Page 1 of 7
ARIZONA SELLER’S PROPERTY DISCLOSURE
Seller’s Name: _________________________________________________________
Property Address: ______________________________________________________
Notice to Seller: This Property Disclosure Statement (“Disclosure”) allows a Seller of
residential property to disclose to a potential Buyer all known facts that materially and
adversely affect the value of the subject property that is not readily observable. This
Disclosure statement is designed to assist the Seller with informing a potential Buyer in
evaluating the property for purchase. The listing real estate agent, the selling real estate
agent and their respective agents will also rely upon this information when marketing
and presenting the property to prospective Buyers. Completion of this Disclosure should
be done in accordance with State law.
Notice to Buyer: The information provided is the representation is of the Seller's best
knowledge as of the date noted. Disclosure by the Seller is not a substitute for an
inspection and you may wish to obtain such an independent home inspection company.
The information contained in this statement is not a warranty by the Seller as to the
condition of the Property, of which the Seller is required to disclose any known latent
(hidden, concealed, or unseen) defects to any potential Buyer.
Arizona Law (§ 32-2156): Seller is not required to disclose if the property is/was (1) the
location of a natural death, suicide, homicide, or any other crime classified as a felony,
(2) owned or occupied by an individual with the human immunodeficiency virus or
diagnosed as having the acquired the immune deficiency syndrome or any other
disease that is not known to be transmitted through common occupancy of real estate,
and (3) located in the vicinity of a sex offender.
Buyer’s Initials ________ / ________ Seller’s Initials ________ / ________
I. OWNERSHIP.
Property Type: ________________________ (ex. single family, condo, etc.)
Year Built: ________________________
Ownership Length: ________________________ (ex. 5 years)
Accurate Survey of the Property? No, Yes, N/A
Dates Lived on the Property: ____________, 20___ to ____________, 20___
Other Comments: _______________________________________________________
Page 2 of 7
II. WATER SUPPLY.
Type: - Public - Well - Other ________________________
Any Issues with the Water? No, Yes, the issues are: ______________________
______________________________________________________________________
Any Water Treatment Systems? No, Yes, Unknown, N/A, Leased
Any Fire Sprinkler Systems? No, Yes, Unknown, N/A, Leased
Fire Sprinklers in Operating Condition? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
III. SEWAGE DISPOSAL.
Type: Public, Septic, and approved for ____ (#) of Bedrooms.
Septic Systems Functioning Properly? No, Yes, Unknown, N/A
Last Time the Septic System was Pumped? ____________, 20___
Other Comments: _______________________________________________________
IV. HEATING.
Type: Oil, Natural Gas, Electric, Propane, Other: ____________________
Is Heat Supplied to All Finished Rooms? No, Yes, Unknown, N/A
Are the Systems in Operating Condition? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
V. AIR CONDITIONING.
Type: Oil, Natural Gas, Electric, Propane, Other: ____________________
Is AC Supplied to All Finished Rooms? No, Yes, Unknown, N/A
Is the AC System in Operating Condition? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
Page 3 of 7
VI. HOT WATER.
Type: Oil, Natural Gas, Electric, Other: ____________________
Age: ________________________ (ex. 5 years)
Other Comments: _______________________________________________________
VII. FOUNDATION.
Any Settlement or other Problems? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
VIII. BASEMENT / CRAWLSPACE / CELLAR.
Any Leaks or Excessive Moisture? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
IX. ROOF.
Any Leaks or Evidence of Moisture? No, Yes, Unknown, N/A
Any Existing Fire-Retardant Treated Plywood? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
X. PLUMBING SYSTEM.
Is the Plumbing System in Operating Condition? No, Yes, Unknown, N/A
Are there any Known Issues with the Plumbing System? No, Yes, Explain: ______
______________________________________________________________________
Other Comments: _______________________________________________________
XI. ELECTRIC SYSTEMS.
Any Known Issues with the Electrical System? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
Page 4 of 7
XII. INSULATION.
In Exterior Walls? No, Yes, Unknown, N/A
In Ceiling/Attic? No, Yes, Unknown, N/A
Under the Floor? No, Yes, Unknown, N/A
In any Other Areas? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XIII. EXTERIOR DRAINAGE.
Water Stand on the Property after a Heavy Rain? No, Yes, Unknown, N/A
Are Gutters and Downspouts in Operating Condition? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XIV. WOOD-DESTROYING INSECTS.
Any Known Infestations and/or Prior Damage? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XV. CARBON MONOXIDE ALARM.
Is a Carbon Monoxide Alarm on the Property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XVI. HAZARDOUS OR REGULATED MATERIALS.
Are there any Hazardous or Regulated Materials located on the Property, including, but
not limited to, mold, asbestos, radon gas, lead-based paint, licensed landfills,
methamphetamine labs, underground storage tanks, any mining operations or other
past contamination on the Property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XVII. FIRE.
Any Fireplaces, Woodstoves, or Chimneys? No, Yes, Unknown, N/A
Page 5 of 7
How Many? ____
Are they in Working Condition? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XVIII. ZONING VIOLATIONS.
Are there any Zoning Violation, nonconforming uses, violation of building restrictions or
set-back requirements or any recorded or unrecorded easement, except for utilities, on
or affecting the Property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XIX. IMPROVEMENTS.
Have you or a Contractor made Improvements on the Property? No, Yes,
Unknown, N/A
Other Comments: _______________________________________________________
XX. FLOOD ZONE.
Is the Property located in a Flood Zone? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XXI. RESTRICTIONS.
Are there any Restrictions on the Property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XXII. MINERAL RIGHTS.
Are there any Mineral Rights on the Property? No, Yes, Unknown, N/A
Do you Own the Mineral Rights? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XXIII. MURDER / SUICIDE.
To your knowledge, has there ever been a murder or suicide within the boundaries of
the Property? No, Yes, Unknown, N/A
Page 6 of 7
Other Comments: _______________________________________________________
XXIV. ILLEGAL DRUG OR CRIMINAL ACTIVITY
To your knowledge, has there ever been illegal drug or criminal activity within the
boundaries of the subject property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XXV. MATERIAL DEFECTS.
Are there any Material Defects, including latent defects, affecting the physical condition
of the Property? No, Yes, Unknown, N/A
Other Comments: _______________________________________________________
XXVI. STRUCTURAL SYSTEMS.
Are there any defects with other Structural Systems on the Property? (including but not
limited to, exterior walls, floors, driveways, sidewalks, etc.) No, Yes, Unknown,
N/A
Other Comments: _______________________________________________________
XXVII. ADDITIONAL DISCLOSURES.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Page 7 of 7
XXVIII. SIGNATURE AREA
Buyer’s Signature _______________________ Date ________________
Print Name _______________________
Buyer’s Signature _______________________ Date ________________
Print Name _______________________
Seller’s Signature _______________________ Date ________________
Print Name _______________________
Seller’s Signature _______________________ Date ________________
Print Name _______________________
Agent’s Signature _______________________ Date ________________
Print Name _______________________
Agent’s Signature _______________________ Date ________________
Print Name _______________________
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome