SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 1 of 8 The printed portions of this form, except differentiated additions, have been approved by the Colorado Real Estate Commission. (SPD19-6-17) (Mandatory 1-18) THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING. (RESIDENTIAL) THIS DISCLOSURE SHOULD BE COMPLETED BY SELLER, NOT BY BROKER. Seller states that the information contained in this Disclosure is correct to as of this Date. Any changes must be disclosed by Seller to Buyer promptly after discovery. Seller's failure to disclose a known material defect may result in legal liability. If Seller has knowledge of an adverse material fact affecting the Property or occupants, it must be disclosed whether there is a specific item on this Disclosure or not. If the Property is part of a Common Interest Community, this Disclosure is limited to the Property or unit itself, except as stated in Section O. Broker may deliver a copy of this Disclosure to prospective buyers. Note: The Contract to Buy and Sell Real Estate, not this Disclosure, determines whether an item is included or excluded; if there is an inconsistency between this Disclosure and the Contract, the Contract controls. Date: Property Address: Seller: Year Built: I. IMPROVEMENTS A. STRUCTURAL CONDITIONS If you know of any of the following problems EVER EXISTING Yes Comments 1 Structural problems 2 Moisture and/or water problems 3 Damag e due to termites, other insects, birds, animals or rodents 4 Damage due to hail, wind, fire, flood or other casualty 5 Cracks, heaving or settling problems 6 Exterior wall or window problems 7 Exterior Artificial Stucco (EIFS) 8 9 B. ROOF If you know of any of the following problems EVER EXISTING Yes Comments 1 Roof leak 2 Damage to roof 3 Skylight problems 4 Gutter or downspout problems 5 Other r oof problems 6 7 American LegalNet, Inc. www.FormsWorkFlow.com SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 2 of 8 B - 1. ROOF Other Information Do you know of the following on the Property: Yes Comments 1 Roof under warranty until Transferable 2 Roof work done while under current roof warranty 3 Roof material: Age 4 5 C. APPLIANCES If you k now of any p roblems NOW EXISTING with the following Yes Age If Known Comments 1 Built - in vacuum system & accessories 2 Clothes dryer 3 Clothes washer 4 Dishwasher 5 Disposal 6 Freezer 7 Gas grill 8 Hood 9 Microw ave oven 10 Oven 11 Range 12 Refrigerator 13 T.V. antenna: Owned Leased 14 Satellite system or DSS dish: Owned Leased 15 Trash compactor 16 17 D. ELECTRICAL & TELECOMMUNICATIONS If you know of any problems NOW EXISTING with the following Yes Age If Known Comments 1 Security system: Owned Leased 2 Smoke/fire detectors: Battery Hardwire 3 Carbon Monoxide Alarm: Battery Hardwire 4 Light fixtures 5 Switches & outlets 6 Electrical Service 7 Telecommunications (T1, fiber, cable, satelli te) 8 Inside telephone wiring & blocks/jacks 9 Ceiling fans 10 Garage door opener and remote control 11 Intercom/doorbell 12 In - wall speakers 13 14 American LegalNet, Inc. www.FormsWorkFlow.com SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 3 of 8 D - 1. ELECTRICAL & TELECOMMUNICATIONS Other Information : Do you know of the following on the Property : Yes Age If Known Comments 1 220 volt service 2 Landscape lighting 3 Aluminum wiring at the outlets (110) 4 Electrical Service: Amps 5 Garage door control(s) # 6 7 E. MECHANICAL If you know of any problems NOW EXISTING with the following Yes Age If Known Comments 1 Overhead doors (including garage doors) 2 Entry gate system 3 Elevator 4 5 F. VENTILATION, AIR, HEAT If you know of any problems NOW EXISTING with the : Yes Age If Known Comments 1 Heating s ystem 2 Air conditioning: Evaporative cooler Window units Central 3 Attic/whole house fan 4 Vent fans 5 Humidifier 6 Air purifier 7 Fireplace 8 Fireplace insert 9 Heating Stove 10 Fuel tanks 11 12 F - 1. VENTILATION, AIR, HEAT Other Information : Do you know of the following on the Property : Comments 1 Heating sys tem (including furnace): Type Fuel Type Fuel 2 Fireplace: Type Fuel 3 Fireplace insert 4 Heating Stove: Type Fuel American LegalNet, Inc. www.FormsWorkFlow.com SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 4 of 8 5 When was fireplace/wood stove, chimney/flue last cleaned: Date: Do not know 6 Fuel tanks: Owned Leased 7 Radiant heating system: Interior Exterior Type 8 9 G. WATER If you know of any problems NOW EXISTING with the following Yes Comments 1 Water system (including lines and water pressure) 2 Water heater(s) 3 Water filter s ystem 4 Water softener 5 Well 6 Water s ystem p ump 7 Sauna 8 Hot tub or spa 9 Steam room/shower 10 Pool 11 Underground sprinkler system 12 Fire sprinkler system 13 Backflow prevention device 14 Irrigation s ystem 15 Irriga tion pump 16 17 G - 1. WATER Other Information : Do you know of the following on the Property : Yes Age If Known Comments 1 Water heater: Number of Fuel type Capacity 2 Water filter system: Owned Leased 3 Water softener: Owned Leased 4 Well m etered 5 Well Date of last i nspection 6 Galvanized pipe 7 Polybutylene pipe 8 9 H . SOURCE OF WATER & WATER SUPPLY Do you know of the following on the Property : 1 Type of water supply: Public Community Well Shared Well Cistern None If the Property is served by a Well, a copy of the Well Permit Is Is Not attached . Well Permit #: Drilling Records Are Are N ot attached. Shared Well Agr eement Yes No . American LegalNet, Inc. www.FormsWorkFlow.com SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 5 of 8 The Water Provider for the Property can be contacted at: Name: Address: Web Site: Phone No.: There is neither a Well nor a Water Provider for the Property. The source o f potable water for the Property is [describe source]: SOME WATER PROVIDERS RELY, TO VARYING DEGREES, ON NONRENEWABLE GROUND WATER. YOU MAY WISH TO CONTACT YOUR PROVIDER (OR INVESTIGATE THE DESCRIBED SOURCE) TO DETERMINE THE LONG - TERM SUFFICIENCY OF THE I. SEWER If you know of any problems NOW EXISTING with the following Yes Comments 1 Sewage system (including sewer lines) 2 Lift station (sewage ejector pump) 3 Sump pump(s) # of 4 Gra y water storage/use 5 I - 1. SEWER Other Information : Do you know of the following on the Property : 1 Type of sanitary sewer service: Public Community Septic System None Other If the Property is served by an on - site septic system, provide buyer with a copy of the permit. Type of septic system: Tank Leach Lagoon 2 If a septic system , date latest Individual Use Permit issued: 3 If a septic system, date of latest Inspection: 4 If a septic system, date of latest Pumping: 5 6 J. FLOODING AND DRAINAGE If you know of any problems EVER EXISTING with the following on the Yes Comments 1 Flooding or drainage 2 J - 1 . DRAINAGE AND RETENTION PONDS Other Information Do you know of the following on the Property: Yes Comments 1 Drainage, r etention ponds 2 K. OTHER DISCLOSURES IMPROVEMENTS If you know of any problems NOW EXISTING with the Yes Comments 1 Included fixtures and equipment 2 Stains on carpet 3 Floors and sub - floors 4 5 American LegalNet, Inc. www.FormsWorkFlow.com SPD19-6-17. SELLERS PROPERTY DISCLOSURE (RESIDENTIAL) Page 6 of 8 II. GENERAL L. USE, ZONING & LEGAL ISSUES If you know of any of the following EVER EXISTING Yes Comments 1 Zoning violation, variance, conditional use, violation of an enforceable PUD or non - conforming use 2 Notice or threat of condemnation proceedings 3 Notice of any adverse conditions from any governmental or quasi - governmental agency that have not been resolved 4 Notice of zoning action related to the Property 5 Building code, city or county violations 6 rules or regulations 7 Any building or improvements constructed within the past one year from this Date without approval by the a ssociation or its designated approving body 8 Any add itions or alterations made 9 Other legal action 10 11 M. ACCESS & PARKING If you know of any of the following EVER EXISTING Yes Comments 1 Any access problems 2 Roads, trails, paths or driveways through the Prop erty used by others 3 Public highway or