REAL ESTATE TRANSFER DISCLOSURE STATEMENT

THIS DISCLOSURE STATEMENT CONCERNS THE REAL PROPERTY SITUATED IN THE CITY OF ________, COUNTY OF __________, STATE OF CALIFORNIA, DESCRIBED AS _____________________.  THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE ABOVE DESCRIBED PROPERTY IN COMPLIANCE WITH SECTION 1102 OF THE CIVIL CODE AS OF ____________, 19___.  IT IS NOT A WARRANTY OF ANY KIND BY THE SELLER(S) OR ANY AGENT(S) REPRESENTING ANY PRINCIPAL(S) IN THIS TRANSACTION, AND IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES THE PRINCIPAL(S) MAY WISH TO OBTAIN.

I
COORDINATION WITH OTHER DISCLOSURE FORMS

This Real Estate Transfer Disclosure Statement is made pursuant to Section 1102 of the Civil Code.  Other statutes require disclosures, depending upon the details of the particular real estate transaction (for example:  special study zone and purchase-money liens on residential property).

Substituted Disclosures:  The following disclosures have or will be made in connection with this real estate transfer, and are intended to satisfy the disclosure obligations on this form, where the subject matter is the same:
__ Inspection reports completed pursuant to the contract of sale or receipt for deposit.
__ Additional inspection reports or disclosures:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

II
SELLER'S INFORMATION

The Seller 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 subject property.  Seller hereby authorizes any agent(s) representing any principal(s) in this transaction to provide a copy of this statement to any person or entity in connection with any actual or anticipated sale of the property.

THE FOLLOWING ARE REPRESENTATIONS MADE BY THE SELLER(S) AND ARE NOT THE REPRESENTATIONS OF THE AGENT(S), IF ANY.  THIS INFORMATION IS A DISCLOSURE AND IS NOT INTENDED TO BE PART OF ANY CONTRACT BETWEEN THE BUYER AND SELLER.

Seller ___ is  ___ is not occupying the property.
A.  The subject property has the items checked below (read across):
 

 __Range __Oven __Microwave

 __Dishwasher __Trash Compactor __Garbage Disposal

 __Washer/Dryer  __Rain Gutters
 Hookups

 __Burglar Alarms __Smoke Detector(s) __Fire Alarm

 __TV Antenna __Satellite Dish __Intercom

 __Central Heating __Central Air Cndtng. __Evaporative Cooler(s)

 __Wall/Window Air    __Sprinklers __Public Sewer System
 Cndtng.

 __Septic Tank __Sump Pump __Water Softener

 __Patio/Decking __Built-in Barbecue __Gazebo

 __Sauna

 __Hot Tub-Locking __Pool-Child __Spa-Locking Safety
 Safety  Resistant            Cover*
          Cover*           Barrier*

 __Security Gate(s) __Automatic Garage __Number Remote
  Door     Opener(s)* Controls

 Garage: __Attached __Not Attached __Carport

 Pool/Spa Heater:__Gas __Solar __Electric

 Water Heater: __Gas __Water Heater __Private Utility or
  Anchored,         Other
       Braced, or Strapped* ____________

 Water Supply: __City __Well

 Gas Supply: __Utility __Bottled

 __Window Screens __Window Security
  Bars
  __Quick Release
  Mechanism on
  Bedroom Windows*
 

Exhaust Fan(s) in _________220 Volt Wiring in __________ Fireplace(s) in _______
Gas Starter ____________ Roof(s): Type: _____________ Age: ________ (approx.)
Other:  ____________________________________________________________

Are there, to the best of your (Seller's) knowledge, any of the above that are not in operating condition?  ___Yes ___No.  If yes, then describe.

(Attach additional sheets if necessary):  ____________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

B.  Are you (Seller) aware of any significant defects/malfunctions in any of the following?  __ Yes __ No.  If yes, check appropriate space(s) below.
___Interior Walls ___Ceilings ___Floors ___Exterior Walls ___Insulation __Roof(s) ___Windows ___Doors ___Foundation ___Slab(s) ___Driveways ___Sidewalks
___Walls/Fences ___Electrical Systems ___Plumbing/Sewers/Septics ___Other
Structural Components (Describe:  _______________________________________
_________________________________________________________________)

If any of the above is checked, explain.  (Attach additional sheets if necessary):  ____
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________

*This garage door opener or child resistant pool barrier may not be in compliance with the safety standards relating to automatic reversing devices as set forth in Chapter 12.5 (commencing with Section 19890) of Part 3 of Division 13 of, or with the pool safety standards of Article 2.5 (commencing with Section 115920) of Chapter 5 of Part 10 of Division 104 of, the Health and Safety Code.  The water heater may not be anchored, braced, or strapped in accordance with Section 19211 of the Health and Safety Code.  Window security bars may not have quick-release mechanisms in compliance with the 1995 Edition of the California Building Standards Code.

C.  Are you (Seller) aware of any of the following:

 1. Substances, materials or products which may be an environmental
 hazard such as, but not limited to, asbestos, formaldehyde, radon gas,
 lead-based paint, fuel or chemical storage tanks, and contaminated soil
 or water on the subject property........................................................ __Yes __No

 2. Features of the property shared in common with adjoining
 landowners, such as walls, fences, and driveways, whose use or
 responsibility for maintenance may have an effect on the subject
 property  __Yes __No

 3. Any encroachments, easements or similar matters that may affect
 your interest in the subject property ................................................. __Yes __No

 4.  Room additions, structural modifications, or other alterations or
 repairs made without necessary permits ............................................ __Yes __No

 5.  Room additions, structural modifications, or other alterations or
 repairs not in compliance with building codes ..................................... __Yes __No

 6. Fill (compacted or otherwise) on the property or any portion thereof
 ............................................................................................................... __Yes __No

 7. Any settling from any cause, or slippage, sliding, or other soil
 problems .............................................................................................. __Yes __No

 8. Flooding, drainage or grading problems ............................................ __Yes __No

 9. Major damage to the property or any of the structures from fire,
 earthquake, floods, or landslides ......................................................... __Yes __No

 10. Any zoning violations, nonconforming uses, violations of "setback"
 requirements......................................................................................... __Yes __No

 11. Neighborhood noise problems or other nuisances .......................... __Yes __No

 12. CC&R's or other deed restrictions or obligations ........................... __Yes __No

 13. Homeowners' Association which has any authority over the subject
 property ............................................................................................... __Yes __No

 14. Any "common area" (facilities such as pools, tennis courts,
 walkways, or other areas coowned in undivided interest with others) __Yes __No

 15. Any notices of abatement or citations against the property ........... __Yes __No

 16. Any lawsuits by or against the seller threatening to or affecting this
 real property, including any lawsuits alleging a defect or deficiency in
 this real property or "common areas" (facilities such as pools, tennis
 courts, walkways, or other areas coowned in undivided interest with
 others) ................................................................................................ __Yes __No
 

If the answer to any of these is yes, explain.  (Attach additional sheets if necessary.)
____________________________________________________________________________________________________________________________________
Seller certifies that the information herein is true and correct to the best of the Seller's knowledge as of the date signed by the Seller.
Seller  ________________________________________     Date _______________
Seller  ________________________________________     Date _______________
 

III
AGENT'S INSPECTION DISCLOSURE

(To be completed only if the Seller is represented by an agent in this transaction.)

THE UNDERSIGNED, BASED ON THE ABOVE INQUIRY OF THE SELLER(S) AS TO THE CONDITION OF THE PROPERTY AND BASED ON A REASONABLY COMPETENT AND DILIGENT VISUAL INSPECTION OF THE ACCESSIBLE AREAS OF THE PROPERTY IN CONJUNCTION WITH THAT INQUIRY, STATES THE FOLLOWING:

__ Agent notes no items for disclosure.
__ Agent notes the following items:
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________

Agent (Broker
Representing Seller) ___________________ By __________________Date_______
    (Please Print)         (Associate Licensee
                   or Broker-Signature)
 

IV
AGENT'S INSPECTION DISCLOSURE

(To be completed only if the agent who has obtained the offer is other than the agent above.)

THE UNDERSIGNED, BASED ON A REASONABLY COMPETENT AND DILIGENT VISUAL INSPECTION OF THE ACCESSIBLE AREAS OF THE PROPERTY, STATES THE FOLLOWING:

__ Agent notes no items for disclosure.
__ Agent notes the following items:
___________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________

Agent (Broker
obtaining the Offer) __________________ By __________________ Date _______
                                              (Please Print)                 (Associate Licensee
                                                                                  or Broker-Signature)
 

V
BUYER(S) AND SELLER(S) MAY WISH TO OBTAIN PROFESSIONAL ADVICE AND/OR INSPECTIONS OF THE PROPERTY AND TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN BUYER AND SELLER(S) WITH RESPECT TO ANY ADVICE/INSPECTIONS/DEFECTS

I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS STATEMENT

Seller__________________Date_______Buyer__________________Date_______
Seller__________________Date_______Buyer__________________Date_______
Agent (Broker
Representing Seller) _________________ By ___________________ Date_______
          (Associate Licensee
            or Broker-Signature)
Agent (Broker
obtaining the Offer) _________________ By ___________________ Date_______
          (Associate Licensee
            or Broker-Signature)
SECTION 1102.3 OF THE CIVIL CODE PROVIDES A BUYER WITH THE RIGHT TO RESCIND A PURCHASE CONTRACT FOR AT LEAST THREE DAYS AFTER THE DELIVERY OF THIS DISCLOSURE IF DELIVERY OCCURS AFTER THE SIGNING OF AN OFFER TO PURCHASE.  IF YOU WISH TO RESCIND THE CONTRACT, YOU MUST ACT WITHIN THE PRESCRIBED PERIOD.

A REAL ESTATE BROKER IS QUALIFIED TO ADVISE ON REAL ESTATE.  IF YOU DESIRE LEGAL ADVICE, CONSULT YOUR ATTORNEY.