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Homes for Sale
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CAN YOU PLEASE FILL OUT THE BELOW
SELLER No. 1
Full Name
*
If seller is a company, please put company name for First Name and Owner Contact for Last Name.
First Name
Last Name
Email
*
Phone
(###)
###
####
Address
*
SELLER No. 2
Full Name
First Name
Last Name
Email
Phone
(###)
###
####
Address
🏡 PROPERTY ADDRESS TO BE LISTED
Street Address
*
Unit # (if applicable)
City, State, and Zip
*
HOA / Condo
If applicable
Is this property part of an HOA / condo / community association?
*
Yes
No
If yes, which do you have:
HOA
Condo Association
Both HOA and Condo
What is the name of the HOA/Condo association and phone number?
What are the fees and how often is it paid?
Is the property part of a recorded subdivision that has restrictive covenants?
Yes
No
Is the property subject to any current or approved Special Assessment by the HOA/Condo/Cooperative?
Yes
No
Not Sure
If yes, please explain:
Front Foot Fee
If applicable
Is the listing subject to a Front Foot Benefit?
*
Yes
No
Not Sure
How often is the Front Foot Benefit paid?
Annually
Bi-annually
Quaterly
Monthly
How much is the front foot benefit?
Who is the payee of the front foot benefit and what is their address?
Property Information
Are all sellers legal owners and authorized to sell?
*
Yes
No
Do you pay any Ground Rent?
*
Yes
No
Not Sure
Are there any liens, judgements, or title issues you know of?
*
Is the property served by public water or wastewater facilities for which deferred water and sewer changes have been established by a recorded covenant or declaration?
*
Yes
No
Is this property subject to any (or more than one) of the following?
*
NONE
Maryland Environmental Trust
Maryland Historical Trust
Maryland Agricultural Land Preservation Trust
Maryland Department of Natural Resources
A county or municipal corporation, funded by the Maryland Department of Natural Resources, the Rural Legacy Program, or a local Agricultural Preservation Program
Land Trust
Required by a permit issued by the Department of the Environment
Is there a private or domestic water supply well located on the property?
*
Yes
No
Not Sure
Is the seller EXEMPT or NON EXEMPT from filling out the residential disclosure/disclaimer statement?
*
Exempt
Non Exempt
Not Sure
Is the property located within 1 mile of a National Priorities List (NPL) Superfund Site? (if you are unsure, the SELLER needs to verify using this link: https://www.epa.gov/superfund/search-superfund-sites-where-you-live#advanced)
*
Yes
No
Not Sure
Inclusions/Exclusions
*
(Check all that apply)
Alarm System
Ceiling Fan(s)
Central Vacuum
Clothes Dryer
Clothes Washer
Cooktop
Dishwasher
Drapery/Curtain Rods
Draperies
Electronic Air Filter
Exhaust Fan(s)
Existing W/W Carpet
Fireplace Screen/Door
Freezer
Fuel Tank(s)
Furnace Humidifier
Garage Opener(s)
w/Remote(s)
Garbage Disposal
Hot tub, equipment, cover
Intercom
Microwave
Playground, equipment, cover
Refrigerator
w/ Ice Maker
Satellite Dish
Shades/Blinds
Solar Panels
Storage Shed(s)
Storm Door
Storm Windows
Stove/Range
TV Antenna
Trash Compactor
Wall Oven(s)
Water Filter System
Water Treatment System
Window A/C Unit
Window Fans
Wood/Pellet Stover
Are there any additional inclusions/exclusions?
What type of water supply does the listing have?
*
Public
Well
What type of sewage disposal system does the listing have?
*
Public
Septic - Private
Septic - Public
What type of heat does the listing have?
*
Oil
Gas
Electric
Heat Pump
Geo-Thermal
NONE
Hot Water Heater Type:
*
Gas
Electric
Oil
NONE
What type of air conditioning does the property have?
*
Gas
Electric
Geo-Thermal
NONE
Are there any leased items to disclose?
*
Yes
No
If yes, please specify what type of leased items exist on the property.
Fuel Tank: Above Ground
Fuel Tank: Under Ground
Liquid Propane: Above Ground
Liquid Propane: Under Ground
Water Treatment System
Solar Panels
Home Security/Alarm System
Is this property subject to a private roadway agreement?
*
Yes
No
Not Sure
Are there any agreements or notices with local government to do work? (paving, sewer, water hookup etc)?
*
Yes
No
Not Sure
Does Seller(s) carry flood insurance?
*
Yes
No
Not Sure
Does Seller(s) have an Elevation Certificate?
*
Yes
No
Not Sure
Is this property part of a VOLUNTARY community association?
*
Yes
No
Is this property part of a Special Tax District?
*
Yes
No
Not Sure
Is this property subject to: 1. conservation easement(s) 2. restrictions 3. rights-of-way limiting or effecting use of the property.
*
Yes
No
Are there any latent defects on the property?
*
Yes
No
Please list any/all latent defects that the seller is aware of existing on the property.
Does the property have Solar Panels?
*
Yes
No
Does the seller have knowledge of the existence of lead-based paint on the property?
*
Yes
No - Seller is unaware of the existence of lead-based paint
N/A - The subject property was constructed during or after 1978
Has the seller provided the listing agent with documents pertaining to the existence of lead-based paint or the abatement thereof?
*
Yes
No - The seller does not have any reports pertaining to the existence or abatement of lead-based paint
N/A - The subject property was constructed during or after 1978
Is the property subject to an existing mortgage?
*
Yes
No
Is the property subject to a second mortgage or a HELOC?
*
Yes
No
Will smoke alarms provide an alarm in the event of a power outage?
*
Yes
No
Are the smoke alarms over 10 years old?
*
Yes
No
If the smoke alarms are battery operated, are they sealed, tamper resistant units incorporating a silence/hush button, which use long-life batteries (lithium ion) as required in all Maryland Homes by 2018?
*
Yes
No
Is this home sale contingent on the seller purchasing another home?
*
Yes
No
ADDITIONAL NOTES: Use this section to give any other details about your listing.
I have to the best of my abilities filled this form out accurately.
*
I agree
I disagree
Thank you!
