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SELLER'S DISCLOSURE STATEMENT
Instructions to the Seller for Seller's Disclosure Statement
These Instructions are to assist the Seller in completing the required Seller's Disclosure Statement in order to comply with
the District of Columbia Residential Real Property Seller Disclosure Act.
1.
(a) where the property consists of one to four residential dwelling units, and,
Who must complete the Seller's Disclosure Statement? The Seller, not the broker and not the management company,
condominium association, cooperative association or homeowners association.
2. In what types of transactions must the Seller provide the Seller's Disclosure Statement to the Purchaser? The Act
applies to the following types of transfers or sales of District of Columbia real estate:
(b) the transactions a sale, exchange, installment land contract, lease with an option to purchase, or any other option to
purchase, and,
(c) the purchaser expresses, in writing, an interest to reside in the property to be transferred.
However, the Act does not apply to:
(a) court ordered transfers;
(b) transfers to a mortgagee by a mortgagor in default;
(c) transfers by sale under a power of sale in a deed of trust or mortgage or any foreclosure sale under a decree of
foreclosure or deed in lieu of foreclosures;
(d) transfers by a non-occupant fiduciary administering a decedent's estate, guardianship, conservatorship or trust;
(e) transfers between co-tenants;
(f) transfers made to the transferor's spouse, parent, grandparent, child, grandchild or sibling (or any combinations of
the foregoing);
(g) transfer between spouses under a divorce judgment incidental to such a judgment;
(h) transfers or exchanges to or from any governmental entity; and
(i) transfers made by a person of newly constructed residential property that has not been inhabited.
3. When does the Seller's Disclosure Statement have to be provided to the Purchaser? In a sale, before or at the time
the prospective transferee executes a purchase agreement with the transferor. In an installment sales contract (where a
binding purchase contract has not been executed), or in the case of a lease with no option to purchase, before or at the time
the prospective transferee executes the installment sales contract or lease with the transferor.
4. What information must the Seller disclose? Answer ALL questions on the Seller's Disclosure Statement. If some
items do not apply to your property, check "N/A" (not applicable). If you do not know the facts, check "UNKNOWN".
Report actually known conditions referred to in the questions. Each disclosure must be made in "good faith" (honesty in fact
in the making of the disclosure). Attach additional pages with your signature if additional space is required.
The Seller of a condominium unit, cooperative unit, or a lot in a homeowners association, is to provide
information only as to the Seller's unit or lot, and not as to any common elements, common areas or other areas
outside of the unit or lot.
This is the required Seller's Disclosure Statement approved by the Washington, DC Board of Real Estate.
Page 1 of 7
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
This is the required Seller's Disclosure Statement approved by the Washington, DC Board of Real Estate.
Page 2 of 7GCAAR Form #919 – DC Seller's Disclosure
SELLER'S DISCLOSURE STATEMENT
Instructions to the Seller for Seller's Disclosure Statement
5. What is the remedy if the Seller does not provide the Seller's Disclosure Statement to the Transferee? If the
Seller's Disclosure Statement is delivered after the purchaser executes the purchase agreement, installment sales contract or
lease with an option to purchase, the purchaser may terminate the transaction by written notice to the seller not more than
five (5) calendar days after receipt of the Seller's Disclosure Statement by the purchaser, and the deposit must be returned to
the purchaser. The right to terminate is waived if not exercised before the earliest of:
(a) the making of an application for a mortgage loan (if the lender discloses that the right to rescind terminates on
submission of the application); or
(b) settlement or date of occupancy in the case of a sale; or
(c) occupancy in the case of a lease with an option to purchase.
6. If the Seller finds out different information after providing the Seller's Disclosure Statement to the Purchaser,
how does this impact a ratified contract? If information becomes inaccurate after delivery of the disclosure form, the
inaccuracy shall not be grounds for terminating the transaction.
7. How must a Seller deliver the Seller's Disclosure Statement to the Transferee? The Seller's Disclosure Statement
must be delivered by personal delivery, facsimile delivery, or by registered mail to the transferee. Execution by the
transferor of a facsimile is considered execution of the original.
SELLER'S PROPERTY CONDITION STATEMENT
Property Address:
This is the required Seller's Disclosure Statement approved by the Washington, DC Board of Real Estate.
Page 3 of 7GCAAR Form #919 – DC Seller's Disclosure
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
For Washington, DC
Is the property included in a:
condominium association?
cooperative?
homeowners association with mandatory participation and fee?
Yes No
Yes No
Yes No
If this is a sale of a condominium unit or cooperative unit, or in a homeowners association, this disclosure form provides
information only as to the unit (as defined in the governing documents of the association) or lot (as defined in the covenants
applicable to the lot), and not as to any common elements, common areas or other areas outside of the unit or lot.
Purpose of Statement: This Statement is a disclosure by the Seller of the defects or information actually known by the
Seller concerning the property, in compliance with the District of Columbia Residential Real Property Seller Disclosure Act.
Unless otherwise advised, the Seller does not possess an expertise in construction, architecture, engineering, or any other
specific area related to the construction of the improvements on the property or the land. Also, unless otherwise advised, the
Seller has not conducted any inspection of generally inaccessible areas such as the foundation or roof. THIS STATEMENT
IS NOT A WARRANTY OF ANY KIND BY THE SELLER OR BY ANY AGENT REPRESENTING THE SELLER IN
THIS TRANSACTION, AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE BUYER
MAY WISH TO OBTAIN.
Seller Disclosure: The Seller discloses the following information with the knowledge that, even though this is not a
warranty, the Seller specifically makes the following statements based on the seller's actual knowledge at the signing of this
document. Upon receiving this statement from the Seller, the Seller's agent is required to provide a copy to the Buyer or the
agent of the Buyer. The Seller authorizes its agent (s) to provide a copy of this statement to any prospective buyer or agent
of such prospective buyer in connection with any actual or anticipated sale of property. The following are statements made
solely by the Seller and are not the statements of the Seller's agent (s), if any. This information is a disclosure only and is
not intended to be a part of any contract between Buyer and Seller.
The seller(s) completing this disclosure statement have owned the property from
to .
The seller(s) completing this disclosure have occupied the residence from
to .
A. Structural Conditions
1. Roof roof is a common element maintained by condominium or cooperative (no further
roof disclosure required).
Age of Roof 0-5 years 5-10 years 10-15 years 15+ years Unknown
Does the seller have actual knowledge of any current leaks or evidence of moisture from roof?
Yes No If yes, comments:
Does the seller have actual knowledge of any existing fire retardant treated plywood?
Yes No If yes, comments:
2. Fireplace/Chimney(s)
Does the seller have actual knowledge of any defects in the working order of the fireplaces?
Yes No
If yes, comments:
Does the seller know when the chimney(s) and/or flue were last inspected and/or serviced?
No Fireplace(s)
Yes No No chimneys or flues
If yes, when were they last serviced or inspected?
This is the required Seller's Disclosure Statement approved by the Washington, DC Board of Real Estate.
Page 4 of 7GCAAR Form #919 – DC Seller's Disclosure
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
B. Operating Condition of Property Systems
3. Basement
Does the seller have actual knowledge of any current leaks or evidence of moisture in the
basement?
Yes No Not Applicable
If yes, comments:
Does the seller have actual knowledge of any structural defects in the foundation?
If yes, comments:
2. Air Conditioning System
condominium or cooperative (no further disclosure on air conditioning system required).
Type of system:
Age of system
Yes No
4. Walls and floors
Does the seller have actual knowledge of any structural defects in walls or floors?
Yes No
If yes, comments:
5. Insulation
Does the seller have actual knowledge of presence of urea formaldehyde foam insulation?
Yes No
If yes, comments:
6. Windows
Does the seller have actual knowledge of any windows not in normal working order?
Yes No
If yes, comments:
1. Heating System
cooperative (no further disclosure on heating system required).
heating system is a common element maintained by condominium or
Type of system Forced Air Radiator Heat Pump
Electric baseboard Other
Heating Fuel Natural Gas Electric Oil Other
Age of system 0-5 years 5-10 years 10-15 years Unknown
Does the seller have actual knowledge that heat is not supplied to any finished rooms?
Yes No
If yes, comments:
Does the seller have actual knowledge of any defects in the heating system?
Yes No
If yes, comments:
Does the heating system include:
Humidifier
Electronic air filter
Yes No Unknown
Yes No Unknown
If installed, does the seller have actual knowledge of any defects with the humidifier and
electronic filter?
Yes No Not Applicable
If yes, comments:
air conditioning is a common element maintained by
Central AC Heat Pump Window/wall units
Other Not Applicable
Air Conditioning Fuel Natural Gas Electric Oil Other
0-5 years 5-10 years 10-15 years Unknown
This is the required Seller's Disclosure Statement approved by the Washington, DC Board of Real Estate.
Page 5 of 7GCAAR Form #919 – DC Seller's Disclosure
Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
C. Appliances
If central AC, does the seller have actual knowledge that cooling is not supplied to any finished
rooms? Yes No Not Applicable
If yes, comments:
Does the seller have actual knowledge of any problems or defects in the cooling system?
3. Plumbing System
Type of system Copper Galvanized
Does the seller have actual knowledge of any defects with the plumbing system?
Yes No
If yes, comments:
4. Electrical System
Does the seller have actual knowledge of any defects in the electrical system, including the
Yes No
If yes, comments:
Does the seller have actual knowledge of any defects with the following appliances?
Range/Oven Yes
Yes No Not Applicable
If yes, comments:
Plastic Polybutelene Unknown
Water Supply Public Well
Sewage Disposal Public Well
Water Heater Fuel Natural Gas Electric Oil Other
electrical fuses, circuit breakers, outlets, or wiring?
No Not Applicable
Dishwasher Yes No Not Applicable
Refrigerator Yes No Not Applicable
Range hood/fan Yes No Not Applicable
Microwave oven Yes No Not Applicable
Garbage Disposal Yes No Not Applicable
Sump Pump Yes No Not Applicable
Trash compactor Yes No Not Applicable
TV antenna/controls Yes No Not Applicable
Central vacuum Yes No Not Applicable
Ceiling fan Yes No Not Applicable
Attic fan Yes No Not Applicable
Sauna/Hot tub Yes No Not Applicable
Pool heater & equip. Yes No Not Applicable
Security System Yes No Not Applicable
Intercom System Yes No Not Applicable
Garage door opener Yes No Not Applicable
& remote controls Yes No Not Applicable
Lawn sprinkler system Yes No Not Applicable
Water treatment system Yes No Not Applicable
Smoke Detectors Yes No Not Applicable
Carbon Monoxide
Detectors Yes No Not Applicable
Other Fixtures Yes No Not Applicable
Or Appliances Yes No Not Applicable
If yes to any of the above, describe defects:
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Completed 10 September 2021

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