Michigan Legislature

  (1) The disclosures required by this act shall be made on the following form:

SELLER'S DISCLOSURE STATEMENT
Property Address:	__________________________________________
	Street
	_________________________________ Michigan
	City, Village, or Township

Purpose of Statement: This statement is a disclosure of the condition of the property in compliance with the seller disclosure act. This statement is a disclosure of the condition and information concerning the property, known by the seller. Unless otherwise advised, the seller does not possess any expertise in construction, architecture, engineering, or any other specific area related to the construction or condition of the improvements on the property or the land. Also, unless otherwise advised, the seller has not conducted any inspection of generally inaccessible areas such as the foundation or roof. This statement is not a warranty of any kind by the seller or by any agent representing the seller in this transaction, and is not a substitute for any inspections or warranties the buyer may wish to obtain.

  Seller's Disclosure: The seller discloses the following information with the knowledge that even though this is not a warranty, the seller specifically makes the following representations based on the seller's knowledge at the signing of this document. Upon receiving this statement from the seller, the seller's agent is required to provide a copy to the buyer or the agent of the buyer. The seller authorizes its agent(s) to provide a copy of this statement to any prospective buyer in connection with any actual or anticipated sale of property. The following are representations made solely by the seller and are not the representations of the seller's agent(s), if any. THIS INFORMATION IS A DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY CONTRACT BETWEEN BUYER AND SELLER.

  Instructions to the Seller: (1) Answer ALL questions. (2) Report known conditions affecting the property. (3) Attach additional pages with your signature if additional space is required. (4) Complete this form yourself. (5) If some items do not apply to your property, check NOT AVAILABLE. If you do not know the facts, check UNKNOWN. FAILURE TO PROVIDE A PURCHASER WITH A SIGNED DISCLOSURE STATEMENT WILL ENABLE A PURCHASER TO TERMINATE AN OTHERWISE BINDING PURCHASE AGREEMENT.

Appliances/Systems/Services: The items below are in working order (the items below are included in the sale of the property only if the purchase agreement so provides):

Yes

No

Unknown

Not Available

Range/Oven

____

____

____

____

Dishwasher

____

____

____

____

Refrigerator

____

____

____

____

Hood/fan

____

____

____

____

Disposal

____

____

____

____

TV antenna, TV rotor & controls

____

____

____

____

Electrical system

____

____

____

____

Garage door opener & remote control

____

____

____

____

Alarm system

____

____

____

____

Intercom

____

____

____

____

Central vacuum

____

____

____

____

Attic fan

____

____

____

____

Pool heater, wall liner & equipment

____

____

____

____

Microwave

____

____

____

____

Trash compactor

____

____

____

____

Ceiling fan

____

____

____

____

Sauna/hot tub

____

____

____

____

Washer

____

____

____

____

Dryer

____

____

____

____

Lawn sprinkler system

____

____

____

____

Water heater

____

____

____

____

Plumbing system

____

____

____

____

Water softener/conditioner

____

____

____

____

Well & pump

____

____

____

____

Septic tank & drain field

____

____

____

____

Sump pump

____

____

____

____

City Water System

____

____

____

____

City Sewer System

____

____

____

____

Central air conditioning

____

____

____

____

Central heating system

____

____

____

____

Wall furnace

____

____

____

____

Humidifier

____

____

____

____

Electronic air filter

____

____

____

____

Solar heating system

____

____

____

____

Fireplace & chimney

____

____

____

____

Wood burning system

____

____

____

____

Explanations (attach additional sheets if necessary):

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

UNLESS OTHERWISE AGREED, ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED, WITHOUT WARRANTY BEYOND DATE OF CLOSING.

Property conditions, improvements & additional information:

1. Basement/crawl space: Has there been evidence of water?

yes____

no____

If yes, please explain: _____________________________________

2. Insulation: Describe, if known _______________________________

Urea Formaldehyde Foam Insulation (UFFI) is installed?

unknown____

yes____

no____

3. Roof: Leaks?

yes____

no____

Approximate age if known ____________________________________

4. Well: Type of well (depth/diameter, age, and repair history, if known): _________________________________________________________

Has the water been tested?

yes____

no____

If yes, date of last report/results: ________________________

5. Septic tanks/drain fields: Condition, if known: ______________

_____________________________________________________________

6. Heating System:Type/approximate age: ________________________

7. Plumbing system: Type:copper____ galvanized____ other____

Any known problems? _________________________________________

8. Electrical system: Any known problems? _______________________

9. History of infestation, if any: (termites, carpenter ants, etc.)

_____________________________________________________________

10. Environmental Problems: Are you aware of any substances, materials, or products that may be an environmental hazard such as, but not limited to, asbestos, radon gas, formaldehyde, lead-based paint, fuel or chemical storage tanks and contaminated soil on the property.

unknown____

yes____

no____

If yes, please explain:_____________________________________

11. Flood insurance: Do you have flood insurance on the property?

unknown____

yes____

no____

12. Mineral rights: Do you own the mineral rights?

unknown____

yes____

no____

Other Items: Are you aware of any of the following:

1. Features of the property shared in common with the adjoining landowners, such as walls, fences, roads and driveways, or other features whose use or responsibility for maintenance may have an effect on the property?

unknown____

yes____

no____

2. Any encroachments, easements, zoning violations, or nonconforming uses?

unknown____

yes____

no____

3. Any "common areas" (facilities like pools, tennis courts, walkways, or other areas co-owned with others), or a homeowners' association that has any authority over the property?

unknown____

yes____

no____

4. Structural modifications, alterations, or repairs made without necessary permits or licensed contractors?

unknown____

yes____

no____

5. Settling, flooding, drainage, structural, or grading problems?

unknown____

yes____

no____

6. Major damage to the property from fire, wind, floods, or landslides?

unknown____

yes____

no____

7. Any underground storage tanks?

unknown____

yes____

no____

8. Farm or farm operation in the vicinity; or proximity to a landfill, airport, shooting range, etc.?

unknown____

yes____

no____

9. Any outstanding utility assessments or fees, including any natural gas main extension surcharge?

unknown____

yes____

no____

10. Any outstanding municipal assessments or fees?

unknown____

yes____

no____

11. Any pending litigation that could affect the property or the seller's right to convey the property?

unknown____

yes____

no____

If the answer to any of these questions is yes, please explain.

Attach additional sheets, if necessary: _________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

The seller has lived in the residence on the property from _________________ (date) to _________________ (date). The seller has owned the property since _________________ (date). The seller has indicated above the condition of all the items based on information known to the seller. If any changes occur in the structural/mechanical/appliance systems of this property from the date of this form to the date of closing, seller will immediately disclose the changes to buyer. In no event shall the parties hold the broker liable for any representations not directly made by the broker or broker's agent.

Seller certifies that the information in this statement is true and correct to the best of seller's knowledge as of the date of seller's signature.

BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY. THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT, AS WELL AS ANY EVIDENCE OF UNUSUALLY HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING, BUT NOT LIMITED TO, HOUSEHOLD MOLD, MILDEW AND BACTERIA.

BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT, 1994 PA 295, MCL 28.721 TO 28.732, IS AVAILABLE TO THE PUBLIC. BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFF'S DEPARTMENT DIRECTLY.

BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY, PRINCIPAL RESIDENCE EXEMPTION INFORMATION, AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSOR'S OFFICE.

BUYER SHOULD NOT ASSUME THAT BUYER'S FUTURE TAX BILLS ON THE PROPERTY WILL BE THE SAME AS THE SELLER'S PRESENT TAX BILLS. UNDER MICHIGAN LAW, REAL PROPERTY TAX OBLIGATIONS CAN CHANGE SIGNIFICANTLY WHEN PROPERTY IS TRANSFERRED.

Seller_________________________

Date_________________________

Seller_________________________

Date_________________________

Buyer has read and acknowledges receipt of this statement.

Buyer_______________

Date________________

Time:_______________

Buyer_______________

Date________________

Time:_______________

(2) A form described in subsection (1) printed before January 1, 2006 that was in compliance with this section at that time may be utilized and shall be considered in compliance with this section until April 1, 2006.