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CONTEMPORARY HOME ON ACREAGE~NEFF ROAD $744,000.

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Page 1: Bend contempory home on acreage ebook

CONTEMPORARY HOME ON ACREAGE~NEFF ROAD$744,000.

Page 2: Bend contempory home on acreage ebook

© MMXIII Sotheby’s International Realty Affiliates LLC. A Realogy Company. All Rights Reserved. Sotheby’s International Realty® is a registered trademark licensed to Sotheby’s International Realty Affiliates LLC. An Equal Opportunity Company. Equal Housing Opportunity. If your property is listed with a real estate broker, please disregard. It is not our intention to solicit the offerings of other real estate brokers. We are happy to work with them and cooperate fully.

Contemporary style home in a private setting close to town. Fantastic kitchen has Dacor stainless steel appliances, wine fridge, and granite counter tops. Home has wood floors throughout, fireplace, three bedroom suites, utility room, deck, attached two car garage. Yard is landscaped with sprinkler system, deck, old growth juniper trees pond, and COI canal running through. Quality block construction shop with three doors (RV door is 16 ft tall), cement floor with room for all the toys, cars, and hobbies. Cascade Mountain Views from home and property. Close to town with a private setting. Appointment Only.

21695 NEFF RD BEND, OR 97701$744,000.

SECLUDED HOME WITH CASCADE MOUNTAIN VIEWS

Brook Havens541-604-0788 [email protected]

Bruce Boyle541-408-0595 [email protected] Sotheby’s International Realty650 SW Bond Street Suite 100 Bend, Oregon 97702

Property Features3210 sq ft home

3 master suites, 3.5 bath, 2 offices 2496 sq ft Shop with RV Door 18.78 acres Gated, paved driveway Terrific Location with Privacy!!

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0.5 ac.

0.5 ac.

NEFF

HA

MB

Y

00601

00600

00700

00200

00500

01200

00401

01300

01000

01203

01204

0130001302

2012 AERIAL PHOTOJULY 10, 2012

WATER RIGHTS MAP

0 100 20050

Feet

TAX MAP: 171236 NWNW 00600 & 00601TOTAL WATER RIGHTS: 1 ac.

PANDIAN, VERSONPATRON ID: 3140´ Legend

TAXLOTS

IL

ÚÚÚÚÚÚINSTREAM

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!

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PENDING_OFF

PENDING_ON

PENDING_ON POND

PETITIONED_ON

PETITIONED_ON POND

D D DD D D

QC

DDDDDDQC-INSTREAM

Page 7: Bend contempory home on acreage ebook

Building Classification: ResidentialClass of Work: New SystemBuilding Use: RESIDENCELinked Feasibility Permit: 13769

Tank Material:DEQ Approval Number:Service Code: Standard SystemSystem Type:

Maximum Trench Depth: 29Trench Length: 340Tank Capacity: 1000Daily Flow Rate: 450

Deschutes County PropertyInformation

Septic Permit details for account #111681The Deschutes County Community Development Department (http://www.deschutes.org/cdd) is responsible for land use and permits forproperties in the County's jurisdiction. Contact this department if you need additional information or if you have questions.

Account InformationMailing Name: V PANDIAN LIVING TRUSTMap and Taxlot: 1712360000600Account: 111681Situs Address: 21695 NEFF RD, BEND, OR 97701Tax Status: Assessable

Septic Permit DetailsPermit Number: 34136Permit Name: CARR JOANNEContractor Name: OWNER

Application Date: 07/19/1993Issue Date: 07/20/1993Final Date: 11/26/1993

Status: Finaled

Drainfield Type:STANDARD SYSTEM

Special Instructions:

InspectionsDate: 07/19/1993Initials: STSComments: OK TO TAKE IN PER DEV/ROUTE TO PEB FOR SIGN OFF

Date: 07/19/1993Initials: STSComments: WILL BE APPLYING FOR BUILDING PERMIT FOR RESIDENCE WITHIN THE YEAR/BARN UNDER CONSTRUCTION HAS NOPLUMBING

THE INFORMATION AND MAPS ACCESSED THROUGH THIS WEB SITE PROVIDE A VISUAL DISPLAY FOR YOUR CONVENIENCE. EVERY REASONABLE EFFORT HAS BEEN MADE TO ASSURE THEACCURACY OF THE MAPS AND ASSOCIATED DATA. DESCHUTES COUNTY MAKES NO WARRANTY, REPRESENTATION OR GUARANTEE AS TO THE CONTENT, SEQUENCE, ACCURACY, TIMELINESS ORCOMPLETENESS OF ANY OF THE DATA PROVIDED HEREIN. DESCHUTES COUNTY EXPLICITLY DISCLAIMS ANY REPRESENTATIONS AND WARRANTIES, INCLUDING, WITHOUT LIMITATION, THE IMPLIEDWARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. DESCHUTES COUNTY SHALL ASSUME NO LIABILITY FOR ANY ERRORS, OMISSIONS, OR INACCURACIES IN THEINFORMATION PROVIDED REGARDLESS OF HOW CAUSED. DESCHUTES COUNTY ASSUMES NO LIABILITY FOR ANY DECISIONS MADE OR ACTIONS TAKEN OR NOT TAKEN BY THE USER OF THISINFORMATION OR DATA FURNISHED HEREUNDER.

© 2013 - Deschutes County. All rights reserved.

Dial Links: Dial Home (/) Dial Help | Deschutes County Links: Home (http://www.deschutes.org/) Other Property Applications

Other Online Applications

Dial - Deschutes County Property Information http://dial.deschutes.org/Real/PermitDetails/111681?permitID=...

1 of 1 4/1/13 6:39 AM

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SELLER’S PROPERTY DISCLOSURE STATEMENT

1

Property Address

23

4567

910

I N S T R U C T I O N S T O T H E S E L L E R

11

121314151617181920

21

22

23

24

2526

27

2829

3031323334

353637

Each seller of residential property described in ORS 105.465 must deliver this form to each buyer who makes a written offer to purchase. UnderORS 105.475 (4), refusal to provide this form gives the buyer the right to revoke their offer at any time prior to closing the transaction. Use only thesection(s) of the form that apply to the transaction for which the form is used. If you are claiming an exclusion under ORS 105.470, fill out onlySection 1.

explanation(s). If you are not claiming an exclusion or refusing to provide the form under ORS 105.475 (4), you should date and sign each page ofthis disclosure statement and each attachment.

DO NOT FILL OUT THIS SECTION UNLESS YOU ARE CLAIMING AN EXCLUSION UNDER ORS 105.470

Section 1. EXCLUSION FROM ORS 105.465 TO 105.490:

Initial only the exclusion you wish to claim.This is the first sale of a dwelling never occupied. The dwelling is constructed or installed under building or installation permit(s) #

issued by

Signature(s) of Seller(s) Claiming Exclusion

NOTICE TO THE BUYER: THE FOLLOWING REPRESENTATIONS ARE MADE BY THE SELLER(S) CONCERNING THE CONDITION OF THE

DISCLOSURE STATEMENT TO REVOKE BUYER'S OFFER BY DELIVERING BUYER'S SEPARATE SIGNED WRITTEN STATEMENT OFREVOCATION TO THE SELLER DISAPPROVING THE SELLER'S DISCLOSURE STATEMENT, UNLESS BUYER WAIVES THIS RIGHT AT ORPRIOR TO ENTERING INTO A SALE AGREEMENT.

Please complete the following form. Do not leave any spaces blank. Please refer to the line number(s) of the question(s) when you provide your

.

The seller is a court appointed (Check only one):This sale or transfer is by a governmental agency.

Seller Date Seller Date

Signature(s) of Buyer(s) Acknowledging Seller’s Claim

Buyer Date Buyer Date

IF YOU DID NOT CLAIM AN EXCLUSION IN SECTION 1, YOU MUST FILL OUT THIS SECTION.Section 2. SELLER'S PROPERTY DISCLOSURE STATEMENT

(NOT A WARRANTY) (ORS 105.465)

PROPERTY LOCATED AT “THE PROPERTY."

DISCLOSURES CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER'S ACTUAL KNOWLEDGE OF THEPROPERTY AT THE TIME OF DISCLOSURE. BUYER HAS FIVE BUSINESS DAYS FROM THE SELLER'S DELIVERY OF THIS SELLER'S

FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY, BUYER IS ADVISED TO OBTAIN ANDPAY FOR THE SERVICES OF A QUALIFIED SPECIALIST TO INSPECT THE PROPERTY ON BUYER'S BEHALF INCLUDING, FOR EXAMPLE,ONE OR MORE OF THE FOLLOWING: ARCHITECTS, ENGINEERS, PLUMBERS, ELECTRICIANS, ROOFERS, ENVIRONMENTALINSPECTORS, BUILDING INSPECTORS, CERTIFIED HOME INSPECTORS, OR PEST AND DRY ROT INSPECTORS.

Seller is is not occupying the property.

An exclusion may be claimed only if the seller qualifies for the exclusion under the law. If not excluded, the seller must disclose the condition of theproperty or the buyer may revoke their offer to purchase anytime prior to closing the transaction. Questions regarding the legal consequences ofthe seller's choice should be directed to a qualified attorney.

8

You may claim an exclusion under ORS 105.470 only if you qualify under the statute. If you are not claiming an exclusion, you must fill outSection 2 of this form completely.

38

39

SELLER Date

LINES WITH THIS SYMBOL REQUIRE A SIGNATURE AND DATECopyright Oregon Real Estate Forms, LLC 2000 - 2013 www.orefonline.com

OREF 020-1No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

Buyer Initials / Date

receiver personal representative trustee conservator guardianThis sale is by a financial institution that acquired the property as custodian, agent or trustee, or by foreclosure or deed in lieu of foreclosure.

21695 Neff Rd, Bend, OR 97701

V Pandian Living Trust

21695 Neff Rd, Bend, OR 97701

V Pandian Living Trust

X

This form has been licensed for use solely by Bruce Boyle pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

DocuSign Envelope ID: 7619167F-4E0E-4177-A0D4-88C4C7F7F4A3

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Page 26: Bend contempory home on acreage ebook

40

41

42

43

444546

I . S E L L E R ’ S R E P R E S E N T A T I O N S :

474849505152535455565758

1.A. Do you have legal authority to sell the property?.................................................................

loan pertaining to the property, or that may have or take a security interest in the property, or any real estate licensee engaged by the seller or the

buyer.

The following are representations made by the seller and are not the representations of any financial institution that may have made or may make a

TITLE

*B. Is title to the property subject to any of the following:..........................................................

*C. Is the property being transferred an unlawfully established unit of land?...........................*D.

recent boundary changes?....................................................................................................*E.

claims that may affect your interest in the property?.............................................................*F. Are there any agreements for joint maintenance of an easement or right of way?...............*G.

or notices that would affect the property?............................................................................*H. Are there any pending or existing governmental assessments against the property? ..........*I. Are there any zoning violations or nonconforming uses?....................................................*J. Is there a boundary survey for the property?........................................................................*K. Are there any covenants, conditions, restrictions or private assessments that affect the

*L.result in levy of additional taxes if the property is sold?.......................................................

First right of refusal

Are there any encroachments, boundary agreements, boundary disputes or

Are there any rights of way, easements, licenses, access limitations or

Are there any governmental studies, designations, zoning overlays, surveys

Option Lease or rental agreement Other listing Life estate

59

2. WATER

60

A. Household water

61

(1) The source of the water is (check ALL that apply): Public Community Private Other

62

(2) Water source information:

63

*a) Does the water source require a water permit?.....................................................

64

If yes, do you have a permit?................................................................................

65

Is the water source located on the property?........................................................

66

*If not, are there any written agreements for a shared water source?...................

67

Is there an easement (recorded or unrecorded) for your access to or

68

maintenance of the water source?.........................................................................

69

If the source of water is from a well or spring, have you had any of

70

the following in the past 12 months?......................................................................

7172

Are there any water source plumbing problems or needed repairs?.....................

73

(3) Are there any water treatment systems for the property?................................................

747576

(1)

77

If any exist, has the irrigation water been used during the last five-year period?..........

78

Is there a water rights certificate or other written evidence available?..........................

79

Outdoor sprinkler system

80

Is there an outdoor sprinkler system for the property?..................................................

81

Has a back flow valve been installed?...........................................................................

82

Is the outdoor sprinkler system operable?.....................................................................

*b)

*c)

d)

*e)Flow test Bacteria test Chemical contents test

Leased OwnedB. Irrigation

water rights or other rights for the property?..............................

C.83848586

87888990919293

3. SEWAGE SYSTEMA. Is the property connected to a public or community sewage system?..................................B. Are there any new public or community sewage systems proposed for the property?.........C. Is the property connected to an on-site septic system?.......................................................

If yes, was it installed by permit?...........................................................................................*Has the system been repaired or altered?..........................................................................Has the condition of the system been evaluated and a report issued?...............................Has it ever been pumped?....................................................................................................If yes, when?

*D. Are there any sewage system problems or needed repairs?................................................E. Does your sewage system require on-site pumping to another level?..................................

SELLER’S PROPERTY DISCLOSURE STATEMENTProperty Address

Is the property subject to any special tax assessment or tax treatment that mayproperty?................................................................................................................................

Are there any

(1)(2)(3)

* (2)* (3)

94959697

*If you mark yes on items with *, attach a copy or explain on an attached sheet.

Yes No UnknownYes* No Unknown

Yes* No Unknown

Yes* No Unknown

Yes* No UnknownYes* No Unknown

Yes* No UnknownYes* No UnknownYes* No UnknownYes* No Unknown

Yes* No Unknown

Yes* No Unknown

Yes* No UnknownYes No Unknown NAYes* No Unknown NAYes* No Unknown NA

Yes No Unknown NA

Yes* No Unknown

Yes* No UnknownYes No Unknown

Yes No UnknownYes* No Unknown NAYes* No Unknown NA

Yes No Unknown NAYes No Unknown NA

Yes No Unknown

Yes No Unknown

Yes No UnknownYes No Unknown

Yes No Unknown NAYes* No Unknown NAYes No Unknown NAYes No Unknown NA

Yes* No UnknownYes No Unknown

SELLER Date

LINES WITH THIS SYMBOL REQUIRE A SIGNATURE AND DATEBuyer Initials / Date

Copyright Oregon Real Estate Forms, LLC 2000 - 2013 www.orefonline.com

OREF 020-2No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

XX

X

X

XX

XXX

X

X

X

X XXX

XX

XXXX

XX

X

X

XX

X

XX

XX

21695 Neff Rd, Bend, OR 97701

V Pandian Living Trust

2009

This form has been licensed for use solely by Bruce Boyle pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

DocuSign Envelope ID: 7619167F-4E0E-4177-A0D4-88C4C7F7F4A3

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Page 27: Bend contempory home on acreage ebook

9899

100101102103

104105106107108109110111112113114

4.

B. Are there any defective insulated doors or windows?............................................................

DWELLING INSULATION

*A. Has the roof leaked?...............................................................................................................

B. Are there any additions, conversions or remodeling?............................................................

If yes, was a building permit obtained?...................................................................................If yes, was final inspection obtained?......................................................................................

C.Are there carbon monoxide alarms?.......................................................................................

E. Is there a woodstove or fireplace insert included in the sale?................................................*If yes, what is the make?*If yes, was it installed with a permit?......................................................................................*If yes, is a certification label issued by the United States Environmental Protection Agency

*F. Has pest and dry rot, structural or "whole house" inspection been done within the last

If yes, has it been repaired?....................................................................................................

If yes, was a building permit required?....................................................................................

Are there smoke alarms or detectors?....................................................................................

Department of Environmental Quality (DEQ) affixed to it?.................................

115116

118119120121122123124125126127128129

Are there problems with the materials?..........................................................................

130131132133134

Water heater tank...................................................................................................................

135

Garbage disposal....................................................................................................................

136137

Built-in dishwasher..................................................................................................................

138

Sump pump.............................................................................................................................

139

Heating and cooling systems..................................................................................................

(1)

Leased...................................................................................Owned

A. Electrical system, including wiring, switches, outlets and service...........................................

C.140141142143144145146147148149150

D.

Are there any materials or products used in the systems and fixtures

F.

that are or have been the subject of a recall, class action settlement or other litigations?......

G.

If yes, what product?Are there problems with the product?.............................................................................Is the product covered by a warranty?............................................................................Has the product been inspected?...................................................................................Have claims been filed for this product by you or by previous owners?.........................If yes, when?

H.

Was money received?.....................................................................................................

I.

Were any of the materials or products repaired or replaced?.........................................

A. Is there insulation in the:(1) Ceiling? .............................................................................................................................(2) Exterior walls? ...................................................................................................................(3) Floors? ..............................................................................................................................

5. DWELLING STRUCTURE

D.

6. DWELLING SYSTEMS AND FIXTURES

*G. Are there any moisture problems, areas of water penetration, mildew odorsor other moisture conditions (especially in the basement)?....................................................*If yes, explain on attached sheet the frequency and extent of problem and any insurance claims, repairs or remediation done.

H. Is there a sump pump on the property?...................................................................................I. Are there any materials used in the construction of the structure that are or

have been the subject of a recall, class action suit, settlement or litigation?.........................If yes, what are the materials?

(2) Are the materials covered by a warranty?.......................................................................(3) Have the materials been inspected?...............................................................................(4) Have there ever been claims filed for these materials by you or by previous owners?..

If yes, when?(5) Was money received?.....................................................................................................(6) Were any of the materials repaired or replaced?............................................................

If the following systems or fixtures are included in the purchase price, are they in good working order on the date this form is signed?

B.

J.Security system

Plumbing system, including pipes, faucets, fixtures and toilets...............................................

Built-in range and oven...........................................................................................................

(1)(2)(3)(4)

(5)(6)

SELLER’S PROPERTY DISCLOSURE STATEMENTProperty Address

three years?.............................................................................................................................

151152153154155

SELLER Date

Yes No UnknownYes No UnknownYes No UnknownYes No Unknown

Yes* No UnknownYes No Unknown NAYes No UnknownYes No Unknown NAYes No Unknown NAYes No Unknown NAYes No UnknownYes No UnknownYes No Unknown

Yes* No Unknown NA

Yes* No Unknown NA

Yes* No Unknown

Yes* No Unknown

Yes No Unknown

Yes No Unknown

Yes No Unknown NAYes No Unknown NAYes No Unknown NAYes No Unknown NA

NAYes No Unknown NAYes No Unknown NA

Yes No UnknownYes No UnknownYes No UnknownYes No Unknown NAYes No Unknown NAYes No Unknown NAYes No Unknown NAYes No Unknown NAYes No Unknown NA

Yes No Unknown

Yes No Unknown NAYes No Unknown NAYes No Unknown NAYes No Unknown NA

Yes No Unknown NAYes No Unknown NA

LINES WITH THIS SYMBOL REQUIRE A SIGNATURE AND DATE Buyer Initials / DateCopyright Oregon Real Estate Forms, LLC 2000 - 2013 www.orefonline.com

OREF 020-3No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

117 (EPA) or the

E.

X

V Pandian Living Trust

21695 Neff Rd, Bend, OR 97701

XXXX

XXXXXX

XX

X

X

X

X

X

X

X

XXXXXX

XX

X

X

This form has been licensed for use solely by Bruce Boyle pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

DocuSign Envelope ID: 7619167F-4E0E-4177-A0D4-88C4C7F7F4A3

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156157

158

159

160

161162163164165166167168

169170171

7.

B. Regular periodic assessments: $

COMMON INTEREST

Month*C. Are there any pending or proposed special assessments?....................................................

Is the Home Owners' Association or other governing entity a party to

restrictions or in violation of other bylaws or governing rules, whether recorded or not?........

E.

Are there shared "common areas" or joint maintenance agreement for facilities like walls, fences,

A.

pools, tennis courts, walkways or other areas co-owned in undivided interest with others?...

pending litigation or subject to an unsatisfied judgment?.......................................................

Are there problems with settling, soil, standing water or drainage on

172173174175176177178179180181182183

184185

187188

189190191

192

193194195196197198199200201

202203204

A.

Name of Association or Other Governing Entity

Is there a Home Owners' Association or other governing entity?...........................................

Address Phone Number

D.

Contact Person

per Year Other

F. Is the property in violation of recorded covenants, conditions and

8. GENERAL

the property or in the immediate area?....................................................................................B. Does the property contain fill?.................................................................................................C. Is there any material damage to the property or any of the structure(s)

from fire, wind, floods, beach movements, earthquake, expansive soils or landslides?.........D. Is the property in a designated floodplain?.............................................................................E. Is the property in a designated slide or other geologic hazard zone?.....................................

*F. Has any portion of the property been tested or treated for asbestos, formaldehyde, radon, gas,lead-based paint, mold, fuel or chemical storage tanks or contaminated soil or water?.........

G.

H. Has the property ever been used as an illegal drug manufacturing or distribution site?........*If yes, was a Certificate of Fitness issued?...........................................................................

I. Has the property been classified as forestland-urban interface?............................................

*A. Are there any other material defects affecting this property or its value thatYes* No

9. FULL DISCLOSURE BY SELLER(S)

If yes, describe the defect on attached sheet and explain the frequency and extent of the problem and any insurance claims, repairs or

remediation?

The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copyof this disclosure statement. I/we authorize my/our agents to deliver a copy of this disclosure statement to all prospective buyers of the property or

V E R I F I C A T I O N

SELLER’S PROPERTY DISCLOSURE STATEMENTProperty Address

on the property?.....................................................................................................................

their agents.

205206

207

208

209

210

211

Yes No Unknown

Yes No UnknownYes No Unknown

Yes* No Unknown

Yes No Unknown NA

Yes No Unknown

Yes No UnknownYes No UnknownYes No Unknown

Yes* No Unknown

Yes No Unknown

Yes No Unknown NA

Yes No UnknownYes No UnknownYes* No Unknown NA

Seller Date

I I . B U Y E R ’ S A C K N O W L E D G M E N T :A. As buyer(s), I/we acknowledge the duty to pay diligent attention to any material defects that are known to me/us or can be known by me/us by

utilizing diligent attention and observation.B. Each buyer acknowledges and understands that the disclosures set forth in this statement and in any amendments to this statement are made

only by the seller and are not the representations of any financial institution that may have made or may make a loan pertaining to theproperty, or that may have or take a security interest in the property, or of any real estate licensee engaged by the seller or buyer. A financialinstitution or real estate licensee is not bound by and has no liability with respect to any representation, misrepresentation, omission, error orinaccuracy contained in another party's disclosure statement required by this section or any amendment to the disclosure statement.

C. Buyer (which term includes all persons signing the "Buyer's Acknowledgment" portion of this disclosure statement below) herebyacknowledges receipt of a copy of this disclosure statement (including attachments, if any) bearing seller's signature(s).

DISCLOSURES, IF ANY, CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER'S ACTUAL KNOWLEDGEOF THE PROPERTY AT THE TIME OF DISCLOSURE. IF THE SELLER HAS FILLED OUT SECTION 2 OF THIS FORM, YOU, THE BUYER,HAVE FIVE BUSINESS DAYS FROM THE SELLER'S DELIVERY OF THIS DISCLOSURE STATEMENT TO REVOKE YOUR OFFER BYDELIVERING YOUR SEPARATE SIGNED WRITTEN STATEMENT OF REVOCATION TO THE SELLER DISAPPROVING THE SELLER'SDISCLOSURE UNLESS YOU WAIVE THIS RIGHT AT OR PRIOR TO ENTERING INTO A SALE AGREEMENT.

BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS SELLER'S PROPERTY DISCLOSURE STATEMENT.

Buyer DateBuyer Date

Agent receiving disclosure statement on buyer's behalf to sign and date:

Real Estate Licensee

Real Estate Firm

Date received by agent:

LINES WITH THIS SYMBOL REQUIRE A SIGNATURE AND DATE Buyer Initials / DateCopyright Oregon Real Estate Forms, LLC 2000 - 2013 www.orefonline.com

OREF 020-4No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com

a prospective buyer should know about?................................................................................186

(complete even if zero) Number of pages of explanations are attached.

Principal Broker’s InitialsDate

X

XX

XXX

X

XX

X

X

21695 Neff Rd, Bend, OR 97701

V Pandian Living Trust

This form has been licensed for use solely by Bruce Boyle pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

0

DocuSign Envelope ID: 7619167F-4E0E-4177-A0D4-88C4C7F7F4A3

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Page 29: Bend contempory home on acreage ebook
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