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New Seller’s Residential Real Estate Sales Disclosure (2 Sellers)

Property Address(Required)
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 following information is not the representations of the real estate broker, if any. The form applies to residential real estate and purchases. Also, Indiana law (IC 32-21-5) generally requires sellers of 1–4-unit residential property to complete this form regarding the known physical condition of the property. IC 32-21-5-1(b) states that this form is not required for:

1. Transfers ordered by a court, including transfers:
A. in the administration of an estate;
B. by foreclosure sale;
C. by a trustee in bankruptcy;
D. by eminent domain;
E. from a decree of specific performance;
F. from a decree of divorce; or
G. from a property settlement agreement.

2. Transfers by a mortgagee who has acquired the real estate at a sale conducted under a foreclosure decree or who has acquired the real estate by a deed in lieu of foreclosure.

3. Transfers by a fiduciary in the course of the administration of the decedent’s estate, guardianship, conservatorship, or trust.

4. Transfers made from at least one (1) co-owner solely to at least one (1) other co-owner.

5. Transfers made solely to any combination of a spouse or an individual in the lineal line of consanguinity of at least one (1) of the transferors.

6. Transfers made because of the record owner’s failure to pay any federal, state, or local taxes.

7. Transfers to or from any governmental entity.

8. Transfers involving the first sale of a dwelling that has not been inhabited.

9. Transfers to a living trust.

Purpose of Disclosure Form: Completion of this form shall satisfy the requirements of IC 32-21-5-7 that mandates the seller’s disclosure of conditions relevant to the listed property. This disclosure is based on the Seller’s current knowledge of the property’s conditions and the improvements thereon, however that knowledge was gained. This disclosure form shall not be a warranty by the Seller and shall not be used as a substitute for an inspection or warranty that the purchaser may wish to obtain. This form is a statement of the conditions and other information about the property known by the Seller. 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 part of any contract between the Buyer and the Seller. The Seller 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 property. The Buyer is encouraged to obtain his or her own professional inspections of this property. A Buyer may not invalidate a real estate transaction or a contract to purchase real estate due to the Buyer’s failure to sign a Seller’s disclosure form that has been received or acknowledged by the Buyer.

Instructions to the Seller(s): (1) Answer every question truthfully. (2) Report all known conditions affecting the property, regardless of how you know about them or when you learned. (3) Attach additional pages, if necessary, with your signature and the date and time of signing. (4) Complete this form yourself. (5) If an item does not apply to your property or is rented, mark “not applicable/rented.” (6) If you truthfully do not know the answer to a question, mark “unknown.” (7) If you learn any fact prior to closing that changes one or more of your answers to this form after you have completed and submitted it, immediately notify any potential buyer of the change in writing.

NOTE: “Defect” means a condition that would have a significant adverse effect on the value of the property, that would significantly impair the health or safety of future occupants of the property, or that if not repaired, removed or replaced would significantly shorten or adversely affect the expected normal life of the premises.
The information contained in this Disclosure has been furnished by the Seller, who certifies to the truth thereof, based on the Seller’s CURRENT ACTUAL KNOWLEDGE. A disclosure form is not a warranty by the owner or the owner’s broker, 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.
Legal Consent(Required)
Consumer Disclosure Regarding Conducting Business Electronically, Signing Documents Electronically, and Receiving Electronic Notices and Disclosures

Please read the information below, carefully, as it concerns your rights. eSignatures are an efficient way to execute an agreement with the same legal force and effect of a handwritten or “wet ink” signature. By signing this document you are agreeing that you have reviewed this Consumer Disclosure and consent and intend to transact business electronically; to use electronic signatures instead of wet ink signatures and paper documents, and to receive notices and disclosures electronically.

You are not required to sign documents electronically or to receive notices and disclosures electronically. If you prefer not to transact business electronically, you may request paper copies from the “sending party” and withdraw your consent at any time, as described below.

Scope of Consent
By utilizing this Service, you agree to receive electronic signature documents with all related and identified documents, notices, and disclosures provided during your relationship with the “sending party.” You may withdraw your consent, at any time, by following the procedures outlined below.

Paper Copies
You are not required to sign documents electronically, or receive notices or disclosures electronically, and may request paper copies of documents or disclosures, if you prefer. You also have the ability to download and print any signed or unsigned documents sent to you through the electronic signature service. We may also email you a copy of all documents you sign using the electronic signature service. If you wish to receive paper copies instead of electronic documents you may close this web browser and request paper copies from the “sending party” by following the procedures outlined below. The “sending party” may apply a charge for additional expenses incurred by printing and mailing paper copies.

Withdrawal of Consent
You may withdraw your consent to receive electronic documents, notices or disclosures at any time. In order to withdraw consent you must notify the “sending party” that you wish to withdraw your consent to transact business electronically and to provide your future documents, notices, and disclosures in paper format. If at any time, after withdrawing your consent you choose to use our electronic signature system your use of this Service will, once again, evidence your consent to receive documents, notices, and disclosures, electronically. You may withdraw your consent to receive electronic notices and disclosures or execute an electronic signature by following the procedures described below.

Withdrawing your consent, requesting a paper copy, or updating your contact information
You always have the ability to download and print any documents sent to you through our electronic signature system. To withdraw your consent to conduct business electronically, sign documents electronically, and receive documents, notices, or disclosures electronically, please contact the “sending party” directly; by telephone, by email (sent to the “sending party” with any of the topics outlined below stated in the subject line of your email) or by postal mail to their mailing address specified to receive such notices.

“Withdrawal of Consent To Transact Business Electronically” To allow the “sending party” to identify and facilitate your withdrawal of consent to transact business electronically, please provide your name, email address, the date on which you are withdrawing your consent, your telephone number and mailing address.

“Requesting A Paper Copy” To allow the “sending party” to identify you to provide a paper copy of the document requiring your signature, the notice, or disclosure, please provide the sending party with your name, email address, mailing address, telephone number, and name of the document of which you are requesting a paper copy .

“Update Your Contact Information” To allow the “sending party” to identify you in order to update your contact information, please provide them with your name, email address, mailing address, and telephone number.

The “sending party” will inform you of any fees related to costs for printing and mailing paper copies or your withdrawal consent to transact business electronically.
Email of Seller 1(Required)
Make sure this is correct!!! If it’s not, you won’t be able to validate the signature after submission and the form will be lost with no way to retrieve it and you’ll have to start it over.
Email of Seller 2(Required)
Make sure this is correct!!! If it’s not, you won’t be able to validate the signature after submission and the form will be lost with no way to retrieve it and you’ll have to start it over.

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1. The following are in the conditions indicated:

A. APPLIANCES

Built-in Vacuum System(Required)
Clothes Dryer(Required)
Clothes Washer(Required)
Dishwasher(Required)
Disposal(Required)
Freezer(Required)
Gas Grill(Required)
Hood(Required)
Microwave Oven(Required)
Oven(Required)
Range(Required)
Refrigerator(Required)
Room Air Conditioner(s)(Required)
Trash Compactor(Required)
TV Antenna / Dish(Required)
Other Appliance

B. ELECTRICAL SYSTEM

Security System(s)(Required)
Ceiling Fan(s)(Required)
Garage Door Opener / Controls(Required)
Inside Telephone Wiring and Blocks / Jacks(Required)
Light Fixtures(Required)
Sauna(Required)
Smoke / Fire Alarms(Required)
Carbon Monoxide Detectors(Required)
Switches and Outlets(Required)
Vent Fan(s)(Required)
Amp Service(Required)
Electrical Service
Generator(Required)

C. WATER & SEWER SYSTEM

Cistern(Required)
Septic Field / Bed(Required)
Septic & Holding Tank / Septic Mound(Required)
Hot Tub(Required)
Plumbing(Required)
Aerator System(Required)
Sump Pump(Required)
Irrigation System(Required)
Water Heater / Electric(Required)
Water Heater / Gas(Required)
Water Heater / Solar(Required)
Water Purifier(Required)
Water Softener(Required)
Well(Required)
Geothermal and Heat Pump(Required)
Other Sewer System(Required)
Swimming Pool & Pool Equipment(Required)
Are the structures connected to a public water system?(Required)
Are the structures connected to a public sewer system?(Required)
Are there any additions that may require improvements to the sewage disposal system?(Required)
If yes, have the improvements been completed on the sewage disposal system?(Required)
Are the structure(s) connected to a private / community water system?(Required)
Are the structure(s) connected to a private / community sewer system?(Required)
The information contained in this Disclosure has been furnished by the Seller, who certifies to the truth thereof, based on the Seller’s CURRENT ACTUAL KNOWLEDGE. A disclosure form is not a warranty by the owner or the owner’s broker, 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.

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D. HEATING & COOLING SYSTEM

Attic Fan(Required)
Boiler / Radiator(Required)
Central Air Conditioning(Required)
Electric Heat Pump(Required)
Furnace Heat / Gas(Required)
Furnace Heat / Electric(Required)
Geothermal(Required)
Solar House Heating(Required)
Woodburning Stove(Required)
Fireplace(Required)
Fireplace Insert(Required)
Air Cleaner(Required)
Humidifier(Required)
Propane Tank(Required)
Other Heating Source(Required)

2. ROOF

Does the Roof Leak?(Required)
Is there present damage to the roof?(Required)
Is there more than one layer of shingles on the house?(Required)

3. WATER HEATER

4. FURNACE

5. CENTRAL AIR CONDITIONING

6. HAZARDOUS CONDITIONS

Have there been or are there any hazardous conditions on the property, such as methane gas, lead paint, radon gas in house or well, radioactive material, landfill, mineshaft, expansive soil, toxic materials, mold, other biological contaminants, asbestos insulation, or PCB's?(Required)
Is there contamination caused by the manufacture of a controlled substance on the property that has not been certified as decontaminated by an inspector approved under IC 15-19-3.1?(Required)
Has there been manufacture of methamphetamine or dumping of waste from the manufacture of methamphetamine in a residential structure on the property?(Required)
The information contained in this Disclosure has been furnished by the Seller, who certifies to the truth thereof, based on the Seller’s CURRENT ACTUAL KNOWLEDGE. A disclosure form is not a warranty by the owner or the owner’s broker, 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.

Waiting for another signer

Other Disclosures

Do structures have aluminum wiring?(Required)
Are there any foundation problems with the structure?(Required)
Are there any encroachments?(Required)
Are there any violations of zoning, building codes, or restrictive covenants?(Required)
Does the property have a shared driveway with another property?(Required)
Is the property subject to covenants, conditions and / or restrictions of a homeowner's association?(Required)
Is the property subject to a homeowner’s association assessment?(Required)
Is this property located within a locally designated historic district under IC 36-7-11?(Required)
Is the present use a non-conforming use?(Required)
Is the access to your property via a private road?(Required)
Is the access to your property via a public road?(Required)
Is the access to your property via an easement?(Required)
Have you received any notices by any governmental or quasi-governmental agencies affecting this property?(Required)
Are there any structural problems with the building?(Required)
Have any substantial additions or alterations been made without a required building permit?(Required)
Are there moisture and/or water problems in the basement, crawl space area, or any other area?(Required)
Is there any damage due to wind, flood, termites or rodents?(Required)
Have any structures been treated for wood destroying insects?(Required)
Is the property or a portion of the property located within a community’s flood plain boundaries, as indicated in a Federal Emergency Management Agency Flood Insurance Rate Map? See https://msc.fema.gov/portal/home.(Required)
Do you currently pay flood insurance?(Required)
Is the property located near a military installation, within a state area of interest ((as defined in IC 36-7-30.2-6) and may be impacted to some degree by the effects of the installation’s military operations? If yes, local laws may restrict use and development of the property to promote compatibility with military installation operation.(Required)
Does the property contain underground storage tank(s)?(Required)
Is the homeowner a licensed real estate broker?(Required)
Is there any threatened or existing litigation regarding the property?(Required)
Is the Owner subject to the Foreign Investment in Real Property Tax Act? See http://www.irs.gov/publications/p515/index.html.(Required)
Is the property located within one (1) mile of an airport?(Required)
Is the property subject to a conservation easement as defined in IC 32-23-5-2?(Required)
The information contained in this Disclosure has been furnished by the Seller, who certifies to the truth thereof, based on the Seller’s CURRENT ACTUAL KNOWLEDGE. A disclosure form is not a warranty by the owner or the owner’s broker, 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.

Waiting for another signer

Steps to List Your Home

  Step 1 - Getting Started Page
  Step 2 - Listing Input Form
  Step 3 - Listing Agreement
  Step 4 - Office Policy
  Step 5 - Upload Pictures
  Step 6 - Download Disclosures
  VIEW OUR POPULAR UPGRADES
  • Sellers
    • My Account
    • Listing Changes
    • Picture Upload
    • Listing Upgrades
    • How to Clear Cookies
  • Buyer Rebate!!!
  • Shop
  • Contact Us
  • Testimonials
  •