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Authentisign ID:16706484-ACC8-47DF-8A07-E7DEFF933E7F <br /> Caldwell Banker Burnet SUBSURFACE SEWAGE TREATMENT <br /> SYSTEM DISCLOSURE STATEMENT <br /> 82. Page 3 <br /> 83. Property located at `1550 Wolverton Place Orono <br /> 84. SELLER'S STATEMENT: <br /> 85. (To be signed at time of listing.) <br /> 86. INWe,Seller(s)of the Property acknowledge the above subsurface sewage treatment system disclosure and MAP <br /> 87. and authorizl��st'!i fl,oker to disclose this Information to prospective buyers. <br /> 7eB0E1A)A � 6B <br /> r b � 02/16/2013 <br /> 88. 2/16/2013 1 2:21:20 PM <br /> (ua5) (Se'kl) (Date) <br /> 89. BUYER'S ACKNOWLEDGMENT: <br /> 90. (To be signed al time of purchase agreement.) <br /> 91, I/We,the Buyer(s) of the Properly acknowledge receipt of this Subsurface Sewage Treatment System Disclosure <br /> 92. Statement and MAP and agree that no representation regarding the condition of the subsurface sewage treatment <br /> 93. system have been made,other than those made above, <br /> 94. LISTING BROKER AND LICENSEES MAKE NO REPRESENTATION AND ARE NOT RESPONSIBLE FOR ANY <br /> • 95. CONDITIONS EXISTING IN THE SUBSURFACE SEWAGET •T E SYSTV 1 <br /> ` <br /> 95. l 0_1/17 4 t /c-ler) mato) : •ei (Data) <br /> 97. SELLER'S ACKNOWLEDGMENT: <br /> 98. (To be signed at lime of purchase agreement.) <br /> 99. AS OF THE DATE OF THE ACCEPTANCE OF THE PURCHASE AGREEMENT, UWe, the Seller(s) of the above <br /> 100. Property,agree that the condition of the subsurface sewage treatment system Is the same as noted above,except for <br /> 101. changes as Indicated below which have been signed and dated. <br /> 102. none <br /> 103. <br /> 104. -- <br /> 105. <br /> 108. - • --- ---- -107. <br /> 108. <br /> 109. -- ----- - <br /> 110.111. <br /> 112. <br /> 113. F7991624-6021-4267-AA.3 -' - <br /> 02/16/2013 <br /> 114. 2/16/21111_17,1.16 Pae <br /> (Segel) (Oa!e) (Se:'e/) <br /> (Octe) <br /> 115. ORIGINAL COPYTO LISTING BROKER;COPIESTO SELLER,BUYER,SELLING BROKER, <br /> MN-PSSD-3(8109) <br /> WE6Fom,e' Aua2ce9 <br />