of [email protected], garage door opener, or child+esistant pod banier may not be in compliance...

12
(! CARBON MONOXIDE DETECTOR NOTICE (C.A.R. Form CMD,4t1?l Property Address: 1. The undersigned hereby Seller/Landlord Buyer/Tenant lSignatrre) Buyer/Tenant 'acramento, 94 ]p5911 INSTALLATION OF CARBON MONOXIDE DETECTORS: A. th and Safety Code d fi296 to 172 of y dwellings have car alled and that a ng have carbon monox before January 1, lex, lodging house, um, time_share ng B. ns: The law does rtot apply to a dwelling unit wh , a fireplace, or an attached garage. The law , the Regents of the University of California or lo are no other owner exemptions from the installation req banks, corporations, or other entities. Thero is no exemotion MONOXIDE DETECTORS: The Hcalth and Safcty Code doe sure regarding the e detectors in a dwelling. However, a seller of residential 1_4 ired to complete a ure_Statement, (C.A R. F-orm TDS) or a Manufactured Home ransfer Disclosure TDS) must use section ll A of that form to disclose.whether unit has a caroon REQUIREMENT: State b de of each sleeping area, local building standards a law and continues to fail LOCAL RE calities mainrarn thcir own retrofit requirement erector be instarcd prior to a transre ;?:l::1,:i:p:',1rt1,Hil",ff'.i:iJj": city or count rtments regarding point of sale or ret whcn transferring property. of a copy of this Carbon Monoxide Detector Notice Sean Date Ql9t4!ueo_ (Print Name) (Signature ) U S Code) forbids the unauthorized distribution, display and reproduction ol this form or puleflzed formats. rchase from the californta Assocration or RFAI-roRS@. lt is not intended to rdentify lhe av be used onry bv members or thc NATT.NAL ASSocrATroN oi nenlronso *.o CMD Published and Distributed by: REAL ESTATE BUSINESS SERVICES. INC a subsidiary of the California Associallon of RF4L fORS@ " 525 South Virgil Avenue, t_os Angetes, California 90020 4t12 (PAGE 1 OF 1) /A l:l '!*;"":i=r:' tlcrlz Reel Es(are,220t Franrisco Dr Sre I t0-552 Et Dorrd0 Hils CA 95762 Cr,llccn Bcntz Date (Print Name) Date (f)rint Name) Produced with zipForm@ by zipt ogi; 18070 F rfrecn tvitc Road, F.,u.",, ,,.n,nufxlt;u"til.l[*_"* Fax: er6-s3e 20r.1 () Sullivfltr 2000 s

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Page 1: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

(!

CARBON MONOXIDE DETECTOR NOTICE(C.A.R. Form CMD,4t1?l

Property Address:

1.

The undersigned hereby

Seller/Landlord

Buyer/TenantlSignatrre)

Buyer/Tenant

'acramento, 94 ]p5911

INSTALLATION OF CARBON MONOXIDE DETECTORS:A. th and Safety Code d fi296 to 172 ofy dwellings have car alled and that a ng

have carbon monox before January 1,lex, lodging house, um, time_share ng

B. ns: The law does rtot apply to a dwelling unit wh, a fireplace, or an attached garage. The law, the Regents of the University of California or lo

are no other owner exemptions from the installation reqbanks, corporations, or other entities. Thero is no exemotion

MONOXIDE DETECTORS: The Hcalth and Safcty Code doe sure regarding thee detectors in a dwelling. However, a seller of residential 1_4 ired to complete aure_Statement, (C.A R. F-orm TDS) or a Manufactured Home ransfer DisclosureTDS) must use section ll A of that form to disclose.whether unit has a caroon

REQUIREMENT: State bde of each sleeping area,local building standards alaw and continues to fail

LOCAL RE calities mainrarn thcir own retrofitrequirement erector be instarcd prior to a transre ;?:l::1,:i:p:',1rt1,Hil",ff'.i:iJj":city or count rtments regarding point of sale or ret whcn transferring property.

of a copy of this Carbon Monoxide Detector Notice

Sean DateQl9t4!ueo_(Print Name)

(Signature )

U S Code) forbids the unauthorized distribution, display and reproduction ol this form orpuleflzed formats.

rchase from the californta Assocration or RFAI-roRS@. lt is not intended to rdentify lheav be used onry bv members or thc NATT.NAL ASSocrATroN oi nenlronso *.o

CMD

Published and Distributed by:REAL ESTATE BUSINESS SERVICES. INCa subsidiary of the California Associallon of RF4L fORS@

" 525 South Virgil Avenue, t_os Angetes, California 90020

4t12 (PAGE 1 OF 1)/Al:l'!*;"":i=r:'

tlcrlz Reel Es(are,220t Franrisco Dr Sre I t0-552 Et Dorrd0 Hils CA 95762Cr,llccn Bcntz

Date(Print Name)

Date(f)rint Name)

Produced with zipForm@ by zipt ogi; 18070 F rfrecn tvitc Road, F.,u.",, ,,.n,nufxlt;u"til.l[*_"* Fax: er6-s3e 20r.1 () Sullivfltr 2000 s

Page 2: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

$ CALIFORNIAAS SOC IATIONOF REALTORS@

REAL ESTATE TRANSFER DISCLOSURE STATEMENT(GALIFORNIA CtVtL CODE Sll02, ET SEQ.)

(C.A.R. Form TDS, Revlsed 4/14)

THIS DISCLOSURE STATEiIENT CONCERNS THE PROPERW SITUATED IN THE CITY OFSacramento , COUNTYOF

DESCRfBEDAS 2000 s st, STATE OF CALIFORNIA,

cA 95811THIS STATEISENTGOMPLIANGE wlTH sEcTlON 1102 oF THE c|V|L CODE As oF (date) . tT ts NoT AWARRANW OF ANY KIND BY THE SELLER(S) OR ANy AGENT(S) REPRESENTTNG ANy pRtNCtpAL(S) tN TH|STRANSACTION, AND lS NOT A SUBSTTTUTE FORANY |NSPECT|ONS OR WARRANTIES THE pRtNCtpAL(S) MAyWISH TO OBTAIN.

I. COORDINATION wlTH OTHER DISCLOSURE FORMSThis Real Estate Transfer Disclosure Statement is made pursuant to Section 1 102 of the Civil Code. Other statutes require disclosures,depending upon the deiails of the particular real estate transaction (for example: special study zone and purcfias+money liens onresidential properly).Substituted Dlsclosures: The folloMng disdosures and other disdosures required by law, induding the Natural Hazard DisdosureReporUStatement that may inc'fude airport annoyances, earthquake, fire, flood, or special assessment information, have or will be madein connection wiUt this real estate transfer, end are intended to satisff the disclosure obligations on ttris form, *frerc the subject mafieris th€ seme:

f]lnspec{ion reports completed pursuant to the conhact of sale or rcceipt for'depositf] Additional insp€ction reports or disclosures;

II. SELLER'S INFORMANONThe Seller discloses the following information with the knowledge that even though this is not a wananty, prospectiveBuyers may rely on this information in deciding whether and on what terms to purchase the subject pioperty. Setterhereby authorizes any agent(s) representing any princlpal(s) in this trahsaction to provide a copy of this siatement to anyperson or entity in connection with any actual or anticipated sale of the p'rofrty.THE FOLLOWING ARE REPRESENTAnONS MADE By THE SELLER(S) AND ARE NOT THE REPRESENTATTONSOF THE AGENT(S), IF ANY. THIS INFORMATION IS A DISCLOSURE AND IS NOT INTENDED TO BE PART OF ANYCON BETWEENTHEBUYERANDSELLER.Seller notaccripyingthepropefty.A The sublect prop€fy has tfte ltemt checked below:.

! riru ruarm

IwnncnnaE satelite Dish

I Intercom

!CenUat Heding

I CenUat Rir Conditionlng

! Evaporator C,oote(s)

Air Conditioning

System

! Sump eump

lWater Softener

! eatolDec*ing

! eurt-in Babecuo

! eazeuo

E S€cur{ty Gat€(s)

flcarase;! nttacneA flHot Attached

lc"rport!futo.atc Csrage Door Opene(s)

lNumber Remote Contols _! sauna

! ttot tuu/spa:! rcA.ing Safety Corer

2^n Vofr Wiring in

!eoot:I CtrilO R66istant Banier

! PooUSpa Heater:

Other

f,[Gas Supply:

e<l (Tank)

Bars

! Ouict Release Mectranism onBedroom Wndors

! Weter.Conserving Plumbing Fixtures

Exhaust Fan(s) inI lGas StarterllOther: _

Fireplace{s) in

I nootlsl rype: Age: (apprcx.)

Are theF, to the best of pur (Sdler's) knowledge, any of the above that are not in operating condition? ! Yes I No. lf yes, then desoibe. (Attracfracldfig|al sheeb if necessary):

free note on page

Buyefs Initialsezotl,C*Orncesoaaio-?ELToRso-1il:TDS REVTSED 4114 (PAGE 1 OF 3)

Sdle/s Initials X^71l:lffiREAL ESTA STATEMENT

B.rlrRal Errrb,2ml fn&t!@Dr. Sh lao-5ttEl DondoEfrCA qt752 ptme: 9t6Cifl7195 Fd:gl5.qlrgtta O Srfiyu ZtO SProdu€d ti,fltr tpForm@ by zbLogh 1q)70 Flfr.rn Mle Road, Fr83.r, Micfii(P|t a€026 w 'ioL@k-m

Page 3: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Poperty Address:

B. Are you (Seller) aware of any signfficant defects/matftrnc{ions in any of the following? [Ves I tto. lf yes, check approp'riatespace(s) below.

! tnterior Walls !Ceilings! Driveways I Sioewalks

(Describe:

lnoors !ExteriorWa[s !lnsulation !Roo(s) lwndows looors !Foundation ! staols;lwalls/fences f]encmcal Systems ! Plumbing/Sewers/Septics ! Ottrer Structural Components

lf any of the above is checked, explain. (Attach additonal sheets if necessary.):

*lnstallatlon of a listed appliance, device, or amenlty is not a pracondiUon of sale or fansfer of the dwelllng. The carbon monoxidedevice, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively,carbon monoxide device strandads of Chapter 8 (commenclng with Section 13260) of Part 2 of Division 12 of, aubmatic revercingdevice standards of Chapter 12.5 (commencing with Section 19S90) of Part 3 of Division 13 of, or the pool sefety strandards of Artcle2.5 (commencing with Section 115920) of Chapter 5 of Part 10 of Division 104 of, the Health and Safety Code. Window seorrity barsmay not have quick-release mechanisms in compliance with the 1995 edition of the Califomia Building Standards Code. Section1101.4 of the Civil Code requires all singl*.family residences built on or before January 1, 1994, to be equipped with water-conservingpfumbfng fixtures afrer January 1,2017. Addiuonally, on and afier January 1,2014, a sing+family residence bullt on or before January1 , 1994, that is altered or improved is required to be equipped with water-conseMng plumbing fixtures as a condition of final apprwai.Flxtures in this dwelling may not comply with section I 101 .4 of the Civit Code.C. Are you (Seller) aware of any the fotlowing:

1. Substances, materials, or prcducts which may be an environmental hazard such as,.but not limited to, asbesbs,formaldehyde, radon gas, lead-based paint, mold, fuel or chemical storage tranks, and contaminated soil or wateron the subject propefty lYesffiNo2. Features of the property shared in common with adjoining landowners, such as walls, fences, and driveways,whose use or responsibility for maintenanoo may have an efrect on the subject property .a . . . . .. . . . . I Yes ! No

3. tury encroachments, eas€ments or simllar mafters that may afiect you interest in the subject property ! Yes ffi No4. Room additions, structural modifications, or other alterations or repaiis lnade without neoessary permits. . . . . . ! Yes ffi No5. Room addltions, sbuctural modlficadons, or other alterations or repalrs not in compliance with building codes . . !Yes fl No6. Fill (compacled or othenrvise) on tre property or any portion thereof . lYes fl No7, AnyseHingfromanycause.orslippage,sliding,orothersoil problems .... lYespNo8. ..... |Ye o9. struciures fom firc, earthquake, floods, or landslides . . . . . ftVe o10. violations of .selback" requirements . . . . ! y" o11. flYes o12. lYo o13. overthe sugect propefty lYes o14 other areas coowned in u

15.16. real property, claims for by -

the Seller purcuant to Section 910 or 914 threatening to or affecting this real propady, daim$ for breactr ofwananty pusuant to Section 9t)0 threatening to or afiecting this real property, or daims for breach of anenhanced protection agroement pursuant to Sedion 903 threatening to or affecting this real prcperty, indudingany lawsuits or claims for damages pursuant to Secfion 910 or 914 alleging a derfect or deficlency in thiireal property or'common areas' (facllities such as pools, tennis courts, walkways, or other arcessgwned inundivided interestwith others) lYes o

lf the answer to any of these ls yes, explain. (Attach additional sheets if nece*sary.):

D. 1. The Seller certifies that the property, as of the dose of escrovy, will be in oornpliance with Section 131 13.E of the Health andSafety Code by having operable smoke detector(s) whicfr are apprwed, listed, and installed in accordance with the State FireMarshal's regulations and applicable local standards.

2. The Seller certifies that the property, as of the close of escnow, wlll be in compliance with Sec-tion '19211 oI the Health andSafety Code by having the water heater tank(s) braced, anchored, or shapped in pla plicaile law.

Buyedslnitials (____J (_) Seiler,slnitbt -/\.TDS REVISED.I/1/I (PAGE 2 OF 3} HI

REAL ESTATE TRANSFER DTSCLOSURE STATEIUEi{T (IDS pAcE 2 OF 3)Pncdu€d wih lpFnno by zipLogtr,( lgt70 Fifrsn ifie RBd, Fr€ar, Mictt9m,l8026 w.zio|[email protected] o Srxiw 2e0I

Page 4: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Prcperty Address:

Seller oartlfieeSeller X

Seller

III. AGENTS INSPECNON DISCLOSURE(To be completed only if the Seller is rsprcsenled by an agent in this transedion,)

THE UNDERSIGNED, BASED ON THE ABOVE TNQUIRY OF THE SELLER(S) AS TO THE COND|T|ON OF THEPROPERW AND BASED ON A REASONABLY COMPETENT AND DILIGENT VISUAL INSPECNON OF THEACCESSIBLE AREAS OF THE PROPERTY IN CONJUNCNON WITH THAT INQUIRY, STATES THE FOLLOWING:

SeeAgeAge

l! true and colf.ctto the bect of the SCI€r'. knowlodge er of tlre dalo rlgnedDate

Agent (Boker Representing Sdl€r) Bent? Rea, Esfefe By(Please Print) Licensee or Bmker Signature)

Colleen BenE

IV. AGENTS INSPECNON D]{iGLOSURE(To be completed only if the agent who has obtai.Fd the ofier is other than tre agent above.)

THE UNDERSIGNED, BASED ON A REASONABLY COMPETENT AND DILIGENT VISUAL INSPECNON OF THEACCESSIBLE AREAS OF THE PROPERW, STATES THE FOLLOUIIING:

E

Agent (Broker Obtaining lhe Offer) By(Please Print) (Associate Licansee or Broker Signaturc)

\-V. BUYER(S) AND SELLER(S) i,lAY WISH To OBTAIN PROFESSIONAL ADvlcE AI{D/OR INSPECTIONS OF THE

PROPERW AIIID TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETI,\,EEN BUYER ANDSELLER(S) UVfTH RESPECT TO ANy ADVTCE/|NSPECT|ONSTDEFECTS.

rrwE OFACOPYO ENT.DatcS€ller X

Seller

Agent (Bloker Representing Seller)

Buyer

BenA, Real Estate By(Please Print)

Agent (Broker Obtaining the Offer) By Date(Associate Licensee or Broker S'lpature)(Ptease Print)

SECNON ItO2.3 OF THE CIVIL CODE PROVIDES A BUYER UWTH THE RIGHT TO RESCIND A PURCHASECONTRACT FOR AT LEAST THREE DAYS AFTER THE DELTVERY OF THIE DISCLOSURE IF DELIVERY OCCURSAFTER THE SIGNING OF AN OFFER TO PURGHASE. tF yOU W|SH TO RESCTND THE CONTRACT, yOU MUSTACTWITHIN THE PRESCRIBED PERIOD.A REAL ESTATE BROKER IS QUALIFIED TO ADVISE ON REAL ESTATE. tF YOU DESIRE LEGAL ADVICE,CONSULT YOUR ATTORNEY.

@014, Cslihrnia Assodation of REALTORSo, lnc. THIS FORM HAS BEEN APPROVED 8Y THE CAUFORN|A ASSOCTATTON OF REALTORS@ (C"A-R.). NOREPRESENTATION IS MADE AS TO THE LEGAL VALIOIW OR ACGURAoY oF AAIY PRovIsIoN N ANY SPEoIFIG TRANSAoTIoN. A REAL esnre andxER |s rxePERSON CIIJALIRED TO ADVISE ON REAL ESTATE TRANSACTIONS. IF YOU DESIRE tEGAt OR TN( ADVICE, CONSULT AAI APPROPRTATE PROFESSIOML.

il.TDs REvlsED 'lJl' (PAGE t * t)**,.

=srATE TRAilsFER DrsclosuRE

'TATETENT FDs

'AGE 3 eF 3)

Producod wtfi zipFnno by zip{-ogh 14070 Fn*n Mils R@d, Frars, Ml$igm 48026 ww-ld-mix.m

ZAt:lffi

or Broker Signature)

OS!trlvu2|mS

Page 5: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

$ CALIFORNIAAS SOC IATIONOF REALTORS@

SELLER PROPERW QUESTIONNAIRE(C.A.R Form SFQ, Rcvlrd 6/lE)

This form is not a substitute for the Real Estate Transfer Disdosure Statement {TDS). lt is used by the €eller to povide additional

information when a TDS is completed. lf Seller is exempt fiom competing a TDS, Seller should oomplete an Exempt Seller Dsdosure(C.A"R. Form ESD) or may use this forml. Seller makes the following rsgard to the real property or manufactured home described as

Assessor's Parcef No. 010-Ut2A-OOg-tnO0 ,

situated in County of Sacramenfo - Califomia ('Propertf).ll. Tho are rcptesentafions made by the Seller and are not the representations of the Agen(e), if any. This

dlsclocure statement ls not a trraranty of any Hnd by the Seller or any agpnts(s) and ls not a cubstltute for anyinspectlone or warranties the princlpal(a) may wish to oDtaln. This dlscJosura le not intended to be part of the contrac{between Buyer and Seller. Unless otherrdse specified In rrrltlng, Broker and any real astate llcensee or other perconworting wlth or through Broker has not verlfled informatlon provlded by Seller. A rrel ertate broker lr quallfted to advlseon real $tate transactlons. lf Seller or Brryer derlrce legal advlcs, they should comult an attomey.

lll. Note b Seller: PURPOSE: To tell the Buyer about affec'ting the value or desirability of the

Property and help to eliminate misunderEtandings about the cordition of the Property,o Answer based on actual kno,vledge and recoflecton at thie time.o Something that pu do not consider material or signifcant maybe perceived difierenfly by a Buyer.o Think about what you would went to know if you uerc buyitg the Property today.o Read the questions carefully and take lpur time.o lf yor do not underchnd how to ansrver a quetftm, or wtrat to disdose or hou, b make a disdosure in response to a question,

wh€fier on this brm or a TDS, you slrould consult a real estate duney in Cdifomia of pur choosirg. A broker canndanswer the questions for you or afrise you ofl he legd srficbncy of any answem or dlsdosures you prwide.

lV. Note to Buyer: PURPOSE: To glve you more informatlon about affecting the value ordesirabillty of the Propefi and help to diminate misunde of the Property.

o Sorrething tnt may be material orsignificantto sam€ way by the Seller.o lf something ls important to you, be sure to put your oonoems and questlons in wriling (CAR. form BMI).r Sellers can only disclose what they actually knor. Seller mey not know abqrt all matErial or significant items.r Selle/s dlsclosures arc not a substitute for your own investigations, personal judgments or common sense.

V. SELLER AWARENESS: For each stalement below, answor the quesllon "A?G you (Seller) awst€ of..." by checklng either'Yorr' or "No.' Exglaln any "Yct" arusrnr In the space provldcd or attach addlUonal @mmcntt and chcck cDcdon Vl.'A" STATUTORILY OR CONTRACTUALLY REOTXRED OR

1. Wthin the last 3 years, the death of an ocanpant of th2. An Orderfrom a govemment health oficial identiling

methamphetamine. (lf yes, attacfi a copy of the Oder.3. The rElease of an illegal conbolled substance on or4. Wheth€r the Property is locatsd in or adjacent to an "i

(ln general, a zone or district allowing manufacturing, commercial or airpori uses.)5. Whether the Prope$ is afued by a nulsance created by an 'industrial use'zone.6. Whether the Prcperty is located wtthin 1 mile of a furmer federal or state ordnance location.

(ln gensd, an arca onoe used frr ndiHy Uainf,rg prrpc€s |H may conteh p&ntially exflcive rrunilims.)7. Whether the Prope$ is a condominium or located in a planned unit developrnent or other

oommon lntsrest subdlvblon.8. Insurance dalms afiectlng the ProperV within the past 5 years

I. MaftersaffectinglifleoftheProperty .f......'.Material facts or defects afiec{ing frte Property not otherwise disctosed to BuyerPlumbing fixtures on the Property that are non+omdiant plumbing fixtures asdefined by GlvilCode Sedion 1101.3. !Yes Nltto

Explenauon, or f] 1f cfrec*ed) see attached;

f-lves olves o

r0.11.

Buyer's Initials (-J L_)

O zOO+ZOie, C€librnia Association of REALTORS@, tnc

sPo REVTSED 6/{8 (PAGE I OF 4)/ill:lH#

PROPERTYBc.c Rat Edra.r Z!01 Prucbca Dr. Ste 1lo.5g! n D.ndc 80. CA gStO Fhon€: 916147tf95 Fe* 916.q9Jela O $[vu l{00 S

C.Ia tac PrcdrEd wilh zipFof,r6 by tptogh( I SO'D Fifrla Mac Rod, Fffi, iiicltgm .f8@6

Page 6: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Property Address:

B. REPAIRS AND ALTERATIONE: ARE YOU (SELLER) AWARE oF...1. Any alterations, modifications, ruplacements, imprcvemenb, remodeling or material

repairs on the Property (including thme resulting from Home Wananty dalms)2. Any alterations, modifications, replaceme'nts, imprcvements, remodeling, or

mEterial repairs to the Property done br the purpose of energy or w€ter eficlienry \improvement or renewable ener'g{|.

3, Grgoing or recuning maintenanca on the Property(br example, drain or sewer dean{ut, tree or pest contol seMce) . . . . .Any partof the Property being painted wtthin he past 12 months. .. t.....Whetherthe Propertywas builtbefore 1978... . !. r. ! j(a) lf yes, were any renovaflons (i.e., sanding, cutdng, derolitlon) of leaGbased palnt surfaces etartedor completed.(b) lf yes to (a), w€re sucfi renovations done in compllance with the Environmental Protection Agency

4.5.

EYo !tto

lves Elruo

NoNoNo

lYes Bto

lves EHoLead-Based Paint RenovationExplanation:

C. STRUCTURAL, SYSTEIIIS AND APFLIAIIGES: ARE YOU (SELLER) AWARE OF...1. Defects in any of the following, (induding past defEcts that have been repaired): heating, air

ondilioning, dectical, plumUng (irduding the presene of pdybriylene pipes), water, seuor,rnaste dispcsal or seplb system, sump pumps, urei, rod, $Jners, cfiimrpy, fir€d8ce, foundalion,crawl space, attic, soil, gmding, drainage, retaining walls, interkrr or Exbrftx doors, windows,walls, ceillngs, floors or appliances

2. The leasing of any of tte follorving on or sentirg |he Pnoperty: solar rystem, wabr sc'ftener sysbm,water purlfier system, alarm system, or propane tank (s)

3. An altemative septic system on or serving the Property.Explanation:

lves o

[lYes!Yes

D. DISASTER REI.JEF,I]{SURANCE OR CML SETTLETENT: ARE YOU (SELLER) AWARE OF...1. Finandd rdlEf or assistanoe, insurarrce or setrement songht or reirred, fiom any federrd, shte,

local or pdmte agpncy, insurs or prirrate party, by past or pr€ssnt orurcrs of the Popedy, due toany actral or aileged damage to tp ftoperty adrsirB fiom a frood, eartquake, fire, olher disastsr,ot oocurrsnoe or defect, whether or not any money received was actually used to makerepairs lves

Explanation:

E. WATER.RELATEDAND MOLD ISSUES: ARE YOU (SELLER) AUYARE OF...1. Water intrusion into any part of any physical sfrrJctrrc on the Propefi; leaks from or

in any appliance, pipe, slab or roof; s-tanding water, drainage, llooding, undelground water,moisture, water-related scril setting or slippage, on or afieding the PropertyAny problem with or lnfestatlon of mold, mildeut, fungus or sporEs, past or present, on orafrecting trn PropertyRivers, streams, flood cfiannels, undergrcund springs, h(yh watertabb, floods, or tides, onor affecting the Property or neighborhood

Explanation:

F. AREYOT (SEL

dlife, insecG or pests on or in the Property3. Past or present odors, wine, ieces, disooloration, stains, spots or damage in the Property,

due to any of the above [Yes EHo4 Past or present heatment or eradlcation of pe€ts or odqs, or repair d damage due to any ofthe above. f]Ves olf so, when and by yvhom

Exflanation:

Sollefs tnitals

!ves

DY""

lves o

T-H#

2.

3.

Buye/s InitialssFQ REVTSED 6/18 (PAGE zOF 1l

SELLER PROPERW QUEST|ONITIARE (SPQ PAGE 2 OF 4)Produaad rlth zpFmo by 2ploq6( 18070 F&$ tlrila Road, Fras€r, Mictrlgtn,f8026 Ufl.ClLlCGsE OSrtrlvu20m S

Page 7: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Property Address:

G. BOUNDARIES, ACGESS AND PROPERTY USE BY OTHERS: ARE YOU (SELLER1. Surveys, easemants, encroachments or boundary disputes n2. Use or aocess to the Property, or any part of it, by anyone other than you, with or

witror.rt pemission, for any purpos€, inddittg but not limited to, uslng or maintaining roads,driveways or other forms of Ingress or egress or other travd or dralnage

3. Use of any neighborirq property by you .

Explanation:

flY""Ives

H. I.AN AREYqJ (SELLERl. ton on ornaarthe Property E2. ......... U

(b) lf yes, are there any aroas with trees, plante or v3. A pool heater on the Prcp€rty

lf yes, is itoperational? ......[Yr"1. A spa heater on th€ Properfy

lfyes,lsitoperatronal? ......!v"r Iuo5, Past or present defects, leaks, cracks, repairs or other pmUenp with the sprinklets, pod, spa,waterfall, pond, sbearn, drainage or ny ancillaryequlpment, including pumps, filters, it repdireO lVr"

Explanation:

COl,lDOlllNlUtfS, COi|tOil IIIITEREST DATELOPTENTS AND QTHER SUBDMSIOI{S: (lF APPUCABLE)a AREYOU (SELLER)A

Any pending or prcposed dues inq€as€s, sp€dal essessments, rules c*ranges, insuranccavailability iasues, or litigation by or against or fines or vkiletbns issued by a HomeournerAssociatlon orArchltecfural Committee afieciling the ftoperty. !Any declaration of restricilions or Arcfiitec'tural Committee that has authority over imprwementsAny oec|arauon oI lesutcuolts or rtJcnrlgclurat tgommrlte€ urat nas auuronly ovgr rmProve[Irenutmade on or b the Property nYe* oAny improvernents made on or to me Prcperty wittrout $e requir€d approvat or an ArchitecfuralCommittee or inconsistent with any dedaratlon of restrictiqns or ArciltectumlCommitee requirement. lVes

Explanatlon:

J. TITLE, OYII{ERSHIP LIENS, AND LEGAL Gl-Alil6: ARE YOU (SELLERl. Any oher person or entfi on tifle other than Selle(s) signing tris brm !2. Leases, optionsorclaimsafrectingorrdatlngtotideoruseoftheProperty .....,.. U3. Past present, pending or threatened lawsuits, se{tements, rnediations, arbibations, tax liens,

mectanics' llens, notice of default, bankrupEl or other oourt flings, or govemnrent hearingsaffectlng or relating to the Propedy, Homeowner Association or neighborfiood

1, Any privata fansfer fees, trigg€red by a sale of the Proparty, in favor of private parties, chailableorganizatlons, Interest based groups or any other person or entity

5. Any PACE llen (such as HERO or SGEIP) or other lien on your Property securing a loan to payfor an alteration, modification, replacement, improvement, remodel or material repair of the Prcperty?

6, The cost of any altenation, modification, replacemenL impfovement, remodd or matarialrepair of the Prope$ being paid by an assessment on the Pr@erty tax bill? . . .

Explanation:

t.

2.

3.

!v"u o

[Yes o

nve" o

lves o

K NEIGHBORHOOD: ARE Y(ru (SELLER) AWARE OF...1. Neighbofiood noise, nuisance or other problems fiom soures such as, but not limited to, the

folloring: neighbors, traffc, parking congestion, airflan

Buye/slnltials ( ) (_lsPQ REVISED 6n8 (PAGE 3 OF 4)

SELLER PROPERTY QUE

Producd urlth tpFnnO W dptod I 8OTO Fnasn ln! Rd. Frr:*, Mldkgr .ftn26 ry.Ad.ogtrr,Em o 6d[vu 2000 s ffi

Page 8: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Property Address:

freer,vays, buses, schools, parfts, refuse storage or landfrll processing, agnicultural oparations,buslness, odor, recreational fac{ifres, restaurants, enterhinment complexes or facillties,parades, sporting events, fairs, neighborhood partias, litter, construction, air conditioning

Exflana

L GOVERNTENTAL:GOVERTIITENTAL: AREY(ru (SELLER)AWAREoF...1. Ongoing or cont€mplated emlnent domain, condemnation,

general plan that applies lo or could afiect the Propefi . . .2. Existence or pendency of any rent conbd, ocanpancy re

restrictions or retofit requirements that apply b or coufd a3. Existing or contemflated building or use rnoratoria that ap4. Cunent or proposed bonds, assessments, or fees that do

that apply to or could affec{ the Propefi5. Proposed construction, reconfigunaUon, or cloeure of nea

such as schools, parks, roa&vays ard haffc signals . . . . .6. Exlstlng or proposed Govemment requirements afiecting

rqstrict bee (u o$er laqdscaping) flanting, mmoval orbe removed

7. animals or inseds that apply b or could afrct theProperty lVee o8. Whether the ProPeO is hlstorically deslgnated or fidls withln an existing or proposedHistoric District EV"" ! no

9. Any water surohatges or penafties being imposed by a pub ic or private water supplbr, agensy orutility; or restridions or prohibitions on wells or ottrer grotrnd water supplles f]Ves E?ttoExplanation: - .

}I. OTHER: AREYOU1. Reports, inspectlons, disdosures, wanenties, maintenanca recommendations, estimates,

studles, surveys or other documents, pertaining to (i) tte condition or repair of the Propefty orany improvement on this Property In the past, nolil or proposed; or (ii) easements,encroachments or boundary disputes afiecting the Property wheher oral or in writing andwhether or not provided to thE Sell f]yes No

(lf yee, provide any cuch documents to Buyer.)2. Any occupent of the Property smoking on or I Ves No3. Any pest or present known materiel f,ac'ts or ltems affecting the value or

deslratflity of the Pmperty not othelwise disdosed to Buyer ! yes E ruoExplanaflon:

vt.responso to specific questions an$Yered !es" above. Refer to line and question nurnber in explanation.Seller rcprceents that Sellar has provided the anrweru and, if any, exptanadons and commentE on thlc fonn and any attachedaddenda and tfiat cqch infomatlon b tue and coroc{ to the bect of Seller,s knoulcdge as of thdUate signed Uy Settcr. Setteracknowledges (i) Selle/s obllgatlon to dlscloso lnformatfon requested by thle lorm ls Independent from antr duty ofdlaclosutl tlat a rcal estats liconsee may have ln thle bansactlon; and (ll) ndhlng trat any euch real estato llcenseo does orsaye to Seller hlr/hcr own dttry of dlcclocuro.Seller XSeller XBy tftat Buyer has rcad, understande and has recelved a copy ofQuestlonnalrc fiorm,

Buyer DateBuyer Date6 2M$20T6, qEMTNIA ASSOCbbN d REALTORSO, INc. TI.TS F(,RII IIAS BEEN APPROVED BY TTE CAUFGT.TIA ASSC|C|AT'OI.I OF REALTORSO (CART 1.IOREPRESENTANON |S MADE AS TO TI{E |.EGAL VAIDTY OR [email protected] OF AI.IY PROVEilON hI ATTIY SPECIFIC NSACTPN. n nAr- esrlrr eRc*GR 6 n{EPERSON OI'AUFIED TO ADVISE ON REAL ESTATE TRIqNSACNO|.N}, IF YOU DESFE TEGAT OR TA)( AIN4CE, CONSULT AN NTFNOPRATE PROFES$OML -

DateDate

SPq REVTSED 6/18 PAGE 4OF qSELLER pROpERTy OUESTTONMTRE (SpQ PAGE 4 OF 4)

Poducod wlth zlpFon|o by zipLogB 1807! Frtbil ff,{o Rod, F ur, MichigEn 48026 wiottrix ffi O SuEyr 2000 S

Page 9: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

WATER HEATER STATEMEiIT OF COMPL]ANCE(C.AR. Forn UrHS, Revb€d llrll)

Property 56;"r,

WATER HEATER STATE]UIENT OF COilIPLIANCE

1. STATE IAW: Califomia Law requires that all new and replacement water heaterc and exi$ting residentialwater heaters be braced, anchofed or shapped to resist falling or horizontal displdcement due to earthquakemotion. "Water heatef means any strandard water heater with a capacity of no more than 120 gallons forwhich a pre-engineered strapping kit is readily available. (Health and Safety Gode $19211d). Although notspecifically stated, the statute requiring a statement of compliance does not appear to apply to a properlyInstalled and bolted trankless water heater for the foltowing reasons: There is no tank that can overtum;Pre+ngineered strapping kits for such devices are not readily availaUe; and Bolting already exists that wouldhelp avoid displacement or breakage in the event of an earthquake.

2. LOCAL REQI IREIIENTS: Some local ordinances impose more stingent water heater bnacing, anchoring orstrapping requirements than does Califomia Law. Therebrq, it is important to check with local city or countybuildlng and safety departmenG regarding the applicable water heatgr bracing, ancfioring or strappirprequirementrs for your property.

3. TRANSFEROR'S WRITTEN STATEXIENT: Califomia Health and Safety Code $19211 requires the seller ofany real property containirg a water heater to certify, in writing, that the seller is in compliance with CalifomiaState Law. lf the Property is a manufactured or mobile home, Seller shall also flle a required Statement withthe Department of Housing and Community Developmenl :,

4. CERTIFICATION: Seller represents that the Property, as oftre Close Of Escror, will be in compliance withHealth and Safety Code $19211 by having the water heater(s) braced, anchored or strapped in place, inaccordance with those requirements.

The undersigned hereby acknowledge(s) receipt of a copy of this document.

Buyer Date(Signature) (Prlnt Name)

Buyer Date(Signature) (Print Name)

O 1901-2011, Cdlbrnia Assoclatlon of REALTORSID, Inc" Urdtod Sfabs copyrlgH tsu, (Iite 17 U.S. Cod€) fo.tids lh€ unauthodzed disfrlbuton, dlsday ard rcpodutfto ofthb tfin, d any potlbn hercof, ty pho0ocopy madtine or any ofrrs m6ans, Induding faGlmilo fi comput€rtsod fumats.THIS FORM l{AS BEEN APFROVED BY THE CAIIFORNIiA ASSOC'ATIO}I OF RE LTORSO. NO REPRESENTAIION lS MADE AS TO THE LEGAL V/ALIDITY ORACCIJRACY OF AT.TY PROVISION IN AITIY SPECIFIC TR^NSACTION. A REAI- ESTATE BRONGR IS THE PERSON OUAIFIED TO ADVISE or{ REAL ESTA1ETMN9qCNONS. IF YOU DESIRE LEGAL OR TN( ADVICE. COf{SULT AN APPROPRATE PROFESSIOiIALThb iorm b mad€ av?ilabb b t€al e3tab profsssbnals thr{h dr agFomont w'h or punfiase fonr tre Cdlfomla fsociatk n d REALTORSTD. lt i€ not inbnd€d to idontfyltlo us€r s a REALTOR@. REALTORO E a rBdsiot€d coflective mecnb€Gfib mar* whidr may bo |.66d mly by msnbers d ths NATIONAL ASSOCIATION OF REATOR,S@

/st:lffi

who sub€cribe !o ilB Code of Elhks.r;1TIrrlE'1"

wHs RE\flSED 11t11(PAGE 1 OF 1)

D.rE naf Efit r Zl0l FrELo Dr. Stc 140{52 El D@do Etu CA f9tdl Phm: tl6fmqt Fil 916.qBr;tf4 O Bdvu ffi 3c.Ia Eab Ptodued 'dut zipFonro bt Jptogb( ltx)7o Ffr6n Ub Ro€d, Frss, i,ldligm 4qp6 W.zid.eg8 eo

Page 10: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

$j]!_WATER HEATER AND SIIOKE DETECTOR

STATEI'ENT OF COMPLIAN GE(G.A.R. Form WHSD, Revised 11/'10)

95E11

NOTE: A setler who is not oquired to provide one of trc fullotrring statements of compliancc is not necessarily oxompt from thc obligation to provide theother stratement of oomfliance. I

WATER HEATER STATEMENT OF COTTIPLIANCEl. ETATE l-AW: Califomia Law requires that all new and reflacement water heaters and existing residentid water heateF bo haced, andtored or

stsapped to reslst falling or hofizontat clisplacennnt due to earhquake motion, nVater heatef means any standad lYaler h€ater with a capacity ofno more thdn 120 gallons for which a praengineered sfappng t:it is radily available. (Heallfr and Sabty Code 519211d). Althoqth nd specficallystrated, the stafute requldng a statsn€nt of comdiance do€s not app€ar to apply b a properly instdled and boltad tankless wabr hoater for thebllowing roasons: There is no trank that can overtum; PrF€ngin€€Ed shpping kib for sucfi dwices are not readlly available; and Bolting alreadyorists that $lould holp avoftt disdacement or br€akage in the evpnt of an earthquake.

2. LOCAL REQUIREMEilTS: Some local ordinances impose nrorc sfing€flt wabr heater bracing, anchodng or sFapping r€quiE{flents than doesCetibmia La$r. Thereftr€, lt is irnporbnt to chec* with local city or county hliHing and sefety departm€nts rcgerding the apdicable water heaterbracing, anchoriqg or strappirE requlr€ments br yor prop€rty.

3. TRANSFEROR's WRITTEN STATEIIENT: Califomia Heallh ard Safety Codo $1921'l requiree the eeller of any rcal Fop€rty oontalning a watEr

heater to certiff, in writing, f|et th€ 9€llor lE in comdlance wit'r Calitomtr Stete Lar'. f tte Prop€rty le a manufacfured or mobfie home, S€lbr shall

also file a requircd StatEment wlth the Departnent of l-lousing and Cornmunity Development4. CERnRCAflOil: Sdler rcpresents Utat the Pmpefi, as of the Close of Escrow, will be in compliance urih Health and Saiety Codc 519211 by

having the or sfapped in place, in accodance with thooe rcquirsments.

Sdler Oate

Oate

Date

D.ts

Seller

CALIFORNIAAS SOC IAT IONOF Dorrrnoc@

-17 vI

Property Ad&ess

The underslgned acknorledge(s) receipt of a copy of this document

Buyer

Buyer(Slgn.turt) (Prlnt ilam€)

2.

3.

4.

5.

(3ignature) (Prlnt Nama)- .SiIOKE DETECTOR STATE]UIENT OF COMPLIANCE

STATE l-AW: Calibmia Law r€quires thd (l) e\rery sl]€lefiamlty dwelling and factory built housing unit sold on ot aier January t, 1986, mu.st have

an operable smoke detector, approved and lietod by the Statc Flre Marshal, installed in accordarrce \filth the State Fire MarchEl's regulations(Health and Safety Code 913113.8) and (ll) all used manrdactrrred or mob{etrcm€s have an operable srmke de{ec{or in each deeping room.LOCAL REOUIRETEJ{TS: Some loca ifomla isimportent to dreck with local dV or oou iremenTRAI{SFEROR'S WRITTEil STATEilENT: Gdibmie Health ard Setuty Code 5131 13.8(b) requir€s every bensbror of arry red property containing

a single-family dwelling, wtrether the hanefer 18 m€de by sab, exchange, or red property sebs conhact (installment sales contsact), to deliver to thebansf6pe e writton statement indicating that th€ transferor is in corndianco with Califomia Stat€ [.aw conccming smd<e deteciors, lf the Property isa manufaciured or mobile home, Selbr ehdl dso fle a required SHement with the Depanment of Housing and Community Development (HCD).

EXCEPTOI{s: Genera$y, a wrlten stat€ment of smoke d€tector comdiance ls not required for bansactone for wfiich the Seller is exempt frompro/iding a transfer disdosu|€ stetementCERTIFICATION: Saller r€presonb thet the Prcpedy, as of the Oose Of Escrov{, will be in cornplianoe with the law by having op€rable smoke

detector(s) (l) appnoved and llstod by the Stat€ Fire Marslral installed in accordance with t|e State Fire Marshal's regulations Hefth and SafetyCode 513113.8 or (ll) in complianca with Menufactrred Flousing Constructbn and Safety Ad (Hedth and Satuty Cod€ 51802S.6) located in each

used or mobilehomes as requircd by HCD and (lll) in accordanoe with applicable local odinance(s).

Sean O5ullfvan

-Daie

Sdler

$eller

The undersigned

Buyer

(Pdnt

acknodedge(s) receipt of a copy of thls Water Heater and Smoke Detecdqr St&ment of Compliance.

Date

Buyer(Slgnature) (Print Name)

Date(EIgnlture) (Pdil irene)

G) 1901-2OlO, Catifomh Arsocbtbn ot REALTORSO, Inc. Unitd Statee qyigttt hw (fil€ 17 U.S. Cod€) turbidslh€ unduthorized distsbudm. dsplay and Fproduc{ion ctf

$is furm, or any pordoh thered, by photocopy maafiina or sny o0€r mearc, induding berimile or compubrlzod foimats,THIS FoRM HA8 BEEN APPRoVED BY THE CAUFoRNIA AssocIATIoN tr REALTORSo. No REPRESENTAION IS T,hOE AS TO THE LEGAL VAUDITY ORAGoURACY OF AllY PRoVtsloN lN AttY SPECIFIC TRANSACTION. A REAL ESTATE BROKER lS Tl{E PERSON OUALIFIED TO ADVISE ON REAL ESTATETRANSACTIONS, tF YOU DESIRE LEGAL OR TA)( ADVICE, CONST'LT AN APPROPRIATE PROFESSIOI"IAL.This fiorm ts made a\railable to red €state prUesr$onEls ttrugh an agreerncnt witr a BJEfas€ fom th€ Califomia Asso<*dbn of REALTORS@. h is not intedad to ltentif

_th€ ua€r as a REALTORO. REALTOR@ laa rcgk*ared mllectw rnnserstrtp malk wlilch nlay be us€{t only by tfldnbels of th€ MTIOML ASSOCIAI1ON OF REALTORSOrrvtro subscribe !o ils Coda of Ethb.

6t-lH'lrtlE' I OFRSU.TORSOE-:J" sD20

wHsD REVTSED 1rlr0 (PAGE I OF 1)

fats Rat E artc,2nl Fru.ta t)I. Sa. l,106&l EI Dcrdc Bnr CA 9f,t52 Ptm: 91at47lts Fu: r16.9:tt.l01a O SrErD 20fi S

Produoed ulth tpFofi|o by 4igts 14070 Frnogr Mle Rad, hs€s, Mlchig6n 4€{nE W.zId4Cil.CCql

Page 11: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

$ CALIFORNIAASSOCIATIONOF REALTORS@

LEAI}.BASED PAINT AND LEAD€ASED PAINT HAZARDSDISCLOSURE, ACKNOWLEDG]iIENT AND ADDENDUM

For Pre-1978 Housing Sales, Leases, or Rentals(C.AR Form FLD, Rwlred lltl0)

The folloping termsPurchase Agreement,

ICatifomta Residential

, dated , on property known as:('Property') into as Buyer or

O'Sullivan. Heatherlvn O'Sullivan ls refened to as Seller orLandlord.LEAD WARNING STATEiIENT (SALE OR PURCHASE) Every purcftaser of any interest in residential real property onwhich a residential dwelling was built prior to 1978 is ndifred that such proper$ may present exposure to lead fromlead-based palnt that may place yorng chlldren at risk of developing lead poisoning. Lead poi.soning in young chlldren mayproduce permanent neurologlcal damage, includlng leaming disabilities, reduced intelligent quotient behavioral problemsand impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest inresidential real property ls required to provide the buyer with any information on lead-based paint hazards from riskassassments or inspec'tions in the selle/s possession and notfi the buyer of any known lead-based paint hazards. A riskassessment or inspection for pqssible lead-based paint ha-ards is reicommended prior to purchase.LEAD WARNING STATETENT (LEASE OR RENTAL) Housing built before 1978 may contialn lead-based paint. Leadftom paint, paint chips and dust can pose health hazards if not managed properly. Lead exposure is especlally hannful toyoung children and pregnant women. Before renting pr+1978 housing, lessors must disdose the presence of lead{asedpaint and/or leaGbased paint hazards in the dwelling. Lessees must also receive federally approved pamphlet on leadpoisoning prevention.EPA'S LEAD€ASED PAINT RENOVAflOil, REPAIR AND PAINTING RULE: The new rule requires that contac'toeand maintenance profussionals workirq in pre-1978 housing, child balte faciliUes, and schools with lead-based paint becertified; that their employees be tained; and that they follow protec'tive work practice standards. The rule applies torenovation, repair, or painting activities affecling more than six square feet of leadbased paint in a room or more than 20square feet of lead{aeed paint on the extedor. Enbrcement of the rule begins October '1, 2010. See the EPA website atwww.epa.gov/lead for more information.

1. SELLER'S OR LANDLORD'S DISCLOSURE \'| (we) have no knowledge of lead-based paint and/or lea&based paint hazards in the housing other than the following:

| (we) have no reports or records pertaining to lea&based paint and/or lead-based paint hazards in the housing oherthan the following, which, preMously or as an attacfrment to this addendum, heve been provided to Buyer or Tenant

I (we), praniorsly or as an attiachment b this addendum, have gwlded Buyer or Tenant wllh ste pamphlet ?rcted- YourFamily Frcm Lead ln Your Home"or an equivalent pamphlet approved br use in the StrateBuch as 'The HorneownelsGuide to Envircnmental Hazards and Earthquake Safety.'

For Sales Transactions Only: Buyer has 10 days, unless othenrise agreed in the real estate purchase contract, toonduct a risk assessment or inspection br the prqsenoo of lea&based paint and/or lead-based paint hazards.

formatlon above and certlfy, to the bast of my (our) knowledge, that the Informatlon

9lT( t

of REALTORSTO, Inc.

and conditions are hereby incorporated in and made a part of the:

flResidential Lease or Monttrto.Month Rental Agreemen! or ! Other:

whichTenal

/sl=lffiEuye/B In[ids

FrD RE\flSED ltl10 (PAGE 1OF 2l

D.fr Rat Erhac. !2{l FdEc&o Di 8ic l'{l4D El Dmdo EB CA It762 Ph$!': tl5ta7tr95 Fax 9l(t(Dt01a O Eilru 2O0Ic.IaItaE ho(hrcedtdthrpFomoby4|.o$ 1&)70 Flflaa Mlo R6d, Fra€€r, ltcldgEn40026

Page 12: OF REALTORS@...device, garage door opener, or child+esistant pod banier may not be in compliance with the safety standards relating to, respectively, carbon monoxide device strandads

Prcpeny Addrese:

2. USNNG AGENTS ACKNOWLEDGMENT

Agent has infurmed Seller or Landlord of Selle/s or Landlord's obligations under $42 U.S.C. 4852d and is aware ofAgent's responsibllity to ensure compliance. \

I have revlewed the information above and certlfy, to the best of my knowledge, lhat the information provided lstrue and colroct"

BenERealEstate By(Pl@se Print) Agent (&oker represenlirB Sdler or Landbrd)

3. BUYER'S OR TENANT'S ACKNOWLEDGilIENT

| (we) have received copies of all information listed, if any, in 1 abwe ard fre pamphlet "Prcted Your Family Frcm Leadln Your Home' or an equivalent pamphlet approved for use in the State suofi as "The Homeownels Guide toEnvircnmental Hazads and Eailhquake Safety.' tf dellvery of. any of the dlrCOams or pamphlet refierenced Inparagraph I above oocurr after Acccptance of an ofier to purchace, Bt4rer hal a rbm to cancel pureuant to thepurchase contrac't lf you wich to cancel, you must ac't withln fie prescrlbed pafiod.

For Sales Transactions ,Only: Buyer acknoudedges the rQht fur 10 days, unless othenrise agreed in the real estatepurchase conffi, to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-basedpaint hazards; OR, (if checked) ! Buyer waives the right to corduct a risk assessrnent ff inspection for the presenoeof lead-based paint and/or lead{ased paint hazards. -".

| (we) have rcviewed the Informatlon above and certlfy, to the best of my (our) knowledge, that the Informatlonprovlded ls true and correct,

Buyer or Tenant Date Buyer or Tenant Dat+,*

4. COOPERATII{G AGENTS ACKNOI'ULEDGM€NT

Agent has informed Seller or Landlord, through the Listing Agent if the property is listed, of Selle/s or Landlord'sobligations under $42 U.S.C. 4852d and is aware of Agenfs responsibility to ensure compliance.

I have reviewed the Informaffon above and cartfi, to tfre best of my knowledge, that the Information provided istrue and corect.

Agent (Broker obtaining the Ofier)By

Associate-Licensee or Broko Signafure Date

@ 1906-2010, Callforfa Asercbtlon of REALTORSO, Ina Unlt€d StEt s copyllgfit law Cllde 17 U.S, Coda) furttds the umufiorLed dlsulbudon, disp|ay ard r€Foducfon dthb iom, or any podon thercof, by photocopy mecfiinc or any o&rcr nens, lncftrding facsimile o( comFrtcdz6d bms.THIS FORM FnS BEEN APPROVED BY THE CALIFORNIA ASSOC]Ailol{ OF REALTORSo. NO REPRESENTATION lS MAI)E AS TO THE LECIAL VALIIITY oRAOCURACY OF AI{Y PROVISION IN ANY SPECIFIC TMNSACTION. A REAL ESTATE BRCIGR IS THE PERSON QUALIFIED TO ADVISE d{ REAL ESTATETRANSACTIONS, IF YOU DESIRE LEGAL OR TN( ADVICE, CONgULT AI{ APFROPRIATE PROFESSIOMLThb iorm b made avdlabte b d €stEte p(d€$ionela through an agr€sn€d wlth or pLnches€ liom the Cali6mia Assocision of REALTORSO. 1t is not fd€d to id€ftifyfie us€r as a REALTOR@. REALTOR@ is a rsgbt€r€d collectve menbership ma* wifdt tmy be us€d only by mamberc of 0E NATIONAL ASSOCIATION OF REALTOR9Owho sub6crib6 to lts Code of Ethics.

FIt'lEl.FLD RE\flSED ltfio (PAGE 2OF 2l

LEAD.BASED PAINTAND LEAOAASED PAINT HAZARDS DISCLOSIURE (FLD PAGE 2OF 2I

/al:lffi

Colleen BenE

Produc.d wrlh zbFdno by ziptodx 18070 Filb€n ld. Rad, Fr6d, i/6.hhg|,lE026 WzE-ocb.sd OE|[vuA|.OS