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SELLER'S PROPERTY <br /> DISCLOSURE STATEMENT <br /> This#arm approved by the Minnewa Aasociatlorl of <br /> FIEALTDFtS*,which disclaims My naDiRy � <br /> a"ng out of use or rnisusa of this forfr. <br /> a <br /> P- Date <br /> 2. Page i of pages ' <br /> OL TICS;This dis+oloeure is not a werronty or a guaranty of any kind by the Selier(a)er Agent(s)representing <br /> any psrty(s)In the trenowilon.The Information dlackmd is gh n to the best of the Seller's knowledge. <br /> INSTRUCTIONS TO BUYER: Bum are encaura+ged to thoroughly Inspect.the property personally or hme it i <br /> Inspected by■third party,and to inquire about any specific areas of concern. � <br /> • e this forrrr umeif. (2)Consult prior disclosure slaternent(s) I <br /> INSTI� ID�I$TO THE SEL.LEF#. ��Cemplet ]le <br /> e when t ng this t'am� � Cesxibe ondlllone cting the pn3pe�to trio best <br /> OL a InsPOCOM Attach edditi Iona s with your signature If addWanaf opmm is required.(5)Answer <br /> S. of yot�I�ptoxriedg$ � � <br /> 1 ell stlel ar env Items do not apply,write"NN (n applicable). I <br /> 11.property County of _ '011 �R �--,State of� <br /> 12,City . -- — <br /> 136 A.QENERAL INFORMATION: <br /> 14• (1) When did you purchase or build the horr~e� <br /> Abstract Re lets orrena} �; Unknown [, <br /> 1 Type Title Evidence: 71`, I <br /> 1& Location of Abstra�t or Amer a Duplicate Cartiiicate of Tie. � - - - I <br /> 17. Ie here an�g Owner's Title Insure Palk ' � No � Unknown � <br /> 1& (3) Have you occupied this home con inuously for the past 12 rncnths'� - lies No <br /> r 19. If rte.explain. — �� Yes No <br /> 20. (4) Is the home suitable for year round use? yes No UnknoWrk <br /> 21. (5) Is the R0015e4 k W in a designated fired plain? <br /> . (b) Are you In sMian of prier seller's disclosure staternenge)9(if yes, please attach) Yes No <br /> 23 Are them: Yes No to nknown <br /> 24. (7) Encroachments? ?yes No Un known+ <br /> 2 Sl mantis,Restrictions or Reserrraffons(n o rnm tai)affecting the use of the property `Nc Unknow <br /> { � � N <br /> E (g) Easements,oth th utlity or drainage ea t ilk <br /> 27. (1 0) Commeft -- ----- __--� <br /> .a. GENERAL Ohl <br /> DI'�I N:Tb ur k rr e a of thin follawin llOons ausk sKlatsd or do they currenthy exist? I <br /> h wind,fire,flood or other disasts � <br /> �, #� there n any a ' � <br /> St.. If yes.Shs deta� h happened and when. <br /> . + <br /> - --_--�. <br /> 34. (2) Has ft swcture(e)been abed?(i,,acidi ,altered roof IWO%chars toad besrirrg watts. 1I s ] NO • —_ <br /> If specity whet was darts when and by whom(owner or contractor): <br /> +mss,p# sa -- -� <br /> (3 Soil protnl Yes C] No i <br /> 3$. (4) Diseased bees? yes <br /> No 1 <br /> El <br /> 4,M (5) Animal Infestation'? lies No <br /> 41, (6) lnsectfPeet Inf tlon? Y43S � Noh�� ?y9$ No{� if ye .indicate type � and number sn. A0 <br /> 4� Comm <br /> 44. a <br /> 45.Q STRUCTURAL <br /> SYSTEI 15:10 r knowledge hwe of_the fellawi candlUorMS previously exis*d or do#heiF cugntl+y exist' � <br /> 4$, {Answers 3PP1Y tv all db u to ,such as game and out-buildings.) <br /> 47, (1) THESEWNT,C1A'tAfICE,SLAB <br /> 4�. (� problem lies [� No � (e)gain file proWerri lie No'� I <br /> Y� No '� (�Cracloed ftocraOwatis 1r� lea� I <br /> 4� �)wet flaara�ralls He �] (9�Sewer backup Yea[� No � <br /> Leallg�l 0 (h r No <br /> 1. z�� <br /> $2. <br /> Give details to any question answered"yes � �+�al`s - - - <br /> S& ( THE ROOF material? I:' ► " - �--�- <br /> ,. (a�What is the age�the � b —_ Y95� No � <br /> ST. (b)Has there been Interior dames from build-up? y Isla <br /> . (c)Has dtere bean any W~ a� made to tries rood Yee No CM <br /> 59, (d)Have#here f m or repl <br /> 00. Give d@Mlls to any gtOtiun anted` t; .0 <br /> ALF %F <br /> St.. <br /> R SYSTEM DISCLOSURE: (A private Sewer item Cisetosur�e is required by Minn. Statutes) <br /> .D. PRIVATE�E u I <br /> 54. hack appropriate box <br /> The e$liar rrot know of a pry sewer system ort or serving ttre ate deWlbed real proWy � <br /> Thee ll r private sewer�m on ore nririg the above described real pr 'y.See private S f System Disoioeuro. <br /> sa Vil'ELL IE RE: fA Wiell Disclosure Stawnent and Cep are required by Minn.SWuWS) h�ic ap�rc�rtiete boy <br /> E. PRIVATE f <br /> The seller WIMN ftlat the seller d not kr►w of ar�y walls on the above descr bW mal p <br /> �$. � S'�V1r4ail aieclasure Statement. � <br /> � The �rtifiee t aro one or mare wits lam t �ids�h fro 0 0 urlik,,owr� �, <br /> � Are them a�wells ai� contaminants'.n property Test resr�s ah$d Yee C� � <br /> �'I. Date y�IJ waolar Iasi te'a�d <br /> 72. Area? Yes E3 No ED Unknown <br /> � le this prope In a SPGCW Well Conetruc ��fii i.�:_...���.+....,,.,�+ w�tar? Yhs � No �! Unknown <br />