if you do not see the county of your property listed … · if you do not see the county of your...

IF YOU DO NOT SEE THE COUNTY OF YOUR PROPERTY LISTED BELOW, YOU ARE USING THE INCORRECT LISTING PACKET. PLEASE CHECK THE FORMS PAGE OF OUR WEBSITE FOR THE CORRECT LISTING PACKET. MRED Listing Packet: Counties of: Bureau, Champaign, Clark, Cook, Dekalb, DeWitt, DuPage, Ford, Grundy, Henry, Iroquois, Kane, Kankakee, Kendall, Lake, LaSalle, Lee, Livingston, Logan, Marshall, McHenry, McLean, Putnam, Stark, Vermillion, Whiteside and Will To get started, submit the items below to us at: [email protected]. Completed Listing Packet ☐ Listing Agreement ☐ Property Input Form (DO NOT omit room dimensions) ☐ Digital Media Policy ☐ Seller Property Disclosure ☐ Radon Disclosure ☐ Lead Disclosure

Photos to be Included in the Listing You have the ability to add photos to the listing. For best image quality, photos should be JPEG formats, 1920x1080 pixels in size. Please note one (1) photo MUST be a front exterior photo. This photo [front exterior] should be file saved as 001. Please submit the photos to our office in numerical order with the front photo being first (file saved as 001). Save each subsequent file thereafter as 002, 003, 004, etc. The photos MUST be sent in the order in which you want them uploaded and saved with the proper file numbering. Please note that photos will be automatically rejected if they are not numbered in sequential order. Our office will not modify and/or organize the photos into the proper order. When sending the photos to be uploaded to the listing, break the photos up into groups - sending in multiple emails - each containing 7 to 10 photos at a time. Email photos to: [email protected]. WE DO NOT ACCEPT PHOTOS USING GOOGLE DOCS OR DROPBOX.

Remarks Section Submit by email at [email protected] the “remarks section” to be included in the listing. This can be 990 character description of the property including spaces and punctuation. We reserve the right to edit text if needed. Payment Payment is submitted on the home page of the website www.aflatfee.com by clicking the “List My Property” button and following the prompts. Got Questions? You can always call/text us at (630) 299-5000! We are here to help! Thank you for choosing Metro Realty, Inc. for your Flat Fee MLS needs.

***Attention*** Effective 10/01/2019, this Listing Packet - MRED ATTACHED SINGLE FAMILY has been updated for DocuSign capabilities. If you wish to receive this document for electronic completion using Docusign, please send us an email at [email protected] and request we send you the link for MREDATT. We will send the link to you upon request. If you are an I-pad user, DocuSign will work best for you.

mailto:[email protected]



http://www.aflatfee.com/

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EXCLUSIVE AGENCY LISTING AGREEMENT This MLS Listing Agreement is made by and between __________________________________________ hereinafter referred to as the “Seller” and Metro Realty, Inc. (hereinafter referred to as “Listing Broker”). Seller desires to list the property for sale in the local Multiple Listing Service (“MLS”). The property has the following street address: ____________________________________________________________________________________. Listing Broker is appointed to list the Property for sale on the local MLS for the period set forth below. The listing period will terminate automatically at 11:59 PM on the last day of the listing term unless extended in writing. The listing start date is ______________. The listing expiration date is _____________. Select MLS Listing Package that best suits your needs:

$250.00 MLS Package #1 $325.00 MLS Package #2 • Active on MLS for 6 month listing term • Add up to 25 photos to the listing • Property is listed for sale on the local MLS • Unlimited Listing Changes • Open House Advertising • Syndicated to MLS affiliated sites such as

Realtor.com, Zillow, Trulia, Redfin, and others • Access to Illinois Disclosure Forms and Sales

Contracts

• Active on MLS for 12 month listing term • Add up to 25 photos to the listing • Property is listed for sale on the local MLS • Unlimited Listing Changes • Open House Advertising • Syndicated to MLS affiliated sites such as

Realtor.com, Zillow, Trulia, Redfin, and others • Access to Illinois Disclosure Forms and Sales

Contracts Syndication to Affiliated Sites: Seller acknowledges that Listing Broker has no direct control over third party websites such as Realtor.com, Zillow.com or Trulia. Listing Broker is not responsible for the functionality of those websites or how third-party websites choose to display the listing information. Once a listing is live on the MLS, any listings currently on Zillow or Trulia will be automatically replaced by MLS data. Listing Broker Compensation. Seller agrees to pay Listing Broker the Flat Fee as selected above due and payable upon execution of this MLS Listing Agreement. Listing Broker agrees to list the Property in the local MLS and authorize the MLS to distribute the MLS listing to the local MLS syndicated sites. Listing Price. Seller is solely responsible for determining the appropriate Listing Price. Seller reserves the right to amend the Listing Price at any time in writing. The Listing Price of the Property and any and all improvements that are offered for sale shall be as follows:

$_____________________________.

Buyer’s Broker Commission: _______% This amount represents the percentage of the sale price the Seller agrees to pay the Buyer’s Broker at closing. If a Buyer’s Broker procures a Buyer who is ready, willing and able to purchase the above described Property at the listed price or at another price acceptable to the Seller, Seller agrees to pay the Buyer’s Broker the commission as stated above. The full commission is to be paid at closing. If a buyer first looks at the Property without a Buyer’s Broker but decides to use a Buyer’s Broker to conclude the purchase, Seller agrees that they will pay the Buyer’s

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Broker the above listed commission. If a buyer who is introduced to the Property by a Buyer’s Broker during the term of the listing, purchases the Property after termination of the listing, the Seller shall be responsible to pay the commission as listed above. In connection with any litigation or dispute arising out to this Agreement, or the listing created as a result, Seller shall pay all costs incurred by Listing Broker including reasonable attorneys’ fees and costs. If Listing Broker is sued or joined in arbitration for a Buyer’s Broker Commission due, Seller will be responsible for the full commission claimed. The obligation to pay the Buyer’s Broker Commission above, shall survive termination and continue until the closing when the said Buyer’s Broker Commission is payable. Seller shall pay said Buyer’s Broker Commission if within 120 days after listing expiration date or termination, the Seller enters into a Sales Contract to transfer the Property to any Buyer who was shown the Property by a Buyer’s Broker during the term of the Listing Agreement. For Private Party Sales. Under this Listing Agreement, the Seller also retains the right to sell the Property to any private party buyer not procured or introduced to Seller by a Buyer’s Broker. In this case, NO Cooperating Broker’s Commission is due. Seller agrees to notify Listing Broker within 24 hours of the following: (1) when a Sales Contract is executed on the Property (2) if any contingencies change (3) when the property becomes a pending sale and (4) when the property closes with the final sale price. Changes. Any changes to the Listing Price or Buyer’s Broker Commission need to be submitted in writing using the Change Request Form either via fax (630-299-5001) or email to [email protected]. Changes will be deemed accepted once updated on the MLS. Any changes requested that are not in writing will not be honored. Listing Broker’s Duties/Minimum Level of Service Compliance. In accordance with Illinois law, Listing Broker and its licensees will provide those brokerage services as set forth in Section 15-75 of the Illinois Real Estate License Act of 2000 as follows: (1) accept delivery of and present to the client, offers and counteroffers to buy, sell or lease the client’s property or the property the client seeks to purchase or lease; (2) assist the Seller in developing, communicating, negotiating, and presenting offers, counteroffers, and notices that relate to the offers and counteroffers until a lease or purchase agreement is signed and all contingencies are satisfied or waived; and (3) answer the Seller’s questions relating to the offers, counteroffers, notices and contingencies. The Buyer’s Broker (if any) will be charged a minimum level of service compliance fee of $300.00 at Closing and said amount will be deducted from the commission at Closing. This is not a fee paid by the Seller. Listing Broker is solely in the business of providing real estate brokerage services to its clients. Listing Broker does not provide any legal advice. Listing Broker will not express opinions regarding legal effect of closing documents or the closing itself. Listing Broker does not provide advice on preparation of Disclosure documents needed for Closing. Designated Agent. Metro Realty, Inc. designates Melanie Broderick, its Managing Broker, as the designated Listing Broker and reserves the right to appoint any other licensed broker in the Company as the listing broker upon written notice to Seller. Metro Realty, Inc. shall not act as an escrow agent in connection with the sale of the listed property. Listing Broker will not act in a dual agency capacity, which means that Listing Broker will NOT represent both the Seller and any prospective buyer in the same transaction. Listing Broker does not work with buyers. Listing Broker’s Option to Terminate. Listing Broker reserves the right to terminate this Listing Agreement at any time for non-payment or if Seller has subjected the Listing Broker to any claims arising out of Seller’s misrepresentations or negligence, or if at any time, continuation of listing would not be in the best interest of either party by notice in writing (either by fax or email) the listing will be terminated. Seller(s) Option to Terminate. In the event the Seller wants to withdraw their Property from the MLS prior to the expiration of the Listing Agreement, Seller may do so with no early termination fee by giving

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written notice to Listing Broker either via fax or email. The listing can only be cancelled when there is no Sales Contract pending on the Property. Once the request for termination is validated by Listing Broker, such termination shall be effective within 48 hours of receipt. Seller Responsibilities. During the listing period, Seller is responsible for the items as outlined below.

1. Seller agrees to provide Listing Broker with photos that are the sole property of the Seller. All photos posted to the MLS and other affiliate websites must be the sole property of the Seller. If the photos were taken by a previous Listing Broker, written consent to use those photos must be provided to Listing Broker. Seller further agrees to reimburse Listing Broker for any MLS related fines incurred as a result of Seller’s failure to comply with these requirements. MLS currently levies fines in excess of $250 per occurrence.

2. Seller agrees to communicate to Listing Broker in writing (via fax or email) within 24 hours of acceptance of any offer or any change in status of the Property. Seller further agrees to provide Listing Broker with a copy of the executed Sales Contract along with any attachments and all Disclosures within 48 hours of Sales Contract acceptance. Failure to report a change of status to Listing Broker may result in a fine levied by the MLS starting at $100 per occurrence. The Seller assumes all responsibility for any fines resulting from Seller’s delay in communicating status changes of any type.

2. Seller shall pay the Buyer’s Broker Commission as stated above if (1) the Property is sold to a buyer represented by a licensed real estate Broker during the term of this Listing Agreement or (2) the Property is sold within 120 days of cancellation to a buyer that was introduced to the Property by a licensed real estate Broker during the listing term.

3. Seller will schedule and perform all showings of the Property and perform all open houses without Listing Broker assistance or guidance.

4. Seller will make all legally required Illinois Disclosures available to any prospective buyer or Buyer’s Broker, including but not limited to disclosing all known information on lead-based paint and radon hazards. Seller acknowledges that Seller has been informed of the responsibilities imposed upon Seller under the Residential Real Property Disclosure Act. Seller agrees to comply with the requirements of this Act to the best of Seller’s ability and to not knowingly give any false or inaccurate information regarding the Disclosures required by the Act.

5. Seller shall not enter into any Sales Contract that requires Metro Realty, Inc. to hold earnest money. Seller must make arrangements with an attorney or a third party to hold earnest money. Metro Realty, Inc. does NOT hold earnest money.

6. Seller understands that a “short sale” is a material fact that must be disclosed to Listing Broker. Listing Broker has a right to cancel a “short sale” listing at any time without a refund.

7. Listing Broker shall be held harmless for any and all liability, claim, judgment, obligations or demands, including reasonable attorneys’ fees, arising as a result of the Seller’s use of a lock box, or the actions of potential customers or Buyer’s Brokers.

8. Seller agrees to seek advice for legal, tax, inspection, survey, title and all other matters not specifically outlined in this Agreement.

Fair Housing, Human Rights, Municipal Codes. It is illegal for either Seller or Listing Broker to refuse to display or sell to any person because of persons membership in a protected class, e.g. race, color, religion, national origin, sex, ancestry, age, marital status, physical or mental handicap, familial status, or any other class protected by local or municipal ordinances. Seller and Listing Broker acknowledge that they shall also be bound by the provisions of state and local (city and/or county) human rights or fair housing ordinances, if any, and agree to comply with same.

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Marketable Title Clause. Seller warrants and represents that he or she is properly authorized to enter into this Agreement. This Agreement shall be binding on all heirs, successors, and assignees of the Seller.

Accuracy of Data. Seller agrees to state the room dimensions, characteristics and condition of the Property to be entered into the MLS to the best of their knowledge. Listing Broker assumes no liability for inaccuracies, errors or misstatements made by the Seller. Listing Broker does not conduct a survey of the Property to verify accuracy of any information provided by the Seller and shall not to be held responsible for the accuracy of the information. Seller has reviewed the information shown on the Listing Agreement and Property Input Form and hereby acknowledges that the completed information is accurate, true and correct. Seller also agrees to review the MLS listing sheet for accuracy and inform Listing Broker of any errors so they may be corrected. Seller agrees to indemnify and to save and hold harmless Listing Broker and those relying on information contained in this Agreement for and against damages resulting from any inaccuracy and/or the Seller’s failure to disclose any information. Seller agrees that the liability of Listing Broker and its agents is limited and capped at the listing fee paid.

Seller’s Marketing Authorization. Seller acknowledges that neither Listing Broker nor Buyer’s Broker or any Multiple Listing Service is an insurer against the loss of the Seller’s personal property. Seller is advised to safeguard or remove valuables located on the Property. Seller acknowledges that Listing Broker may have an obligation to release information as to the amount of selling price, type of financing and number of days on market to any multiple listing services of which Listing Broker is a member.

Seller agrees to save and hold Listing Broker harmless from all claims, disputes, litigation, judgments, and costs (including reasonable attorney’s fees) arising from Seller’s breach of this Agreement, from any incorrect information or misrepresentation supplied by Seller or from any material facts, including latent defects, that are known to Seller that Seller fails to disclose. In connection with any litigation arising out of this Agreement, Listing Broker shall be entitled to recover all costs incurred including reasonable attorneys’ fees for services rendered in connection with such litigation, including appellate proceedings and post judgment proceedings. Should it be determined by any MLS board or any arbitration committee or court that commissions were due to a Buyer’s Broker, the Seller agrees to promptly pay such amounts and/or damages in addition to any out of pocket costs incurred by Broker. Any expenses or reasonable attorney’s fees incurred by Listing Broker for fees arising out of litigation or arbitration will be the responsibility of Seller. The Seller understands that they are indemnifying Listing Broker of any and all claims arising from Seller non-payment of commissions.

Any provision of this Agreement which is invalid, prohibited, illegal or unenforceable shall be ineffective to the extent of any such terms and this Agreement shall be construed in all respects as if such invalid or unenforceable provision or provisions were omitted without invalidating the remaining provisions hereof. This Listing Agreement summarizes the understanding in its entirety and any changes must be in writing and jointly executed by all parties. A signature transmitted by fax and/or scanned and emailed shall be deemed to have the same effect as an original signature.

Agreed to and Accepted by Seller(s): Agreed to and Accepted by Metro Realty, Inc.

Signature:____________________________ Signature:____________________________

Signature:____________________________

Date: ________________________________ Date: ________________________________

Send completed documents to [email protected] or fax to (630) 299-5001

2017 - Metro Realty, Inc. | Page 1 of 9

MLS#

For office use only

PROPERTY INPUT FORM Attached Single Family Listing Form

Sellers Name(s):

Property Address:

Mailing Address (if different than above):

Phone # for showings: Email Address:

BASIC LISTING INFORMATION

Is the Property also listed for rent? � Yes � No Provide MLS # (if known):

For Investors, Can Owner Rent Unit? � Yes � No Parcel No.:

County: Township:

Subdivision: Corporate Limits of –or- Unincorporated:

GENERAL INFORMATION

Directions to Property (Max 100 characters):

SCHOOL INFORMATION

Elementary District #: Elementary School Name:

2nd/Alternate Elementary School Name:

Jr High/Middle District #: Jr High/Middle School Name:

2nd/Alternative Jr High/Middle School Name:

High School District #: High School Name:

2nd/Alternative High School Name:

Other Public District #: Other Public School Name:

Ownership Type: � Condo � Fee Simple � Fee Simple w/HO Assn � Leasehold Recent Rehab � Yes � No

List Approx. Year Built_________or � Unknown Built before 1978 � Yes � No # of Stories ________

Existing Basement/Foundation � Yes � No Waterfront � Yes � No Property Currently Leased � Yes � No

Property Currently Leased � Yes � No If Yes, Date Lease Expires _____/____/_____ Or check Month-to-Month �

Zoning Type:_____________________ % Owner Occupied ____________% % Common Area/Coop/Condo Ownership______

Total # Units in Building ________________ # Days for Board Approval _____________ Pets Allowed � Yes � No Max Pet Weight_____

If Yes, Rehab Year ____________


TYPE ATTACHED (Maximum of 3 selections)

� ½ Duplex � Flat � Quad – Ranch � Townhouse-2 Story

� Cluster � Garden Unit � Quad- Split Level � Townhouse – 3+ Stories

� Condo � Garden Complex � Quad- 2 Story � Townhouse - Trilevel

� Condo-Duplex � Manor Home/Coach House/Villa

� Quad – Penthouse � Vintage

� Condo-Loft � Low Rise (1-3 Stories) � Studio � Other

� Corridor � Mid Rise (4-6 Stories) � Timeshare � Ground Level Ranch

� Courtyard � High Rise (7+ Stories) � Townhouse-Ranch � Penthouse

AGE (Maximum of 1 Selection)

� 1-5 Years � 26-30 Years � 71-80 Years � New-Ready for Occupancy

� 6-10 Years � 31-40 Years � 81-90 Years � New-Proposed Construction

� 11-15 Years � 41-50 Years � 91-100 Years � New-Under Construction

� 16-20 Years � 51-60 Years � 100+ Years � Unknown

� 21-25 Years � 61-70 Years � New-Will Build to Suit

PET INFORMATION MANAGEMENT GENERAL INFORMATION EXPOSURE

� Additional Pet Rent � Developer Controls � School Bus Service � N (North)

� Cat OK � Manager Off-site � Commuter Bus � S (South)

� Deposit Required � Manager On-site � Commuter Train � E (East)

� Dogs OK � Monday through Friday � Interstate Access � W (West)

� Neutered and/or declawed only � Monday through Saturday � Flood Zone � City

� No Pets � Monday through Sunday � Flood Zone (Partial) � Lake/Water

� Pet Count Limitation � Self-Management � Adult Community � Park

� Pet Weight Limitation � Assisted Living

� Historical District

� Non-Smoking Building

� None

COMMON AREA AMENITIES

� None � Golf Course � Receiving Room � Whirlpool

� Bike Room/Bike Trails � Health Club � Restaurant � Business Center

� Boat Dock � On Site Mgr/Engineer � Sauna � Curbs/Gutters

� Door Person � Park/Playground � Security Door Locks � Gated Entry

� Coin Laundry � Party Room � Service Elevator � Sidewalks

� Commissary � Sundeck � Steam Room � Street lights

� Elevator � Pool-Indoors � Tennis Court(s) � Street paved

� Exercise Room � Pool-Outdoors � Valet/Cleaner � Other

� Storage


NEW/PROPOSED CONSTRUCTION OPTIONS (Maximum of 6 selections)

� Air Purifier/Humidifier � Energy Efficient Package � Roof Cedar/Shakes/Tile � Lighting Allowance

� Appliance Package/Allowance � Exterior Brick/Cedar � Skylight(s) � Flooring Allowance

� Basement/Lower Level Exterior Exit � Fireplace � Upgraded Carpet/Pad/Vinyl � Wood Laminate Flooring

� Basement/Lower Level Finished � Basement � Upgraded Interior/Exterior Door(s) � Upgraded Siding

� Basement/Lower Level Stubd in Bath � Garage � Vaulted /Cathedral Ceilings � Upgraded Roofing

� Central Air � Hardwood/Ceramic Floors � Vinyl Clad Windows � Upgraded Insulation

� Central Air Ready � Hot Tub/Pool � Whirlpool Tub � Upgraded Cabinets & Counters

� Deck/Patio/Screened Porch � Landscaping � Other � Zoned Heating/Cooling

� Electrical Allowance � Oak Trim/Oak Staircase � Wood Windows � Floor Plan Modifications Allowed

DISABILITY ACCESS/EQUIPMENT DETAILS

Disability access and/or equipped? �� Yes �� No

� 2+ Access Exits � Flooring Modifications � Lowered Light Switches � Vehicle Transfer Area

� 32 inch or more wide doors � Grab Bars/Bathroom(s) � Modified Wall Outlets � Wheelchair Accessible

� 36 inch or more wide halls � Grab Bars Throughout � Main Level Entry � Wheelchair Adaptable

� Chairlift � Hearing Modifications � No Interior Steps � Wheelchair Height Mailbox

� Doors-Pocket � Kitchen Modifications � Other Main Level Modifications � Wheelchair Height Shelves

� Doors-Swing-In � Low Bathroom Mirror(s) � Disabled Parking � Wheelchair Modifications

� Doors w/Lever Handles � Low Closet Rods � Ramp –Main Level � Wheelchair Ramp(s)

� Entry Slope less than 1 foot � Low Pile Carpeting � Roll- In Shower � Other – See Remarks

� Flashing Doorbell � Lower Fixtures � Thresholds less than 5/8 of an inch � None

Lot Dimensions: ____________________

REMARKS (Maximum of 1000 characters with spaces. Feel free to submit by email to [email protected])


EXTERIOR BUILDING TYPE (maximum of 3 selections) LOT DESCRIPTION (Maximum of 6 selections)

� Aluminum Siding � Vinyl Siding � Steel Siding � Brick � Cedar � Frame � Block � EIFS (e.g. Dryvit) � Glass � Log

� Masonite � Shakes � Stucco � Stone � Marble/Granite � Concrete � Asbestos Siding � Limestone � Slate � Other � Clad Trim

� Beach � Chain of Lakes Frontage � Channel Front � Common Grounds � Corner � Cul-de-Sac � Dimensions to Center of Road � Fenced Yard � Forest Preserve Adjacent � Golf Course Lot � Nature Preserve Adjacent � Wetlands Adjacent � Horses Allowed

� Irregular � Lake Front � Landscaped Professionally � Legal Non-conforming � Paddock � Park Adjacent � Pond � River Front � Stream � Water view � Wooded � Rear of Lot

EXTERIOR PROPERTY FEATURES (Maximum of 6 selections)

Roof Type � Asphalt/Glass (Rolled) � Asphalt/Glass (Shingles) � Metal � Rubber � Slate � Tar & Gravel � Tile � Wood Shakes/Shingles � Other

Foundation � Block � Brick � Concrete � Pillars � Reinforced Caisson � Stone � Wood � Other

� Balcony � Deck � Patio � Porch � Greenhouse � Hot Tub � Roof Deck � Porch Screened � Gazebo � Storage Shed � Dog Run &/or Invisible fence � Horse Barn/Pole Barn � Tennis Court(s) � Screened Patio

� Screened Deck � Stamped Concrete Patio � Brick Paver Patio � Boat Dock/Mooring � Pool Above Ground � Pool In-Ground � Storms/Screens � Grill-Outdoors � Outdoor Fireplace � Private Entrance � End Unit � Door Monitored by TV � Master Antenna � Cable Access

PARKING TYPE � None � Garage � Exterior Space (s) Is Parking Included in the Price? � Yes � No

GARAGE DETAILS

Garage On-Site? � Yes � No

Garage Type: � Attached � Detached � None

# of Garage Spaces:_______________

Garage Ownership � Owned � Transferrable Lease � Deeded Sold Separately* � Fee/Leased** � N/A

Deeded Garage Cost: $__________________ (If Sold Separately)

Fee/Lease Garage Cost: $________________ (If Fee/Leased)

Garage Details � Garage Door Opener(s) � Transmitter(s) � Carport � Heated � Tandem � 7 Foot or more high garage door � None/NA

PARKING DETAILS

Parking On-Site? � Yes � No

Parking Ownership � Owned � Transferrable Lea � Deeded Sold Separately* � Fee/Leased** � N/A

List # of Parking Spaces:__________

Parking Details � Assigned Spaces � Unassigned � Off Alley � Off Street � Side Apron � Zoned Permit � Visitor Parking � Valet � Underground/Covered � Driveway � None/NA

Driveway � Asphalt � Brick � Concrete � Dirt � Gravel � Circular � Shared � Off Alley � Side Drive � Heated � Other

Lowest Parking Fee: $________________

Highest Parking Fee: $_______________

Deeded Parking Cost: $ _____________ (If Sold Separately)

Fee/Lease Parking Cost: $____________ (If Fee/Leased)


INTERIOR FEATURES

Unit Floor Level � Townhouse/Half-Duplex � Basement � Lower � Garden

Approx Sq Ft: ________________

# Rooms___________

# Bedrooms (All Levels)_______

# Full Bathrooms____________

# Half Bathrooms ___________

# Interior Fireplaces _________

Square Feet Source � Appraiser � Assessor � Builder � Estimated � Landlord/Tenant/Seller � Other � Plans � Survey � Taped � Not Reported

Master Bedroom Bath � Full � Half � Shared � None

Basement � Full � Partial � Walkout � English � None

Basement Bathroom � Yes � No

Bath Amenities � Whirlpool � Separate Shower � Handicap Shower � Steam Shower � Double Sink � Bidet � Garden Tub � European Shower � Full Body Spray Shower � Double Shower � Soaking Tub � No Tub

Basement Description � Finished � Partially Finished � Unfinished � Crawl � Cellar � Sub-Basement � Slab � Exterior Access � Other � Rough In � None

Fireplace Location � Family Room � Living Room � Master Bedroom � Basement � Other � Loft

Fireplace Details � See through/Multi Sided � Wood Burning � Wood Burning Stove � Attached Fireplace Doors & Screen � Electric � Gas Logs � Gas Starter � Heatilator Type System � Includes Accessories � Portable/Ventless � Decorative Only � Foundation Only

INTERIOR PROPERTY FEATURES (Maximum of 6 selections)

� Vaulted/Cathedral Ceilings � Bar-Wet � Solar Tubes/Light Tubes � 2nd Floor Laundry

� Skylight(s) � Elevator � 1st Floor Bedroom � 1st Floor Full Bath

� Sauna/Steam Room � Hardwood Floors � Theater Room � Laundry Hook Up in Unit

� Hot Tub � Wood Laminate Floors � In-Law Arrangement � Storage

� Bar-Dry � Heated Floors � 1st Floor Laundry � Flexicore

ROOM DETAILS Room Name

Size (L x W)

Level Window Treatments

Flooring Type

Living Room � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A

� None � Blinds � Curtains/Drapes � Shades � Plantation Shutters

� Terracotta � Carpet � Stone � Slate � Travertine � Granite � Hardwood � Sustainable

� Marble � Other � Parquet � Ceramic Tile � Porcelain � Vinyl � Wood Laminate

Dining Room � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




Kitchen � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A





Room Name Size (L x W)


Flooring Type

Family Room � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




Laundry � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




Master Bedroom � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




2nd Bedroom � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




3rd Bedroom � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




4th Bedroom � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A




ADDITIONAL ROOM CHOICES (Select all that apply)

� 2nd Kitchen � Breakfast Room � Loft � Storage

� Atrium � Den � Maid’s Room � Sun/Florida Room Heated

� Attic � Dark Room � Media Room � Tandem Room


� Balcony � Deck � Mud Room � Terrace

� Bar � Eating Area � Nursery � Theater Room

� Bonus � Enclosed Balcony � Office � Utility Room 1st floor

� 5th Bedroom � Enclosed Porch � Pantry � Utility Room 2nd floor

� 6th Bedroom � Enclosed Porch Heated � Play Room � Utility Room Lower Level

� 7th Bedroom � Exercise Room � Recreation Room � Walk in Closet

� 8th Bedroom � Foyer � Screened Porch � Workroom

� 9th Bedroom � Gallery � Sewing Room � Other

� 10th Bedroom � Game Room � Sitting Room � No Additional Rooms

� 11th Bedroom � Great Room � Suite

� 12th Bedroom � Library � Study

Room Name from “Additional Room Choices” ABOVE

Size (L x W)


Flooring Type

Other � Basement � Walkout � Lower � Main Level � 2nd Level � 3rd Level � 4th Level � Attic � N/A



� Marble � Other � Parquet � Ceramic Tile � Porcelain Tile � Vinyl � Wood Laminate














DINING ROOM KITCHEN TYPE APPLIANCES AIR CONDITIONING

� Separate� Combined w/Living room� Combined w/Famliy room� L Shaped

� Eating Area-Breakfast Bar� Eating Area-Table Space� Galley� Island� Pantry-Butler� Pantry-Closet� Pantry-Walk-in

� Oven-Double� Oven/Range� Microwave� Dishwasher� Dishwasher Portable� Refrigerator� High End Refrigerator� Refrigerator-Bar� Freezer� Washer

� Dryer� Disposal� Compactor-Trash� Grill-Indoor� All Stainless Steel KitchenAppliances � Wine Cooler/Refrig.

� Central Air� Partial� Space Pac� 1- Window/Wall Unit� 2- Window/Wall Units� 3- Window/Wall Units� Zoned� None� 2 Separate Systems

WATER SEWER ELECTRICITY HEAT/FUEL

� Lake Michigan� Public� Private Company� Well Community� Well Private� Well Private Company� Well Shared� Other

� Septic –Mechanical� Septic – Private� Septic – Shared� – Public� Sewer Storm� Holding Tank(s)� Overhead Sewers� Other

� Circuit Breakers� Fuses� 200+ Amp service� 150 Amp service� 100 Amp service� 60 Amp service� 30 Amp service� 400 Amp service or greater

� Gas� Electric� Oil� Propane� Solar� Forced Air� Hot Water/Steam� Baseboard� Radiant

� Gravity Air� Heat Pump� Radiators� Space Heaters� 2+ Separate Heating Systems� Individual Controls� Zoned� Other� None

ENERGY/GREEN BUILDING RATING SOURCE GREEN FEATURES EQUIPMENT

� Energy Star Homes� LEED-H Certified� LEED- H Silver� LEED-H Gold� LEED-H Platinum� NAHB Emerald� NAHB Bronze� NAHB Silver� NAHB Gold� Chicago Green Homes� Other

HERS INDEX SCORE: _____________________

� Photovoltaic/Solar System� Pre-wired for PV/Solar� Solar Hot Water� Geothermal Heating/Cooling System� Tankless hot water heater� Enhanced Air Filtration� Low flow commode� Low flow fixtures� Native/drought resistant landscaping� Rainwater Collection System� Green roof

� Humidifier� Water Softener-Owned� Water Softener- Rented� Central Vacuum� TV-Cable� TV-Dish� TV-Antenna� TV-Rotor� Security System� Intercom� Fire Sprinklers

� CO Detectors� Ceiling Fans� Fan-Attic Exhaust� Fan-Whole House� Sump Pump� Sprinkler Lawn� Air Cleaner� Air Exchanger� Backup Sump Pump� Radon MitigationSystem(s) � Power Generator

TAX/ASSESSMENTS

Tax Year ____________________

Taxes $______________________

Coop Tax Deduction Year_________

Coop Annual Tax Deduction

$______________________

Tax Exemptions � Homeowner� Senior� Senior Freeze� Other� None

Master Association Fee � Yes � No

Special Assessments � Yes � No

Special Service Area � Yes � No� Included in Tax Bill

If Yes, enter Fee $____________

Assessments/Association Dues $_____________

Frequency � N/A� Annual� Monthly�Quarterly� Voluntary

If Master Association Fee, enter fee

$________________

Sewer


ASSESSMENT/ASSOCIATION DUES INCLUDE THE FOLLOWING

� Heat � Tax � Club House � Snow Removal

� Air Conditioning � Common Insurance � Exercise Facilities � Lake Rights

� Water � Security � Pool � Other

� Electric � Security System � Exterior Maintenance � None

� Gas � Doorman � Lawn Care � Wi-Fi

� Parking � TV/Cable � Scavenger � Internet Access

FEES/APPROVALS

� Credit Report � Interview Req’d-Board Date � Move in Fee � Move Out Fee

� Fee for Bike Room � Interview Req’d-Open Date � Move in Mon-Fri � Refundable Damage Deposit

� Fee for Health Club � Letters of Reference � Move In Saturday � Security Guard Fee

� Fee for Pool

BUYER TAKES POSSESSION � Closing � Immediate � Lease Back Required � Negotiable � Specific Date � Tenant’s Rights � Prior to Closing � Other � Harvest Rights

SALE TERMS � Conventional � FHA � VA � Assumption-Conv. � Assumption - FHA � Assumption – VA � Release Required � Contract (Articles for Deed) � Lease/Purchase � Owner May Help/Assist � Purchase Money Mortgage � Rent w/Option � Rewrite/Blend � Trade/Exchange � Cash Only � Other

Is Seller/Owner a licensed Real Estate Agent?

� Yes � No

Management Company Name:

Management Company Contact Name:

Management Company Contact Phone:

Owner of Record Name 1:

Owner of Record Name 2:

Mailing Address if different from Property address:

Owners Phone #:

Owner’s Email:

Special Showing Instructions:

METRO REALTY, INC.

Digital Media Usage Policy

Metro Realty, Inc. has the following Digital Media Usage Policy regarding the use of copyrighted materials including but not limited to photographs, virtual tours, renderings, sketches or drawings (hereinafter "the materials") for a NEW listing to be submitted to the MLS.

Seller's Disclosure (initial where applicable):

___________ Seller personally took the photographs to be included in the listing.

___________ Seller personally created the virtual tour to be included in the listing.

___________ Seller contracted with a photographer and/or other professional to take the photo(s) and/or create a virtual tour, rendering, sketch or drawing which are to be included in the listing. Seller states that he/she personally owns the copyrights to the material(s) and can provide a release and/or receipt from the photographer or/other professional if asked to do so.

Seller is hereby responsible for any fines (minimum $250.00) levied by the MLS against Metro Realty, Inc. if it is determined that materials are in violation of any copyright issues. In addition, by signing this document, Seller is granting permission to Metro Realty, Inc. to upload the materials to the MLS and allow it to be displayed through MLS services. Usage of the images provided are to be used for the sole purpose of marketing the property, including distribution to the MLS, feeds and syndication. The usage is limited to the duration of the listing.

__________ (Optional) Initial here if you wish to exclude all photos (except the front photo) from Consumer Websites when the property is OFF-MARKET (when listing is sold, cancelled or expired). (This does NOT include the front photo. The front photo will remain.)

Property Address: ____________________________________________________________________

Agreed to and Accepted by Seller(s): Agreed to and Accepted by Metro Realty, Inc.

Signature:____________________________ Signature:____________________________

Signature:____________________________

Date of Acceptance:

_______/________/_________

Date of Acceptance:

_______/________/_________

Return Signed Document to [email protected] or fax to (630) 299-5001

FORM 108 (05/2019) COPYRIGHT ILLINOIS REALTORS® Page 1 of 4

Illinois REALTORS® RESIDENTIAL REAL PROPERTY DISCLOSURE REPORT

(765 ILCS 77/35)

NOTICE: THE PURPOSE OF THIS REPORT IS TO PROVIDE PROSPECTIVE BUYERS WITH INFORMATION ABOUT MATERIAL DEFECTS IN THE RESIDENTIAL REAL PROPERTY. THIS REPORT DOES NOT LIMIT THE PARTIES’ RIGHT TO CONTRACT FOR THE SALE OF RESIDENTIAL REAL PROPERTY IN “AS IS” CONDITION. UNDER COMMON LAW, SELLERS WHO DISCLOSE MATERIAL DEFECTS MAY BE UNDER A CONTINUING OBLIGATION TO ADVISE THE PROSPECTIVE BUYERS ABOUT THE CONDITION OF THE RESIDENTIAL REAL PROPERTY EVEN AFTER THE REPORT IS DELIVERED TO THE PROSPECTIVE BUYER. COMPLETION OF THIS REPORT BY THE SELLER CREATES LEGAL OBLIGATIONS ON THE SELLER; THEREFORE SELLER MAY WISH TO CONSULT AN ATTORNEY PRIOR TO COMPLETION OF THIS REPORT.

Property Address:

City, State & Zip Code:

Seller’s Name:

This Report is a disclosure of certain conditions of the residential real property listed above in compliance with the Residential Real Property Disclosure Act. This information is provided as of _____________________________, 20___, and does not reflect any changes made or occurring after that date or information that becomes known to the seller after that date. The disclosures herein shall not be deemed warranties of any kind by the seller or any person representing any party in this transaction.

In this form, “am aware” means to have actual notice or actual knowledge without any specific investigation or inquiry. In this form, a “material defect” means a condition that would have a substantial adverse effect on the value of the residential real property or that would significantly impair the health or safety of future occupants of the residential real property unless the seller reasonably believes that the condition has been corrected.

The seller discloses the following information with the knowledge that even though the statements herein are not deemed to be warranties, prospective buyers may choose to rely on this information in deciding whether or not and on what terms to purchase the residential real property.

The seller represents that to the best of his or her actual knowledge, the following statements have been accurately noted as “yes” (correct), “no” (incorrect), or “not applicable” to the property being sold. If the seller indicates that the response to any statement, except number 1, is yes or not applicable, the seller shall provide an explanation, in the additional information area of this form.

YES NO N/A 1. ___ ___ ___ Seller has occupied the property within the last 12 months. (No explanation is needed.)2. ___ ___ ___ I am aware of flooding or recurring leakage problems in the crawl space or basement.3. ___ ___ ___ I am aware that the property is located in a flood plain or that I currently have flood hazard insurance on the property.4. ___ ___ ___ I am aware of material defects in the basement or foundation (including cracks and bulges).5. ___ ___ ___ I am aware of leaks or material defects in the roof, ceilings, or chimney.6. ___ ___ ___ I am aware of material defects in the walls, windows, doors, or floors.7. ___ ___ ___ I am aware of material defects in the electrical system.8. ___ ___ ___ I am aware of material defects in the plumbing system (includes such things as water heater, sump pump, water

treatment system, sprinkler system, and swimming pool). 9. ___ ___ ___ I am aware of material defects in the well or well equipment.10. ___ ___ ___ I am aware of unsafe conditions in the drinking water.11. ___ ___ ___ I am aware of material defects in the heating, air conditioning, or ventilating systems.12. ___ ___ ___ I am aware of material defects in the fireplace or wood burning stove.13. ___ ___ ___ I am aware of material defects in the septic, sanitary sewer, or other disposal system.14. ___ ___ ___ I am aware of unsafe concentrations of radon on the premises.15. ___ ___ ___ I am aware of unsafe concentrations of or unsafe conditions relating to asbestos on the premises.16. ___ ___ ___ I am aware of unsafe concentrations of or unsafe conditions relating to lead paint, lead water pipes, lead plumbing pipes

or lead in the soil on the premises. 17. ___ ___ ___ I am aware of mine subsidence, underground pits, settlement, sliding, upheaval, or other earth stability defects on the

premises. 18. ___ ___ ___ I am aware of current infestations of termites or other wood boring insects.19. ___ ___ ___ I am aware of a structural defect caused by previous infestations of termites or other wood boring insects.20. ___ ___ ___ I am aware of underground fuel storage tanks on the property.21. ___ ___ ___ I am aware of boundary or lot line disputes.22. ___ ___ ___ I have received notice of violation of local, state or federal laws or regulations relating to this property, which violation

has not been corrected. 23. ___ ___ ___ I am aware that this property has been used for the manufacture of methamphetamine as defined in Section 10 of the

Methamphetamine Control and Community Protection Act.

Note: These disclosures are not intended to cover the common elements of a condominium, but only the actual residential real property including limited common elements allocated to the exclusive use thereof that form an integral part of the condominium unit.

Note: These disclosures are intended to reflect the current condition of the premises and do not include previous problems, if any, that the seller reasonably believes have been corrected.


If any of the above are marked “not applicable” or “yes”, please explain here or use additional pages, if necessary:

Check here if additional pages used: ______ Seller certifies that seller has prepared this statement and certifies that the information provided is based on the actual notice or actual knowledge of the seller without any specific investigation or inquiry on the part of the seller. The seller hereby authorizes any person representing any principal in this transaction to provide a copy of this report, and to disclose any information in the report, to any person in connection with any actual or anticipated sale of the property. Seller: Date: Seller: Date: THE PROSPECTIVE BUYER IS AWARE THAT THE PARTIES MAY CHOOSE TO NEGOTIATE AN AGREEMENT FOR THE SALE OF THE PROPERTY SUBJECT TO ANY OR ALL MATERIAL DEFECTS DISCLOSED IN THIS REPORT (“AS IS”). THIS DISCLOSURE IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THAT THE PROSPECTIVE BUYER OR SELLER MAY WISH TO OBTAIN OR NEGOTIATE. THE FACT THAT THE SELLER IS NOT AWARE OF A PARTICULAR CONDITION OR PROBLEM IS NO GUARANTEE THAT IT DOES NOT EXIST. THE PROSPECTIVE BUYER IS AWARE THAT HE MAY REQUEST AN INSPECTION OF THE PREMISES PERFORMED BY A QUALIFIED PROFESSIONAL. Prospective Buyer: ________________________________________________________ Date: ______________ Time: _________ Prospective Buyer: ________________________________________________________ Date: ______________ Time: _________ A COPY OF ARTICLE 2 OF THE RESIDENTIAL REAL PROPERTY DISCLOSURE ACT IS AFFIXED HERETO AND SHOULD BE REVIEWED BY PROSPECTIVE BUYER.


RESIDENTIAL REAL PROPERTY DISCLOSURE ACT ARTICLE 2: DISCLOSURES

765 ILCS 77/5 et seq.

Section 5. Definitions: As used in this Act, unless the context otherwise requires the following terms have the meaning given in this section: “Residential real property” means real property improved with not less than one nor more than four residential dwelling units: units in

residential cooperatives; or, condominium units including the limited common elements allocated to the exclusive use thereof that form an integral part of the condominium unit. The term includes a manufactured home as defined in subdivision (53) of Section 9-102 of the Uniform Commercial Code that is real property as defined in the Conveyance and Encumbrance of Manufactured Homes as Real Property and Severance Act.

“Seller” means every person or entity who is an owner, beneficiary of a trust, contract purchaser or lessee of a ground lease, who has an interest (legal or equitable) in residential real property. However, “seller” shall not include any person who has both (i) never occupied the residential real property and (ii) never had the management responsibility for the residential real property nor delegated such responsibility for the residential real property to another person or entity.

“Prospective buyer” means any person or entity negotiating or offering to become an owner or lessee of residential real property by means of a transfer for value to which this Act applies.

Section 10. Applicability. Except as provided in Section 15, this Act applies to any transfer by sale, exchange, installment land sale-contract, assignment of beneficial interest, lease with an option to purchase, ground lease or assignment of ground lease of residential real property.

Section 15. Applicability; Exceptions. The provisions of this Act do not apply to the following: (1) Transfers pursuant to court order, including, but not limited to, transfers ordered by a probate court in administration of an estate, transfers

between spouses resulting from a judgment of dissolution of marriage or legal separation, transfers pursuant to an order of possession, transfers by a trustee in bankruptcy, transfers by eminent domain and transfers resulting from a decree for specific performance.

(2) Transfers from a mortgagor to a mortgagee by deed in lieu of foreclosure or consent judgment, transfer by judicial deed issued pursuant to a foreclosure sale to the successful bidder or the assignee of a certificate of sale, transfer by a collateral assignment of a beneficial interest of a land trust, or a transfer by a mortgagee or a successor in interest to the mortgagee’s secured position or a beneficiary under a deed in trust who has acquired the real property by deed in lieu of foreclosure, consent judgment or judicial deed issued pursuant to a foreclosure sale.

(3) Transfers by a fiduciary in the course of the administration of a decedent’s estate, guardianship, conservatorship, or trust. (4) Transfers from one co-owner to one or more other co-owners. (5) Transfers pursuant to testate or intestate succession. (6) Transfers made to a spouse, or to a person or persons in the lineal line of consanguinity of one or more of the sellers. (7) Transfers from an entity that has taken title to residential real property from a seller for the purpose of assisting in the relocation of the

seller, so long as the entity makes available to all prospective buyers a copy of the disclosure form furnished to the entity by the seller. (8) Transfers to or from any governmental entity. (9) Transfers of newly constructed residential real property that has not been occupied. Section 20. Disclosure Report; Completion; Time of Delivery. A seller of residential real property shall complete all applicable items in the

disclosure document described in Section 35 of this Act. The seller shall deliver to the prospective buyer the written disclosure statement required by this Act before the signing of a written agreement by the seller and prospective buyer that would, subject to the satisfaction of any negotiated contingencies, require the prospective buyer to accept a transfer of the residential real property.

Section 25. Liability of seller. (a) The seller is not liable for any error, inaccuracy, or omission of any information delivered pursuant to this Act if (i) the seller had no

knowledge of the error, inaccuracy, or omission, (ii) the error, inaccuracy, or omission was based on a reasonable belief that a material defect or other matter not disclosed had been corrected, or (iii) the error, inaccuracy, or omission was based on information provided by a public agency or by a licensed engineer, land surveyor, structural pest control operator, or by a contractor about matters within the scope of the contractor’s occupation and the seller had no knowledge of the error, inaccuracy, or omission.

(b) The seller shall disclose material defects of which the seller has actual knowledge. (c) The seller is not obligated by this Act to make any specific investigation or inquiry in an effort to complete the disclosure statement. Section 30. Disclosure supplement. If, prior to closing, any seller has actual knowledge of an error, inaccuracy, or omission in any prior

disclosure document after delivery of that disclosure document to a prospective buyer, that seller shall supplement the prior disclosure document with a written supplemental disclosure.

Section 35. Disclosure report form. . . .[omitted] Section 40. Material defect. If a material defect is disclosed in the Residential Real Property Disclosure Report, after acceptance by the

prospective buyer of an offer or counter-offer made by a seller or after the execution of an offer made by a prospective buyer that is accepted by the seller for the conveyance of the residential real property, then the Prospective Buyer may, within three business days after receipt of that Report by the prospective buyer, terminate the contract or other agreement without any liability or recourse except for the return to prospective buyer of all earnest money deposits or down payments paid by prospective buyer in the transaction. If a material defect is disclosed in a supplement to this disclosure document, the prospective buyer shall not have a right to terminate unless the material defect results from an error, inaccuracy, or omission of which the seller had actual knowledge at the time the prior disclosure document was completed and signed by the seller. The right to terminate the contract, however, shall no longer exist after the conveyance of the residential real property. For purposes of this Act the termination shall be deemed to be made when written notice of termination is personally delivered to at least one of the sellers identified in the contract or other agreement or when deposited, certified or registered mail, with the United States Postal Service, addressed to one of the sellers at the address indicated in the contract or agreement, or, if there is not an address contained therein, then at the address indicated for the residential real property on the Report.

Section 45. Effect of Act on Other Statutes or Common Law. This Act is not intended to limit or modify any obligation to disclose created by any other statute or that may exist in common law in order to avoid fraud, misrepresentation, or deceit in the transaction.

Section 50. Disclosure Report; Method of Delivery. Delivery of the Residential Real Property Disclosure Report provided by this Act shall be by:

(1) personal or facsimile delivery to the prospective buyer; (2) depositing the report with the United States Postal Service, postage prepaid, first class mail, addressed to the prospective buyer at the

address provided by the prospective buyer or indicated on the contract or other agreement; or (3) depositing the report with an alternative delivery service such as Federal Express, UPS, or Airborne, delivery charges prepaid, addressed to

the prospective buyer at the address provided by the prospective buyer or indicated on the contract or other agreement.


For purposes of this Act, delivery to one prospective buyer is deemed delivery to all prospective buyers. Delivery to an authorized individual acting on behalf of a prospective buyer constitutes delivery to all prospective buyers. Delivery of the Report is effective upon receipt by the prospective buyer. Receipt may be acknowledged on the Report, in an agreement for the conveyance of the residential real property, or shown in any other verifiable manner.

Section 55. Violations and damages. If the seller fails or refuses to provide the disclosure document prior to the conveyance of the residential real property, the buyer shall have the right to terminate the contract. A person who knowingly violates or fails to perform any duty prescribed by any provision of this Act or who discloses any information on the Residential Real Property Disclosure Report that he knows to be false shall be liable in the amount of actual damages and court costs, and the court may award reasonable attorney fees incurred by the prevailing party.

Section 60. Limitation of Action. No action for violation of this Act may be commenced later than one year from the earlier of the date of possession, date of occupancy or date of recording of an instrument of conveyance of the residential real property.

Section 65. Disclosure Report Form; Contents; Copy of Act. A copy of this Act, excluding Section 35, must be printed on or as a part of the Residential Real Property Disclosure Report form. Date provided to Buyer: ______________________________ Seller: _______________________________________________________________

FORM 422 (05/2019) COPYRIGHT ILLINOIS REALTORS® 1/1

ILLINOIS REALTORS® DISCLOSURE OF INFORMATION ON RADON HAZARDS

(For Residential Real Property Sales or Purchases)

Radon Warning Statement Every buyer of any interest in residential real property is notified that the property may present exposure to dangerous levels of indoor radon gas that may place the occupants at risk of developing radon-induced lung cancer. Radon, a Class-A human carcinogen, is the leading cause of lung cancer in non-smokers and the second leading cause overall. The seller of any interest in residential real property is required to provide the buyer with any information on radon test results of the dwelling showing elevated levels of radon in the seller’s possession.

The Illinois Emergency Management Agency (IEMA) strongly recommends ALL homebuyers have an indoor radon test performed prior to purchase or taking occupancy, and mitigated if elevated levels are found. Elevated radon concentrations can easily be reduced by a qualified, licensed radon mitigator.

Seller’s Disclosure (initial each of the following which applies)

_______ (a) Elevated radon concentrations (above EPA or IEMA recommended Radon Action Level) are known to be present within the dwelling. (Explain).

_______ (b) Seller has provided the purchaser with the most current records and reports pertaining to elevated radon concentrations within the dwelling.

_______ (c) Seller either has no knowledge of elevated radon concentrations in the dwelling or prior elevated radon concentrations have been mitigated or remediated.

_______ (d) Seller has no records or reports pertaining to elevated radon concentrations within the dwelling.

Purchaser’s Acknowledgment (initial each of the following which applies)

_______ (e) Purchaser has received copies of all information listed above.

_______ (f) Purchaser has received the IEMA approved Radon Disclosure Pamphlet.

Agent’s Acknowledgement (initial IF APPLICABLE)

_______ (g) Agent has informed the seller of the seller’s obligations under Illinois law.

Certification of Accuracy

The following parties have reviewed the information above and each party certifies, to the best of his or her knowledge, that the information he or she has provided is true and accurate.

Seller Date

Seller Date

Purchaser Date

Purchaser Date

Agent Date

Agent Date

Property Address:

City, State, Zip Code:

FORM 420 (05/2019) COPYRIGHT ILLINOIS REALTORS® 1/1

ILLINOIS REALTORS®

DISCLOSURE OF INFORMATION AND ACKNOWLEDGEMENT LEAD-BASED PAINT AND/OR LEAD-BASED PAINT HAZARDS

Lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. Property Address: Seller's Disclosure (initial) ______ (a) Presence of lead-based paint and/or lead-based paint hazards (check one below):

Known lead-based paint and/or lead-based paint hazards are present in the housing (explain):

____________________________________________________________________________________

____________________________________________________________________________________

Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

______ (b) Records and Reports available to the seller (check one below):

Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): ___________________________________

______________________________________________________________________________________

Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.

Purchaser's Acknowledgment (initial) ______ (c) Purchaser has received copies of all information listed above.

______ (d) Purchaser has received the pamphlet Protect Your Family From Lead in Your Home.

______ (e) Purchaser has (check one below):

Received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment or inspection of the presence of lead-based paint or lead-based paint hazards; or

Waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards.

Agent's Acknowledgment (initial) ______ (f) Agent has informed the seller of the seller's obligations under 42 U.S.C. 4852d and is aware of his/her

responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify to the best of their knowledge, that the information they have provided is true and accurate. Seller _______________________ Date _____________ Purchaser ___________________ Date _____________ Seller _______________________ Date _____________ Purchaser ___________________ Date _____________ Agent _______________________ Date _____________ Agent ______________________ Date _____________ (This disclosure form should be attached to the Contract to Purchase.)

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