STATE OF OHIO 2013 DEPARTMENT OF COMMERCE RESIDENTIAL PROPERTY DISCLOSURE FORM Purpose of Disclosure Form: This is a statement of certain conditions and information concerning the property actually known by the owner. An owner may or may not have lived at the property and unless the potential purchaser is informed in writing, the owner has no more information about the property than could be obtained by a careful inspection of the property by a potential purchaser. Unless the potential purchaser is otherwise informed, the owner has not conducted any inspection of generally inaccessible areas of the property. This form is required by Ohio Revised Code Section 5302.30. THIS FORM IS NOT A WARRANTY OF ANY KIND BY THE OWNER OR BY ANY AGENT OR SUBAGENT REPRESENTING THE OWNER. THIS FORM IS NOT A SUBSTITUTE FOR ANY INSPECTIONS. POTENTIAL PURCHASERS ARE ENCOURAGED TO OBTAIN THEIR OWN PROFESSIONAL INSPECTION(S). Owners Statement: The statements contained in this form are made by the owner and are not the statements of the owners agent or subagent. The statements contained in this form are provided by the owner only to potential purchasers in a transfer made by the owner. The statements are not for purchasers in any subsequent transfers. The information contained in this disclosure form does not limit the obligation of the owner to disclose an item of information that is required by any other statute or law to be disclosed in the transfer of residential real estate. OWNER INSTRUCTIONS Instructions to Owner: (1) Answer ALL questions. (2) Report known conditions affecting the property. (3) Attach additional pages with your signature if additional space is needed. (4) Complete this form yourself. (5) If some items do not apply to your property, write NA (not applicable). If the item to be disclosed is not within your actual knowledge, indicate Unknown. Owners Initials Owners Initials Date Date (Page 1 of 5) Purchases Initials Purchases Initials Date Date American LegalNet, Inc. www.FormsWorkFlow.com ( STATE OF OHIO DEPARTMENT OF COMMERCE RESIDENTIAL PROPERTY DISCLOSURE FORM 2013 TO BE COMPLETED BY OWNER (Please Print) THE FOLLOWING STATEMENTS OF THE OWNER ARE BASED ON OWNERS ACTUAL KNOWLEDGE A) WATER SUPPLY: B) SEWER SYSTEM: any previous or current Information on the operation and maintenance of the type of sewage system serving the property is available from the department of health or the board of health of the health district in which the property is located. C) ROOF: any previous or current D) WATER INTRUSION: any previous or current American LegalNet, Inc. www.FormsWorkFlow.com Pr o p er ty Ad dr e s s ( Purchaser is advised that every home contains mold. Some people are more sensitive to mold than others. If concerned about this issue, purchaser is encouraged to have a mold inspection done by a qualified inspector. E) STRUCTURAL COMPONENTS (FOUNDATION, BASEMENT/CRAWL SPACE, FLOORS, INTERIOR AND EXTERIOR WALLS): any previous or current any previous or current F) WOOD DESTROYING INSECTS/TERMITES: any previous/current G) MECHANICAL SYSTEMS: any previous or current H) PRESENCE OF HAZARDOUS MATERIALS: previous or current American LegalNet, Inc. www.FormsWorkFlow.com ( Pr o per t y Addres s I ) UNDE R G R O U N D S T O R A G E T AN K S/ W E L L S: Purchaser should exercise whatever due diligence purchaser deems necessary with respect to oil, gas, and other mineral rights. Information may be obtained from records contained within the recordes office in the county where the property is located. J) FLOOD PLAIN/LAKE ERIE COASTAL EROSION AREA: K) DRAINAGE/EROSION: any previous or current L) ZONING/CODE VIOLATIONS/ASSESSMENTS/HOMEOWNER ASSOCIATION: any recent or proposed M) BOUNDARY LINES/ENCROACHMENTS/SHARED DRIVEWAY/PARTY WALLS: N) OTHER KNOWN MATERIAL DEFECTS: American LegalNet, Inc. www.FormsWorkFlow.com Property Address CERTIFICATION OF OWNER Owner certifies that the statements contained in this form are made in good faith and based on his/her actual knowledge as of the date signed by the Owner. Owner is advised that the information contained in this disclosure form does not limit the obligation of the owner to disclose an item of information that is required by any other statute or law or that may exist to preclude fraud, either by misrepresentation, concealment or nondisclosure in a transaction involving the transfer of residential real estate. OWNER: DATE: OWNER: DATE: RECEIPT AND ACKNOWLEDGEMENT OF POTENTIAL PURCHASERS Potential purchasers are advised that the owner has no obligation to update this form but may do so according to Revised Code Section 5302.30(G). Pursuant to Ohio Revised Code Section 5302.30(K), if this form is not provided to you prior to the time you enter into a purchase contract for the property, you may rescind the purchase contract by delivering a signed and dated document of rescission to Owner or Owners agent, provided the document of rescission is delivered prior to all three of the following dates: 1) the date of closing; 2) 30 days after the Owner accepted your offer; and 3) within 3 business days following your receipt or your agents receipt of this form or an amendment of this form. Owner makes no representations with respect to any offsite conditions. Purchaser should exercise whatever due diligence purchaser deems necessary with respect to offsite issues that may affect purchases decision to purchase the property. Purchaser should exercise whatever due diligence purchaser deems necessary with respect to Ohios Sex Offender Registration and Notification Law (commonly referred to as Megans Law. This law requires the local Sheriff to provide written notice to neighbors if a sex offender resides or intends to reside in the area. The notice provided by the Sheriff i s a public record and is open to inspection under Ohios Public Records Law. If concerned about this issue, purchaser assumes responsibility to obtain information from the Sherifs office regarding the notices they have provided pursuant to MegaLaw. Purchaser should exercise whatever due diligence purchaser deems necessary with respect to abandoned underground mines. If concerned about this issue, purchaser assumes responsibility to obtain information from the Ohio Department of Natural Resources. The Department maintains an online map of known abandoned underground mines on their website at www.dnr.state.oh.us. I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS DISCLOSURE FORM AND UNDERSTAND THAT THE STATEMENTS ARE MADE BASED ON THE OWNERS ACTUAL KNOWLEDGE AS OF THE DATE SIGNED BY THE OWNER. My/Our Signature below does not constitute approval of any disclosed condition as represented herein by the owner. PURCHASER: DATE: PURCHASER: DATE: (Page 5 of 5) American LegalNet, Inc. www.FormsWorkFlow.com