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Mantle Realty
Search Homes
Map Search
Advanced Search
Sell Your Home
3D Virtual Real Estate Tours
Aerial Real Estate Photography & Videography
Professional Real Estate Photography & Processing
In-House Real Estate Marketing & Design
Communities We Serve
Greensboro NC
High Point NC
Kernersville NC
Lexington NC
Winston-Salem
Lewisville and Clemmons
King NC
Mocksville NC
Other Areas
Salisbury NC
Lake Norman
High Rock Lake
About Mantle
Mantle Real Estate Agents
Blog
Contact Mantle
Review Us
Resources
Guide to Buying a Home
Guide to Selling Your Home
Home Buyer Terms
Utilities Contact Info
Featured Vendors
Swag
Home
Property Disclosure
Residential Property Disclosure
Property Address
Seller 1
Seller 2
Year Built
Year Constructed Unknown
Yes
No
Foundation Problems
Is there any problem, malfunction or defect with the dwelling’s foundation, slab, fireplaces/chimneys, floors, windows (including storm windows and screens), doors, ceilings, interior and exterior walls, attached garage, patio, deck or other structural components including any modifications to them?
Yes
No
No Representation
Exterior Wall Type
(Required)
Brick
Wood
Stone
Vinyl
Stucco
Composition Hardboard
Concrete
Fiber Cement
Aluminum
Asbestos
Other
No Representation
Year Roof was Installed
Roof Age unknown
Yes
No
No Representation
Roof Defects
Is there any leakage or other problem with the dwelling’s roof?
Yes
No
No Representation
Basement/Crawlspace Defects
Is there any water seepage, leakage, dampness or standing water in the dwelling’s basement, crawl space, or slab?
Yes
No
No Representation
Electrical Defects
Is there any problem, malfunction or defect with the dwelling’s electrical system (outlets, wiring, panel, switches, fixtures, generator, etc.)?
Yes
No
No Representation
Piping Issues
Is there any problem, malfunction or defect with the dwelling’s plumbing system (pipes, fixtures, water heater, etc.)?
Yes
No
No Representation
Heating/AC Defect
Is there any problem, malfunction or defect with the dwelling’s heating and/or air conditioning?
Yes
No
No Representation
Heat Source Type
Furnace
Heat Pump
Baseboard
Other
No Representation
Other Heat Explanation
Age of Heat Source
Cooling Source
Central Air
Window Unit
Other
No Representation
Other AC Explanation
Age of System
Fuel Source
Electricity
Natural Gas
Propane
Oil
Other
No Representation
Other Fuel Source Explained
Oil Tank Location
Below Ground Oil
Oil
No Representation
Oil Tank Owned or Leased
Oil Tank is Leased
Oil Tank is Owned by Seller
Water Supply Sources
City County Water
Community System
Private Well
Shared Well
Other
No Representation
Other Water Supply Explanation
Water Pipe Material
Copper
Galvanized
Plastic
Polybutylene (gray pipes only)
Other
No Representation
Other Type of Water Pipe
Water Supply Defects
Is there any problem, malfunction or defect with the dwelling’s water supply (including water quality, quantity, or water pressure)?
Yes
No
No Representation
Sewage Disposal System
Septic Tank
Septic Tank with Pump
Community
Connected to City/County System
City/County System available
Straight Pipe
Other
No Representation
Sewer/Septic Defects
Is there any problem, malfunction or defect with the dwelling’s sewer and/or septic system?
Yes
No
No Representation
Sewer Other Explaination
Are the Bedroom on Septic?
Yes
No
No Representation
Is there Record of Septic?
Yes
No Record
How Many Bedrooms per Septic
Extras in Home Issue? Pool, hot tub, garage door etc
Is there any problem, malfunction or defect with the dwelling’s central vacuum, pool, hot tub, spa, attic fan, exhaust fan, ceiling fans, sump pump, irrigation system, TV cable wiring or satellite dish, garage door openers, gas logs, or other systems?
Yes
No
No Representation
Appliance Issues
Is there any problem, malfunction or defect with any appliances that may be included in the conveyance (range/oven, attached microwave, hood/fan, dishwasher, disposal, etc.)?
Yes
No
No Representation
Wood Destroying Insect Defects
Is there any problem with present infestation of the dwelling, or damage from past infestation of wood destroying insects or organisms which has not been repaired?
Yes
No
No Representation
Drainage, grading Issues
Is there any problem, malfunction or defect with the drainage, grading or soil stability of the property?.
Yes
No
No Representation
Structural or Mechincal Changes
Are there any structural additions or other structural or mechanical changes to the dwelling(s) to be conveyed with the property?
Yes
No
No Representation
Ordinances, Covenants building code Issues
Is the property to be conveyed in violation of any local zoning ordinances, restrictive covenants, or other landuse restrictions, or building codes (including the failure to obtain proper permits for room additions or other changes/improvements)?
Yes
No
No Representation
Toxic Substance Defect
Are there any hazardous or toxic substances, materials, or products (such as asbestos, formaldehyde, radon gas, methane gas, lead-based paint) which exceed government safety standards, any debris (whether buried or covered) or underground storage tanks, or any environmentally hazardous conditions (such as contaminated soil or water, or other environmental contamination) which affect the property?
Yes
No
No Representation
Noise, Odor, Smoke Issues
Is there any noise, odor, smoke, etc. from commercial, industrial, or military sources which affects the property?
Yes
No
No Representation
Easements/Encroachments
Is the property subject to any utility or other easements, shared driveways, party walls or encroachments from or on adjacent property?
Yes
No
No Representation
Lawsuits, bankruptcy, liens, leases?
Is the property the subject of any lawsuits, foreclosures, bankruptcy, leases or rental agreements, judgments, tax liens, proposed assessments, mechanics' liens, materialmens' liens, or notices from any governmental agency that could affect title to the property?
Yes
No
No Representation
Flood Zone Defect
Is the property subject to a flood hazard or is the property located in a federally designated flood hazard area? Check Here if unknown https://www.fema.gov/flood-maps
Yes
No
No Representation
Private Road
Does the property abut or adjoin any private road(s) or street(s)?
Yes
No
No Representation
Private Road Mainenance Agreement
If there is a private road or street adjoining the property, is there in existence any owners’ association or maintenance agreements dealing with the maintenance of the road or street?
Yes
No
No Representation
Covenants
Is the property subject to governing documents which impose various mandatory covenants, conditions, and restrictions upon the lot or unit
Yes
No
No Representation
Explanations If you answer Yes to the questions above
Restrictions on Property
HOA
HOA
Is the property subject to regulation by one or more owners’ association(s) including, but not limited to, obligations to pay regular assessments or dues and special assessments? If you answer is “yes,” please provide the information requested below as to each owners’ association to which the property is subject [insert N/A into any blank that does not apply]:
Yes
No
No Representation
HOA Name
HOA amount
How Often HOA dues
HOA President Info
HOA 2 Name
HOA 2 Amount
How Often HOA 2 dues
Association manager info
HOA Transfer Fees
Are any fees charged by the association or by the association’s management company in connection with the conveyance or transfer of the lot or property to a new owner?
Yes
No
No Representation
Transfer HOA fee Amount
Special Assessments
As of the date this Disclosure Statement is signed, are there any dues, fees, or special assessments which have been duly approved as required by the applicable declaration or bylaws, and that are payable to an association to which the lot is subject?
Yes
No
No Representation
Special Assessments to which the property is subject
Judgements or Pending Lawsuits
As of the date this Disclosure Statement is signed, are there any unsatisfied judgments against, or pending lawsuits involving the property or lot to be conveyed?
Yes
No
No Representation
Pending lawsuit and the amount of each unsatisfied judgment
HOA Lawsuits or Judgements
As of the date this Disclosure Statement is signed, are there any unsatisfied judgments against, or pending lawsuits involving the planned community or the association to which the property and lot are subject, with the exception of any action filed by the association for the collection of delinquent assessments on lots other than the property and lot to be conveyed?
Yes
No
No Representation
Lawsuit and the amount of each unsatisfied judgment for planned community
Which of the following services and amenities are paid for by the owners’ association(s) identified above out of the association’s regular assessments (“dues”)?
Management Fee
Yes
No
No Representation
Exterior Maintenance
Yes
No
No Representation
Master Insurance
Yes
No
No Representation
Exterior/Yard Maintenance
Yes
No
No Representation
Common Area Maintenance
Yes
No
No Representation
Trash Removal
Yes
No
No Representation
Recreational Amenities Maintenance
Yes
No
No Representation
Recreational Amenity Maintenance specify amenities covered
Pest Treatment/Extermination
Yes
No
No Representation
Street Lights
Yes
No
No Representation
Water
Yes
No
No Representation
Sewer
Yes
No
No Representation
Storm Water/Drain Management
Yes
No
No Representation
Internet Service
Yes
No
No Representation
Cable
Yes
No
No Representation
Private Road Maintenance
Yes
No
No Representation
Parking Area Maintenance
Yes
No
No Representation
Gate and Security
Yes
No
No Representation
Other HOA Amenities
MOG Questions
Mineral Rights were Severed by previous owner
Yes
No
No Representation
Seller Severed Mineral Rights
Yes
No
Seller intends to Severe Mineral Rights
Yes
No
Oil And Gas Rights were Severed by Previous Owner
Yes
No
No Representation
Seller Severed Oil And Gas Rights
Yes
No
Seller intends to Severe Oil And Gas Rights
Yes
No
Agent Email
Agent Skyslope Email
Δ
X
