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WISCONSIN REALTORS

ASSOCIATION

4801 Forest Run Road

Madison, Wisconsin 53704

REAL ESTATE CONDITION REPORT

DISCLAIMER

THIS CONDITION REPORT CONCERNS THE REAL PROPERTY LOCATED AT ______________________________

______________________________________________________________________IN THE____________________

(CITY) (VILLAGE) (TOWN) OF ______________________________________________________, COUNTY OF

_________________________________________________ STATE OF WISCONSIN.

THIS REPORT IS A DISCLOSURE OF THE CONDITION OF THAT PROPERTY IN COM

PLIANCE WITH SECTION

709.02 OF THE WISCONSIN STATUTES AS OF ____________ (MONTH) __________(DAY), __________________

(YEAR). IT IS NOT A WARRANTY OF ANY KIND BY THE OWNER OR ANY AGENTS REPRESENTING ANY PARTY IN

THIS TRANSACTION AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THAT THE PARTIES

MAY WISH TO OBTAIN.

A buyer who does not receive a fully completed copy of this report within 10 days after the acceptance of

the contract

of sale or option contract for the above-described real property has the right to rescind that contract (Wis. Stat. s. 709.02),

provided the owner is required to provide this report under Wisconsin Statutes chapter 709.

NOTICE TO PARTIES REGARDING ADVICE OR INSPECTIONS

Real estate licensees may not provide advice or opinions concerning whether or not an item is a defect for the

purposes of this report or concerning the legal rights or obligations of parties to a transaction. The parties may wish to

obtain professional advice or inspections of th

e property and to include appropriate provisions in a contract between them

with respect to any advice, inspections, defects, or warranties.

A. OWNERS INFORMATION

A1. In this form, aware means the owner(s) have notice or knowledge.

A2. In this form, 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 t

hat if not repaired, removed, or

replaced would significantly shorten or adversely affect the expected normal life of the premises.

A3. In this form, owner means the person or persons, entity, or organization that owns the above-described real

property. An owner who transfers real estate containing one to four dwelling units, including a condominium unit a

time-share property, by sale, exchange, or land contract is required to co

mplete this report.

Exceptions: An owner who is a personal representative, trustee, conservator, or fiduciary appointed by or subject to

supervision by a court, and who has never occupied the property transferred is not required to complete this report. An

owner who transfers property that has not been inhabited or who transfers property in a manner that is exempt from the

real estate transfer fee is not required to complete this report. (Wis. Stat. s. 709.01)

A4.

The owner represents that to the best of the owners knowledge, the responses to the following questions have been

accurately checked as 

yes, no, or not app

licable (N/A) to the property being sold. If the owner responds to any

question with yes, the owner shall provide, in the additional information area of this form, an explanation of the reason

why the response to the question is yes.

A5. If the transfer is of a condominium

unit, the property to which this form applies is the condominium unit, the common

elements of the condominium, and any limited common elements that may be used only by the owner of the condominium

unit being transferred.

A6. The owner discloses the following information with the knowledge that, even though this is not a warranty, prospective

buyers may rely on this information in deciding whether and on what terms to purchase the proper

ty. The owner hereby

authorizes the owners agen

ts and the agents of any prospective buyer to provide a copy of this report, and to disclose

any information in the report, to any person in connection with any actual or anticipated sale of the property.

CAUTION: The lists of defects following each question below are examples only and are not the only defects that may

properly be disclosed in response to each respective question.

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Bunbury & Assoc REALTORS

306 S. Baldwin St.

Madison,

Madison

city

Dane

September

20 2021

B. STRUCTURAL AND MECHANICAL

YES NO N/A

B1. Are you aware of defects in the roof?

Roof defects may include items such as leakage or significant problems with gutters or eaves.

B2. Are you aware of defects in the electrical system?

Electrical defects may include items such as electrical wiring not in compliance with

applicable code, knob and tube wiring, 60 amp service, or aluminumbranch circuit

wiring.

B3. Are you aware of def

ects in part of the plumbing system (including the water heater,

water softener, and swimming pool)?

Other plumbing system defects may include items such as leaks or defects in pipes,

toilets, interior or exterior faucets, bathtubs, showers, or any sprinkler system.

B4. Are you aware of defects in the heating and air conditioning system (including the air

filters and humidifiers)?

Heating and air conditioning defects may include items such as d

efects in the heating

ventilation and air conditioning (HVAC) equipment, supplemental heaters, ventilating fans

or fixtures, or solar collectors.

B5. Are you aware of defects in a woodburning stove or fireplace or of other defects caused

by a fire in a stove or fireplace or elsewhere on the property?

Such defects may include items such as defects in the chimney, fireplace flue, inserts, or

other installed fireplace equipment; or woodburning stoves

not installed pursuant to

applicable code.

B6. Are you aware of defects related to smoke detectors or carbon monoxide detectors or a

violation of applicable state or local smoke detector or carbon monoxide detector laws?

NOTE: State law requires operating smoke detectors on all levels of all residential

properties and operating carbon monoxide detectors on all levels of most residential

properties (see Wis. Stat. ch. 101).

B7. Are you aware of defects in the basemen

t or foundation (including cracks, seepage, and

bulges)?

Other basement defects may include items such as flooding, defects in drain tiling or

sump pumps, or movement, shifting, or deterioration in the foundation.

B8. Are you aware of defects in any structure on the property?

Structural defects with respect to the residence or other improvements may include items

such as movement, shifting, or deterioration in walls; major cracks or flaws in in

terior or

exterior walls, partitions, or the foundation; wood rot; and significant problems with

driveways, sidewalks, patios, decks, fences, waterfront piers or walls, windows, doors,

floors, ceilings, stairways, or insulation.

B9. Are you aware of defects in mechanical equipment included in the sale either as fixtures

or personal property?

Mechanical equipment defects may include items such as defects in any appliance,

central vacuum,

garage door opener, inground sprinkler, or inground pet containment

system that is included in the sale.

B10. Are you aware of rented items located on the property such as a water softener or other

water conditioner system or other items affixed to or closely associated with the property?

B11. Are you aware of basement, window, or plumbing leaks, overflow from sinks, bathtubs, or

sewers, or other ongoing water or moisture intrusions or conditions?

B12. Explanation of yes r

esponses ___________________________________________________________________

_________________________________________________________________________________________________

______________________________________________________

___________________________________________

C. ENVIRONMENTAL

YES NO

N/A

C1. Are you aware of the presence of unsafe levels of mold?

C2. Are you aware of a defect caused by unsafe concentrations of, or unsafe conditions

relating to, radon, radium in water supplies, high voltage electric (100 KV or greater) or

steel natural gas transmission lines located on but not directly serving the property, lead

in pa

int

, lead in soil, or other potentially

hazardous or toxic substances on the property?

NOTE: Specific federal lead paint disclosure requirements must be complied with in the

sale of most residential properties built before 1978.

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YES NO N/A

C3. Are you aware of the presence of asbestos or asbestoscontaining materials on the

property?

C4. Are you aware of the presence of or a defect caused by unsafe concentrations of, unsafe

conditions relating to, or the storage of hazardous or toxic substances on neighboring

properties?

C5. Are you aware of current or previous termite, powder post beetle, or carpenter ant

infestations or defects caused by animal, reptile, or insect infestations?

C6. Are you aware of water quality issues caused by unsafe concentrations of or unsafe

conditions relating to lead?

C7. Are you aware of the manufacture of methamphetamine or other hazardous or toxic

substances on the property?

C8. Explanation of yes responses ____________________________________________________________________

_________________________________________________________________________________________________

__________________

_______________________________________________________________________________

_________________________________________________________________________________________________

D. WELLS, SEPTIC SYSTEMS, STORAGE TANKS

YES NO

N/A

D1. Are you aware of defects in a well on the property or in a well that serves the property,

including uns

afe well water?

Well defects may include items such as an unused well not properly closed in

conformance with state regulations, a well that was not constructed pursuant to state

standards or local code, or a well that requires modifications to bring it into compliance

with current code specifications. Well water defects might include, but are not limited to,

unsafe levels of bacteria (total Coliform and E. coli), nitrate, arsenic,

or other substances

affecting human consumption safety.

D2. Are you aware of a joint well serving the property?

D3. Are you aware of a defect related to a joint well serving the property?

D4. Are you aware that a septic system or other private sanitary disposal system serves the

property?

D5. Are you aware of defects in the septic system or other private sanitary disposal system

on the property or any outofservice septic system that serves the property and t

hat is

not closed or abandoned according to applicable regulations?

Septic system defects may include items such as backups in toilets or in the basement;

exterior ponding, overflows, or backups; or defective or missing baffles.

D6. Are you aware of underground or aboveground fuel storage tanks on or previously

located on the property? (If yes, the owner, by law, may have to register the tanks with

the Wisconsin Department of Agriculture, Trade and Consumer Prot

ection at P.O. Box

8911, Madison, Wisconsin, 53708, whether the tanks are in use or not. Regulations of the

Wisconsin Department of Agriculture, Trade and Consumer Protection may require the

closure or removal of unused tanks.)

D7. Are you aware of defects in the underground or aboveground fuel storage tanks on or

previously located on the property?

Defects in underground or aboveground fuel storage tanks may include items such as

abandoned tanks not closed in c

onformance with applicable local, state, and federal law;

leaking; corrosion; or failure to meet operating standards.

D8. Are you aware of an LP tank on the property? (If yes, specify in the additional

information space whether the owner of the property either owns or leases the tank.)

D9. Are you aware of defects in an LP tank

on the property?

D10. Explanation of yes responses _____________________________________________________________________

_________________________________________________________________________________________________

E. TAXES, SPECIAL ASSESSMENTS, PERMITS

, ETC.

YES NO

N/A

E1. Have you received notice of property tax increases, other than normal annual increases,

or are you aware of a pending property reassessment?

E2.

Are yo

u aware that remodeling was done that may increase the propertys assessed value?

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YES NO N/A

E3. Are you aware of pending special assessments?

E4. Are you aware that the property is located within a special purpose district, such as a

drainage district, that has the authority to impose assessments against the real property

located within the district?

E5. Are you aware of any proposed construction of a public project that may affect the use of

the property?

E6. Are you aware of any remodeling, replacements, or repairs

affecting the propertys

structure or mechanical systems that were done or additions to this property that were

made during your period of ownership without the required permits?

E7. Are you aware of any land division involving the property for which a required state or

local permit was not obtained?

E8. Explanation of yes responses ____________________________________________________________________

_______________________________________________

__________________________________________________

_________________________________________________________________________________________________

F. LAND USE

YES NO N/A

F1. Are you aware of the property being part of or subject to a su

bdivision homeowners

association?

F2. If the property is not a condominium unit, are you aware of common areas associated

with the property that are coowned with others?

F3. Are you aware of any zoning code violations with respect to the property?

F4. Are you aware of the property or any portion of the property being located in a floodplain,

wetland, or shoreland zoning area?

F5. Are you aware of nonconforming uses of the property?

A nonconforming use is a u

se of land, a dwelling, or a building that existed lawfully before

the current zoning ordinance was enacted or amended, but that does not conform to the

use restrictions in the current ordinance.

F6. Are you aware of conservation easements on the property?

A conservation easement is a legal agreement in which a property owner conveys some

of the rights associated with ownership of his or her property to an easement holder such

as a governmental unit or

a qualified nonprofit organization to protect the natural habitat

of fish, wildlife, or plants or a similar ecosystem, preserve areas for outdoor recreation or

education, or for similar purposes.

F7. Are you aware of restrictive covenants or deed restrictions on the property?

F8. Are you aware of nonowners having rights to use part of the property, including, but not

limited to, rightsofway and easements other than recorded utility easements?

F9. Are you aware of the

property being subject to a mitigation plan required under

administrative rules of the Wisconsin Department of Natural Resources related to county

shoreland zoning ordinances, which obligates the owner of the property to establish or

maintain certain measures related to shoreland conditions and which is enforceable by

the county?

F10. The use value assessment system values agricultural land based on the income that

would be generated fro

m its rental for agricultural use rather than its fair market value.

When a person converts agricultural land to a non agricultural use (e.g., residential or

commercial development), that person may owe a conversion charge. For more

information visit https://www.revenue.wi.gov/Pages/FAQS/slfuseassmt.aspx or (608)

2662486.

a. Are you aware of all or part of the property having been assessed as agricultural

land under Wis. Stat. s. 70.32 (2r) (use value assessment)?

b. Are you aware of the property having been assessed a usevalue assessment

conversion charge relating to this property? (Wis. Stat. s. 74.485 (2))

c. Are you aware of the payment of a usevalue assessment conversion charge

having been deferred relating to this property? (Wis. Stat. s. 74.485 (4))

F11. I

s all or part of the property subject to or in violation of a farmland preservation

agreement?

Early termination of a farmland preservation agreement or removal of land from such an

agreement can trigger payment of a conversion fee equal to 3 times the class 1 use

value of the land.

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et and fence added in 2021

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Visit https://datcp.wi.gov/Pages/Programs_Services/FarmlandPreservation.aspx for more

information.

YES NO N/A

F12. Is all or part of the property subject to, enrolled in, or in violation of the Forest Crop Law,

Managed Forest Law, the Conservation Reserve Program, or a comparable program?

F13. Are you aware of a dam that is totally or partially located on the property or that an

ownership in a dam that is not located on the property will be transferred with the

property because it is owned collectively by members of a homeowners associa

tion, lake

district, or similar group? (If yes, contact the Wisconsin Department of Natural

Resources to find out if dam transfer requirements or agency orders apply.)

F14. Are you aware of boundary or lot line disputes, encroachments, or encumbrances

(including a joint driveway) affecting the property?

Encroachments often involve some type of physical object belonging to one person but

partially located on or overlapping on land belonging to another;

such as, without

limitation, fences, houses, garages, driveways, gardens, and landscaping.

Encumbrances include, without limitation, a right or claim of another to a portion of the

property or to the use of the property such as a joint driveway, liens, and licenses.

F15. Are you aware there is not legal access to the property?

F16. Are you aware of federal, state, or local regulations requiring repairs, alterations, or

corrections of an existing con

dition? This may include items such as orders to correct

building code violations.

F17. Are you aware of a pier attached to the property that is not in compliance with state or

local pier regulations? See http://dnr.wi.gov/topic/waterways for more information.

F18. Are you aware of one or more burial sites on the property? (For information regarding the

presence, preservation, and potential disturbance of burial sites, contact the Wisconsin

Historical Society at 8003427834 or www.wihist.org/burial-information).

F19. Explanation of yes responses ___________________________________________________________________

_________________________________________________________________________________________________

_________________________

________________________________________________________________________

G. ADDITIONAL INFORMATION

YES NO N/A

G1. Have you filed any insurance claims relating to damage to this property or premises

within the last five years?

G2. Are you aware of a structure on the property that is designated as a historic building or

that all or any part of the property is in a historic district?

G3. Are you aware of any agreements that bind subsequent owners o

f the property, such as

a lease agreement or an extension of credit from an electric cooperative?

G4. Are you aware of other defects affecting the property?

Other defects might include items such as drainage easement or grading problems;

excessive sliding, settling, earth movements, or upheavals; or any other defect or

material condition.

G5. The owner has owned the property for _______ years.

G6. The owner has lived in the property for _______ years.

G7. Explanation of y

es responses____________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________

________________________________________________

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Notice: You may obtain information about the sex offender registry and persons registered with the registry by contacting the

Wisconsin Department of Corrections at http:www.doc.wi.gov or by phone at 608-240-5830

OWNERS CERTIFICATION

The owner certifies that the information in this report is true and correct to the best of

the owners knowledge as of the

date on which the owner signs this report.

Owner ____________________________________________________________________ Date _________________

Owner ____________________________________________________________________ D

ate _________________

Owner ____________________________________________________________________ Date _________________

CERTIFICATION BY PERSON SUPPLYING INFORMATION

A person other than the owner certifies that the person supplied information on which the owner relied for this report and

that the information is true and correct to the best of the persons knowledge as of the date on which the person signs this

report.

Person ________________________________________ Items _______________________ Date _________________

BUYERS ACKNOWLEDGEMENT

The prospective buyer acknowledges that technical knowledge such as that acquired by professional inspectors may be

required to detect certain defects such as the presence of asbestos, building code violations, and floodplain status.

I acknowledge receipt of a copy of this statement.

Prospective buyer ___________________________________________________________ Date _________________

Information appearing in italics is supplemental in nature and is not required pursuant to Section 709.03 of the Wisconsin Statutes.

Page 6 of 6

NOTE: Wisconsin Statute section 709.035 requires owners who, prior to acceptance of a purchase contract or an option

to purchase, obtain information that would change a response on this report to submit a complete amended report or an

amendment to the previously completed report to the prospective buyer within 10 days of acceptance.

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Nicholas R Rhode

Digitally signed by Nicholas R Rhode

Date: 2021.09.20 09:38:47 -05'00'

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