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Home My WebLink AboutCorder, SidneyL/7 >t t/LLZ t- '8. /t 1. C ,dZ State Form 46234 (R/1293) 0 Seller states that the information contained in this Disclosure is correct to the best of Sellers 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 tIC 24-4.6-2) generally requires sellers of 1-4 unit residential property to complete this form regarding the known physical 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, dty, state, ZiP code) [ ~t II E tl/~T~, ST. 1. The following are in the conditions indicated: A. APPLIANCES Built-in Vacuum System Clothes Dryer Clothes Washer Dishwasher Disposal Freezer Gas Grill Hood Oven Range Refrigerator Room Air Conditioner(s) Trash Compactor TV Antenna/Dish : Air Purifier Burglar alarm X Ceiling Fan(s) X Garage Door Opener / Controls X Inside Telephone ~ring and X Blocks / Jacks Intercom X Light Figures X Sauna X Smoke / Fire Alan(s) ~ Switches and Outlets X Vent Fan(s) X 60 / 1 oo / ~0 Amp Se~ice (Cite one) Not Know X :NQ~ "Defect' mesnS i c~r~41on that would have a significant adverse eff~c~:~n:th~:VajUe d ~e ~r~erly that would slgni~c~tly impair the health or safe/, of bture occupants of the property, or that II not repel red, remoVed or replaced would sign ficaotly shorten or adversely affect the expected norngt I~e ~f the prerdses. eREALTOR Approved by and restricted to use by Members of the Indiana Association of REALTORS®, Inc. IAR 1999 #3 (office use only) Page I of 4 C. WATER & SEWER SYSTEM D Cistern Septic Field / Bed Hot Tub Plumbing Aerator System Sump Pump Irrigation Systems Water Heater / Electdc Water Heater / Gas Water Heater / Solar Water Pud~er Water Softener Weft Other Sewer System (Explain) Do Not Yes No Know Are the improvements connected to a public water systemT~ X Aretheimprovementsconnectedtoapub[icsewersystern. ~ X Are the improvements connected to a private/community water system? X Are the improvements connected to a private/community sewer system? /%(' :D. HEATING NOne/Not Defective Not: Attic Fan Central Air Conditioning Hot Water Heat Furnace Heat / Gas Furnace Heat / Electric Solar House-Heating Woodburning Stove Fireplace Fireplace Insert Air Cleaner Humidifier Propane Tank Age, if known: Years. Does the roof leak? Is there present damage to the roof? X :::!~: !::~:~::~::i:::!!~i~!i::~::~:~!~:~i!~ :: Are there any existing hazardous condi- tions on the property, such as methane gas, lead paint, radon gas in house or weft, radioactive material, landffil, mineshaft, expansive soil, toxic materi- als, asbestos insulation or PCB's? Is there more than one roof on the house? If so, how many? roofs. X YES No Do Not Know (office use only) Page 2 of 4 4. OTHER DISCLOSURES :::! :::~:~:: :~::YE :: ~:~ O Do improvements have aluminum wiring? Are there any foundation problems with the improvements? Are there any encroachmonte? Are there any violations of zoning, building codes or restrictive covenants? X Is the present use a non-conforming use? Explain: X 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 withost 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 furnacelwoodstovelchimneylflue all in working order? is the property in a flood plain? Do you currently pay flood insurance? Does the property contain underground storage tank(s)? X {s the seller a licensed real 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? X X (office use only) Page 3 of 4 E. ADDITIONAL COMMENTS AND/OR EXPLANATIONS: (Use additional 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 KNOVVLEDGE. A disclosure form is not a warranty by the owner or the owner's 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 seffiement 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 Date uyer Date Signature of Seller Date Signature of Seller Date (office use only) Page 4 of 4 (Indiana Real Estate Commission; 876 IAC 1-4-2, 17 IR 2352) REV. 12195 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 ATT~ .S~ Diana Cordray, IAMC, 'Cl~-Treasurer Date: