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Home My WebLink AboutDamian, Deneed'Td2- zzo4 f. SELLER'S RESIDENTIAL REAL ESTATE SALES DISCLOSURE Date State Form 46234 (R/1293) (month, day. year) Seller states that the information contained in this Disclosure is correct to the best of Seller's CURRENT ACTUAL KNOWLEDGE as of the above date The prospective buyer and the owner may wish to obtain professional advice or inspections of the property and provide for appropriate provisions in a contract between them concerning any advice, inspections, defects, or Warranties obtained on the property. The representations in this form are the representations of the owner and are not the representations of the agent. if any. This information is for disclosure only and is not intended to be a part of any contract between the buyer and the owner. Indiana law (IC 24-4.6-2) generally requires sellers of 1-4 unit residential property to complete this form regarding the known physicel condition of the property. An owner must Complete and sign the disclosure form and submit the form to a prospective buyer before an offer is accepted for the sale of the real estate. Property address (number and street, d~y, state, ZiP code) I"/Z7 E. lib ''~ ~ r' r_,,~'~Ex., /H 1. The following are in the conditions indicated: : !: A. APPLIANCES } ha:luded = 1[3efsc~,~ Net Know ' : : :: : : w · , Kr~ Built-in Vacuum System /~ Air Purifier Clothes Dryer X Burglar alarm Clothes Washer X Ceiling Fan(s) Dishwasher /V~ _Garage Door Opener / Controls Disposal X Inside Telephone Widng and Freezer ,~ Blocks / Jacks Gas Grill X Intercom Hood X Light Fixtures Microwave Oven X Sauna Oven ~ Smoke / Fire Alarm(s) Range X Switches and Outlets Refrigerator Y~ Vent Fan(s) Room Air Conditioner(s) /~ 60 / 100 / 200 Amp Service Trash Compactor X (Circle one) TV Antenna/Dish ;NO TEi !!Defecf':~l~s ~!c~)~10n that woUki have a significant adverse ~ct on: jh~Val~ ~ :the:!pr(~c~erty that would significantly impall the haajth or aafe~'y ~f future occupa~tts of the property, or that if not repaired, rernuved o~ telfailed would significantly Shorten or adversely affect the Approved by and restricted to use by Members of the Indiana Association of REALTORS®, Inc. IAR 1999 #3 I (office use only) Page I of 4 Cistern Septic Field / Bed Hot Tub Plumbing Aerator System Sump Pump Irrigation Systems Water Heater I Electdc Water Heater / Gas Water Heater / Solar Water Pud~er Water Scttener Well Other Sewer System Are the improvements connected to a pubIic water system? Are the improvements connected to a public sewer system? Are the improvements connected to a private/community water system? Are the improvements connected to a private/community sewer system? Do Not Yes No Know X D, .EATING &!C0OLING ~e.e~let Oef.~e i!N0t Do :SYSTEM:; ~ln~l,ded:: Odecave Net KnoY., Attic Fan y% Central Air Conditioning )(,. Hot Water Heat /~ Furnace Heat / Gas 7% Furnace Heat / Electric /~ Solar House-Heating /X, Woodburning Stove /~ Fireplace ~ Fireplace Insert /~ Air Cleaner ~ Humidifier y,, Propane Tank ~ 2, ROOF Age. if known: Yeara. Does the roof leak? Is there present damage to the roof? :! :::::~? :;: !:: ;::i !~;: ::~;!~: i:!:i ~:~: .ow::::: ::::::::::::::::::::::::::::::::::: Are there any existing hazardous oondi- ~. tions on the properb/, such as methane gas. lead paint. ladon gas in house or well. radioactive material, landfill, (. mineshaft, expansive soil, toxic materi- als, asbestos insulation or PCB'S? there rnofe than one roof on the house? .so, how many? roofs. YES No Do Not Know (office use only) Page 2 of 4 Do improvements have aluminum wiring? Are there any foundation problems with the improvements? Are there any encroachmonte? Are there any violations of zoning. building cedes or re~dctive cevenanta? Is the present use a non-conforming use? Explain: Have you received any notices by any governmental or quasi-governmental agencies affecting this property? Are there any structural problems with the buildings? Have any substantial additions or alterations been made without a required building permit? Are there moisture and/or water problems in the basement or crawl space area? Is there any damage due to wind, flood, termites or rodents? Are the furnace/woodstove/chimney/~ue all in working order? >/% Is the property in a flood plain? /X, Do you currently pay flood insurance? ~/~ Does the property contain underground storage tank(s)? Is the seller a licensed reel estate salesperson or broker? Is there any threatened or existing litigation regarding the property? Is the property subject to convenants, conditions and/or restrictions of a homeownerS association? Is the property located within one (1) mile of an airport? mole ra,~E LSm ~)1 Da S c. rn e. n .l. (office use only) Page 3 of 4 E. ADDITIONAL COMMENTS AND/OR EXPLANATIONS: (Use addl~onal pages if necessary.) The information contained in this Disclosure has been furnished by the Seller. who certifies to the truth thereof, based on the Sellers CURRENT ACTUAL KNO%NLEDGE. A disclosure form is not a warranty by the owner or the owners agent, if any, and the disclosure form may not be used as a substitute for any inspections or warranties that the prospective buyer or owner may later obtain. At or before settlement, the owner is required to disclose any material change in the physical condition of the property or certify to the purchaser at settlement that the condition of the property is substantially the same as it was when the disclosure form was provided, Seller and Purchaser hereby acknowledge receipt of this Disclosure by signing below: Signature of Seller Date n re,~B~r~ Date Signature of Seller Date of Buyer' Date Signature of Sefier Date Signature of Seller Date (office use only) Page4of4 (indiana Real Estate Commission; 876 IAC 1-4-2, 17 IR 2352) REV, 12/95 iN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows: CITY OF CARMEL, iNDIANA by and through its Board of Public Works and Safety //~/~th _ Jaainard, Presiding Officer Date: / '/~~ Ma ! a~,uSk_e, ~.~_~r~ber B alker, Member Date: ~'L>/' f~ ATTU~ Diana Cordray, .~AM , Cl~--Treasurer November 3 2000 Mr. Denee M. Damian 1411 East 116th Street Cannel, IN 46032 RE: Seller's Residential Real Estate Sales Disclosure Dear Mr. Damian: On November 1, 2000, the Board of Public Works and Safety approved the above disclosure regarding the residence at 1427 East 116th Street in Carrnel, Indiana. An original, fully executed copy of that disclosure is enclosed for your records. If you have any questions or concerns, please do not hesitate to contact me at 317.571.2413. Sincerely, COPY Carde A. Groce Deputy Clerk-Treasurer Enclosure cc: Joseph C. Staehler Department of Administration