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ifh BURMET <br />REALTY <br />REAL ESTATE TRANSFER <br />DISCLOSURE STATEMENT <br />66. Address________________________ <br />67. Pago 2 <br />66. <br />69. <br />?a <br />71. <br />72. <br />Unu«d well: Is lne.6 a -e,l on Ih. srooaiT/ ^icn is no longer in os.7 CYos^^.o <br />II yes. has It seen sealed according 10 State flegulations ■^SA 156A7 CYea w. o <br />Commenis: <br />Contaminated Well; Is there a well on the properly containing contan-n *ed water? Yes. <br />Date well water last tested for cor minants:------------------- Comments;------------------------- <br />No <br />73. D. <br />74. <br />75. <br />7E <br />77. <br />7a <br />79. <br />80. <br />81. <br />LAND USE AND PROPEHTY CONDITION^ <br />Af0 you 3war9 of any of followinQ existing. <br />E.ncmachments7 Yes___ Soil oroWems? Yes_ <br />Diseased Trees? Yes___ No_kdT Rodent Intestadon? <br />RestrtcMns or Reservations on ate use of the property? Yea _____ <br />No <br />NoJkT^ <br />No_L <br />Insect IreestatxM? Yes. <br />Easements otner than uuUly or dramage aasemants when oo not intedara with prasarijmprovenww? <br />Is ina property located m a cesignaied Itood oiam? Yes ------------ No <br />Commtnts: <br />’iw <br />eaE. INSULATION DISCLOSURE: <br />84. Oo«f lh« Insulaoon in prop^ny contain uraa formtldahyda foam? Y« <br />Date insulation installed: ----------------- — <br />Commenis: ______________________________ <br />Unknown <br />85 <br />86 <br />Type;Comparty: <br />07. F. OTHER KNOWN DEFECTS; <br />88. Are there any other known defects in Of on the property? Yes <br />89. <br />9a <br />91. <br />If yes. explain below: <br />1 <br />93. Q, SE11 PR’S STATEMENT: (Tb be signed at time of listing) <br />94. <br />9S <br />96l <br />rS.'o^*ge*th°e* Transfer Disclosure Statement and give permission to Listing Broker to disclose <br />this intoitpatiop::* the prt5Soe^vf^uyers.. <br />97.%Y7r^ <br />ga H. BUYER'S ACKNOWLEDGEMENT: fTo be signed at Ume of purchase agreement) <br />99 We/1, the Buyerts) of the property at---------------.. --------------------——------------------------TITIZI <br />lOa do acxnowieoge receipt of the Real Estate Transfer Disclosure Statement and agree <br />101. regarding the condition ol RvisriJa I101 regarding the condition ol the property have oeen maoe. oinw m-n u.u»« -- ------ <br />102. AGENTS MAKE NO REPRESENTATIONS AND ARE NOT RESPONSIBLE FOR ANY CONDITIONS EXISTING IN <br />101 THE PROPERTY. <br />104. <br />105 I SELLER'S ACKNOWLEDGEMENT; (To ae signed at time of purchase agreement) <br />.Od ■ *S OF THE OATH OF THE .CCEFTAHCE CF THE^POPCHASE AOHEEME^.J^ <br />107. <br />1C8. <br />prco#fty. agrat trial tn# conottion of tha ofroarty is tna sama as noiad oOova and da m propar worwng order <br />on data of cfOfing. avcaot for fha changes nojcatad acova and dated: <br />109. <br />na isto oaiciNAL coair to listing ano«n: coaics to sCLLEfi outir, siujng anoKCT.t2