date
The copyright laws of the United States (Tifle 1Z U.S. Code) forbid
reproduction or tnis foim,'or ll:^[?!!1gl''"0 oy pnorocopy machine or any other
AssocrAroN or nenrrdis6, FLD REVTSED 1/03 (PAGE
I
an;
;;dd #Hf tr
means. including facsimjte O tgS6_ZOO:, "CnlfFOifrffn rr,rc nu_ nrciis n'rslivi'o
computerized formats. Copyriqirt
OF 2)
^strrr. ksra Lynn naDDaJancOH
phone:93j,479.*gga Broker: California Real Estate 275 Lake Ave #B Santa Crua CA 95062
Buyer's lnitials ( Reviewed
by
_
)(
_
Ete
(FLD PAGE
l
OF 2)
I
DISCLOSURE REGARDING REAL ESTATE AGENCY RELATIONSHIP (Listing Firm to Seller) (As required by the Civil Gode) (C.A.R. Form AD, Revised 11/09) When you epl91.i1tto a discussion with a real estate agent regarding a real estate transaction, you should from the outset understand what type of agency
+i:i"..^Tii.it
,
oi repiesentatiorf you wish tb fiii!'d lmtfi'tfHftCinntne
tprnsaetlo'r-:_*****
SELLER'S AGENT
A Seller's agent under a listing agreement with the Seller acts as the agent for the Seller only. A Selle/s agent or a
suUdged^_o1
that agent has the
following affirmative obligations: To the Seller: A Fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Seller. To the Buyer and the Seller: (a) Diligent exercise of reasonable skill and care in performance of the agent's duties. (b) A duty of honest and fair dealing and good faith.
-i,u
(c) A duty to di$close all facts known to the agent materially affecting the value or desirability of the property that are not known to, or within diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from from the -"--other p3rty that does not involve the affirmative duties set forth above.
)
BUYER'S AGENT
agreement the agent may receive compensation fror services rendered, either in full or in part from the $eller- An agent acting only for a Buyer has th6 following affi rmative obligations: To the Buyer: A fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Buyer. To the Buyer and the $eller; (a) Diligent exercise of reasonable skill and care in perfiormance of the agent's duties. (b) A duty of honest and fair dealing and good faith. (e) A duty to disclose all facts knox/n to the agent rnaterially affecting the value or desirability of the property that are not known to, or within the diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from the other party that does not involve the affirmative duties set forth above,
AGENT REPRESENTING BOTH SELLER AND BUYER
A real estate agent, either acting directly or through one or more associate licensees, can legally be the agent of both the Seller and the Buyer in a transac;tion, but only with the knowledge and consent of both the Seller and the Buyer. ln a dual agency situation, the agent has the following affirmative obligations to both the Seller and the Buyer: (a) A fiduciary duty of utmost care, integrity, honesty and loyalty in the dealings with either the Seller or the Buyer. (b) Other duties to the Seller and the Buyer as stated above in their respective sections. ln representing both Seller and Buyer, the agent may not, without the express permission of the respective party, disclose to the other party that the Seller will accept a price less than the listing price or that the Buyer will pay a price greater than the price offered. The above duties of the agent in a real estate transaction do not relieve a Seller or Buyer from the responsibility to protect his or her own interests. You should carefully read all agreements to assure that they adequately express your understanding of the transaction. A real estate agent is a person qualified to advise about real estate. lf legal or tax advice is desired, consult a competent professional.
Throughout your real property transaction you may receive more than one disclosure form, depending upon the number of agents assisting in the transaction. The law requires each agent with whom you have more than a casual relationship to present ygu with this disclosure form. You should read its contents each time it is presenled to you, considering the relationship between you and the real estate agent in your specific transaction. This disclosure form includes the provisions of Sections 2079.13to 2079.24, inclusive, of the Civil Code set forth on page 2. Read it carefully. l/wE ACKNOWLEDGE RECEIPT OF A COPY OF THIS OTSCLOSURE AND THE PORTTONS OF THE C|WL CODE PR|NTED ON THE BACK {OR A SEPARATE PAGE}. Jb'trr", D setter E Landtord E renant Date
D
Buyer
E
I
setter
Tenant
Date
.4.
DRE Lic. #07796279
Agent By
DRE Lic.
#
Date
forztia ReaI Estate
) Ll'7f
f >a r 6
AGENCY DTSCLOSURE COMPLTANCE (Civil Code 92079.14): the listing brokerage company also represents Buyer/Tenant: The Listing Agent shall have one AD form signed by Seller/Landlord and a ' When different AD form signed by Buyer/Tenant. . When Sellerilandlord and BuyeriTenant are represented by different brokerage companies: (i) the Listing Agent shall have one AD form signed by Sellerr/Landlord and (ii) the Buyer's/Tenant'$ Agent shall have one AD form signed by Buyer/Tenant and either that same or a different AD form presented to Seller/Landlord for signature prior to presentation of the offer. lf the same form is used, Seller may sign here: (SELLER/LANDLORD: DO NOT SIGN HEIE) {SELLER/LANDLORD: DO NOT SIGN HERE) _
including facsimile or computerized formats. Copyright @ 1 991-2009, CALIFORNIA ASSOCIATION OF REALTORSG', lNC. ALL RIGHTS RESERVED. THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATTON OF REALTORS@ (C.A.R.). NO REPRESENTATTON rS MADE AS TO THE LEGAL VALtDtTy OR ADEQUACY OF ANY PROMSION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE SROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This form is available for use by the entire real estate industry. lt is not intended to id€n0ry the usef as a REALTOR@. REALTOR@ is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS@ who subscribe to its Code of Ethics.
FI
E ;I
[.J.
Published and Distributed by: REAL ESTATE Bustruess
;,TglfrX
srnvtces,
rr'rc,
:j,ffirflTf'i:Hg',tT,ffffi?t*
Reviewed by
Date
1S t=t 8$K'P,i"i'S
AD REVISED 11/09 (PAGE 1OF 2)
DrscLosuRE REGARDTNG REAL ESTATE AGENCY RELAT|ONSHIP (AD PAGE 1 OF 2) Agent: Laura Lynn RabbJancola
Phone:831.479.4894
Broker: California Real Estate 275 Lake Ave #B Santa Cruz, CA 95062
Fax:
-
Prepared
zipFomr@ software
clvll
GoDE SECTIONS 2079.{3 THROUGH 2079.24t2079.16 APPEARS ON THE FRONT}
2079'13 As used in Seclions 20.79.141o 2079.24, inclusive, the (a) 'Asent" means a oerson.actins unaer provislon":ltiti.s following terms have the following meanings: t"".p1;;91;! y1p-sl-"il;;'#dj ;; and incrudes a person who is licensed as a real estbte broker.unaei ctriptli Sl6mmencinsiwith sectioi i0l'3di;#;fiT;f bffi,'iEf,'ft "'iJ"i"p*rop"rtv_transaction, the'Business and professions code, and under whose license a listins is executed or dn o?rEi tL iJ"c,otJiireJlSi"n-ssbiiate'ricim;;;,ril#; EJrcnase p"o_on who is ricensed as a rear estate broker or d,r."ii.]"JJ'o F-'r*ii"i'JtiiiE".ii '*r,o is either ricensed ii."fftll1.:13i,n:i3BEl"1(,ffiffffflJ; yJll;.*,"$i,il :"",t#';[i";
I
4;if"'
ltff?ti[tj5
associate licensees who oerform as. agents ot ifie ldent.
wffi a;;;il;i;'iicenseei owes a outy t
LEAD-BASED PAINT AND LEAD.BASED PAINT HAZARDS DISCLOSURE, ACKNOWLEDG MENT AND ADDENDUM For Pre-l978 Housing Sales, Leases, or Rentals
ti*,:'*:'-{*
(C.A.R. Form FLD, Revised ,il03)
Pt trehaca Agreement, Anraam^^t l-l n^-'---', , , Purchase D Residentiar Lease
,;;;;;
nr"itn-io-roi"-ntrA;;,ru;J;;,
"r
, dated
a part of
the:
i,.
:
E'f,il,
I
California Residential , on
prop-eftyhbEnE
("property,') in is referred to as Buyer or is referred to as Seller or
which Tenant and Landlord
LEAD WARNING STATEMENT (SALE oR Every purchaser of any interest in residentiar rear property which a residential dwelling was'built prioi l-ul^c]lASE) on to tgze ls riotifieitf,at such property may present exposure lead-based paint that may.p'iace.young Jnirot"n to read from at risk of deveroping..reao poisoning. r-eat poisoning produce permanent neurblbgical'oam"ase, young chirdren may i""rrJ"g-r""'ir;i'.;ii#i'iti";, &;;;;'i"t"iii!!"t quotient,inbehaviorar and impaired memory' Lead poisonin! arJo probrems .poses a part'icular risk to pr"g*i *o,i"n. rn" seler of any interest in residential real prope'rty is requirJ tdpr*io; tn" ori"i'*itti'any intolmaion on i""o-n"""6 paint hazards assessments or inspections in the seller's from risk oossession not,ry tn. ouy", oi rny kno*il""o-based paint assessment or hazards. A inspection for possible lead-based paint "no nazaro.
ir i""omunded
risk
prior to purchase.
LEAD WARNING STATEMENT {LEASE oR.,lqNTA!} Housing built before 1978 may contain read-based from paint' paint chips and dust paint. Lead po"" health hazard'" ir not ni"n"ged properry. t-eaJ'expouure young children and oregnant women. is especiary harmfur to ""n Before renting pre-1978 nousin!, reisois #ust d;i;" the presence of read-based paint and/or lead-bised paint naiaro" i;lh" owetiing.-t-ei"""" i-r.i r"c"iv" iJliary approved pamphret on read poisoning prevention.
"rso
1. SELLER'S OR LANDLORD'S DISCLOSURE I (we) have no knowedge of lead-based paint andlor lead-based paint hazards in the housing other than the followng:
I (we) have no reports.or jg-gglds,perlaining to. lead-based paint and/or tead-based paint hazards than the following, which, previously or as ai in the nousins have beeri provided to Buyer or Tenan-t:
;tt;;fi;i6tfiil'"iil"'.orm
have provided Buver orrenant with the, pamp]]re rdr use in tne Stiie sucri
'ly;if;";n fy"f ,f ?i::7r":#:!:J:ln:""lflo9"dum, aiia6 to Eiii,iiiuii'tat Hazards and EafthquJflT:ffiilPhlet approved
;;
t,,protectd
"s'frr,-e
n6ilJJwners
EQr sales Transactions Qnly: Buyer has'10 days, unless otherwise.agrged in the real estate purchase contract, conduct a risk assessment oiinspection tor tle piedence to of tead-baJec pZini andl# r""i]fJ""o paint hazards.
fi!:HSi:Te
information above and certirv, to the best or my (our) knowledge, that the information
iL
- L-l
-tC
Date
The copyright laws of the United States (Tifle 1Z U.S. Code) forbid
reproduction or tnis foim,'or ll:^[?!!1gl''"0 oy pnorocopy machine or any other
AssocrAroN or nenrrdis6, FLD REVTSED 1/03 (PAGE
I
an;
;;dd #Hf tr
means. including facsimjte O tgS6_ZOO:, "CnlfFOifrffn rr,rc nu_ nrciis n'rslivi'o
computerized formats. Copyriqirt
OF 2)
^strrr. ksra Lynn naDDaJancOH
phone:93j,479.*gga Broker: California Real Estate 275 Lake Ave #B Santa Crua CA 95062
Buyer's lnitials ( Reviewed
by
_
)(
_
Ete
(FLD PAGE
l
OF 2)
I
DISCLOSURE REGARDING REAL ESTATE AGENCY RELATIONSHIP (Listing Firm to Seller) (As required by the Civil Gode) (C.A.R. Form AD, Revised 11/09) When you epl91.i1tto a discussion with a real estate agent regarding a real estate transaction, you should from the outset understand what type of agency
+i:i"..^Tii.it
,
oi repiesentatiorf you wish tb fiii!'d lmtfi'tfHftCinntne
tprnsaetlo'r-:_*****
SELLER'S AGENT
A Seller's agent under a listing agreement with the Seller acts as the agent for the Seller only. A Selle/s agent or a
suUdged^_o1
that agent has the
following affirmative obligations: To the Seller: A Fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Seller. To the Buyer and the Seller: (a) Diligent exercise of reasonable skill and care in performance of the agent's duties. (b) A duty of honest and fair dealing and good faith.
-i,u
(c) A duty to di$close all facts known to the agent materially affecting the value or desirability of the property that are not known to, or within diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from from the -"--other p3rty that does not involve the affirmative duties set forth above.
)
BUYER'S AGENT
agreement the agent may receive compensation fror services rendered, either in full or in part from the $eller- An agent acting only for a Buyer has th6 following affi rmative obligations: To the Buyer: A fiduciary duty of utmost care, integrity, honesty and loyalty in dealings with the Buyer. To the Buyer and the $eller; (a) Diligent exercise of reasonable skill and care in perfiormance of the agent's duties. (b) A duty of honest and fair dealing and good faith. (e) A duty to disclose all facts knox/n to the agent rnaterially affecting the value or desirability of the property that are not known to, or within the diligent attention and observation of, the parties. An agent is not obligated to reveal to either party any confidential information obtained from the other party that does not involve the affirmative duties set forth above,
AGENT REPRESENTING BOTH SELLER AND BUYER
A real estate agent, either acting directly or through one or more associate licensees, can legally be the agent of both the Seller and the Buyer in a transac;tion, but only with the knowledge and consent of both the Seller and the Buyer. ln a dual agency situation, the agent has the following affirmative obligations to both the Seller and the Buyer: (a) A fiduciary duty of utmost care, integrity, honesty and loyalty in the dealings with either the Seller or the Buyer. (b) Other duties to the Seller and the Buyer as stated above in their respective sections. ln representing both Seller and Buyer, the agent may not, without the express permission of the respective party, disclose to the other party that the Seller will accept a price less than the listing price or that the Buyer will pay a price greater than the price offered. The above duties of the agent in a real estate transaction do not relieve a Seller or Buyer from the responsibility to protect his or her own interests. You should carefully read all agreements to assure that they adequately express your understanding of the transaction. A real estate agent is a person qualified to advise about real estate. lf legal or tax advice is desired, consult a competent professional.
Throughout your real property transaction you may receive more than one disclosure form, depending upon the number of agents assisting in the transaction. The law requires each agent with whom you have more than a casual relationship to present ygu with this disclosure form. You should read its contents each time it is presenled to you, considering the relationship between you and the real estate agent in your specific transaction. This disclosure form includes the provisions of Sections 2079.13to 2079.24, inclusive, of the Civil Code set forth on page 2. Read it carefully. l/wE ACKNOWLEDGE RECEIPT OF A COPY OF THIS OTSCLOSURE AND THE PORTTONS OF THE C|WL CODE PR|NTED ON THE BACK {OR A SEPARATE PAGE}. Jb'trr", D setter E Landtord E renant Date
D
Buyer
E
I
setter
Tenant
Date
.4.
DRE Lic. #07796279
Agent By
DRE Lic.
#
Date
forztia ReaI Estate
) Ll'7f
f >a r 6
AGENCY DTSCLOSURE COMPLTANCE (Civil Code 92079.14): the listing brokerage company also represents Buyer/Tenant: The Listing Agent shall have one AD form signed by Seller/Landlord and a ' When different AD form signed by Buyer/Tenant. . When Sellerilandlord and BuyeriTenant are represented by different brokerage companies: (i) the Listing Agent shall have one AD form signed by Sellerr/Landlord and (ii) the Buyer's/Tenant'$ Agent shall have one AD form signed by Buyer/Tenant and either that same or a different AD form presented to Seller/Landlord for signature prior to presentation of the offer. lf the same form is used, Seller may sign here: (SELLER/LANDLORD: DO NOT SIGN HEIE) {SELLER/LANDLORD: DO NOT SIGN HERE) _
including facsimile or computerized formats. Copyright @ 1 991-2009, CALIFORNIA ASSOCIATION OF REALTORSG', lNC. ALL RIGHTS RESERVED. THIS FORM HAS BEEN APPROVED BY THE CALIFORNIA ASSOCIATTON OF REALTORS@ (C.A.R.). NO REPRESENTATTON rS MADE AS TO THE LEGAL VALtDtTy OR ADEQUACY OF ANY PROMSION IN ANY SPECIFIC TRANSACTION. A REAL ESTATE SROKER IS THE PERSON QUALIFIED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE LEGAL OR TAX ADVICE, CONSULT AN APPROPRIATE PROFESSIONAL. This form is available for use by the entire real estate industry. lt is not intended to id€n0ry the usef as a REALTOR@. REALTOR@ is a registered collective membership mark which may be used only by members of the NATIONAL ASSOCIATION OF REALTORS@ who subscribe to its Code of Ethics.
FI
E ;I
[.J.
Published and Distributed by: REAL ESTATE Bustruess
;,TglfrX
srnvtces,
rr'rc,
:j,ffirflTf'i:Hg',tT,ffffi?t*
Reviewed by
Date
1S t=t 8$K'P,i"i'S
AD REVISED 11/09 (PAGE 1OF 2)
DrscLosuRE REGARDTNG REAL ESTATE AGENCY RELAT|ONSHIP (AD PAGE 1 OF 2) Agent: Laura Lynn RabbJancola
Phone:831.479.4894
Broker: California Real Estate 275 Lake Ave #B Santa Cruz, CA 95062
Fax:
-
Prepared
zipFomr@ software
clvll
GoDE SECTIONS 2079.{3 THROUGH 2079.24t2079.16 APPEARS ON THE FRONT}
2079'13 As used in Seclions 20.79.141o 2079.24, inclusive, the (a) 'Asent" means a oerson.actins unaer provislon":ltiti.s following terms have the following meanings: t"".p1;;91;! y1p-sl-"il;;'#dj ;; and incrudes a person who is licensed as a real estbte broker.unaei ctriptli Sl6mmencinsiwith sectioi i0l'3di;#;fiT;f bffi,'iEf,'ft "'iJ"i"p*rop"rtv_transaction, the'Business and professions code, and under whose license a listins is executed or dn o?rEi tL iJ"c,otJiireJlSi"n-ssbiiate'ricim;;;,ril#; EJrcnase p"o_on who is ricensed as a rear estate broker or d,r."ii.]"JJ'o F-'r*ii"i'JtiiiE".ii '*r,o is either ricensed ii."fftll1.:13i,n:i3BEl"1(,ffiffffflJ; yJll;.*,"$i,il :"",t#';[i";
I
4;if"'
ltff?ti[tj5
associate licensees who oerform as. agents ot ifie ldent.
wffi a;;;il;i;'iicenseei owes a outy t
