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RESIDENTIAL
SELLER’S PROPERTY DISCLOSURE STATEMENT
Property Address or Tax ID # ______________________________________________________________________________________________ 102 ________________________________________________________________________________________________________ (the “Property”) 103 450 S Timber Creek Dr, Sisters, OR 97759
104
(6) Does the system have a pump? ...................................................................................................... Yes No
Unknown
N/A
4
105
(7) Does the system have a treatment unit such as a sand filter or an aerobic unit? ............................. Yes No
Unknown
N/A
4
106
(8) *Is a service contract for routine maintenance required for the system? .......................................... Yes* No
Unknown
N/A
4
107
(9) Are all components of the system located on the Property?............................................................. Yes No
Unknown
N/A
4
108
D. *Are there any sewage system problems or needed repairs?............................................................... Yes* No 4
Unknown
109
E. Does your sewage system require on-site pumping to another level?................................................... Yes No 4
Unknown
4. DWELLING INSULATION
110
111
A. Is there insulation in the:
112
(1) Ceiling? ........................................................................................................................................... Yes No 4
Unknown
113
(2) Exterior walls? ................................................................................................................................. Yes No 4
Unknown
114
(3) Floors? ............................................................................................................................................ Yes No 4
Unknown
115
B. Are there any defective insulated doors or windows? ........................................................................... Yes No 4
Unknown
5. DWELLING STRUCTURE
116
117 118 119 120 121 122
A. *Has the roof leaked?........................................................................................................................... Yes* No If yes, has it been repaired?............................................................................................................ Yes No B. Are there any additions, conversions or remodeling? ........................................................................... Yes No If yes, was a building permit required? ............................................................................................ Yes No If yes, was a building permit obtained? ........................................................................................... Yes No If yes, was final inspection obtained?.............................................................................................. Yes No 4 4
Unknown Unknown Unknown Unknown Unknown Unknown
N/A
4
N/A N/A N/A
4 4 4
123
C. Are there smoke alarms or detectors?.................................................................................................. Yes No 4
Unknown
124
D. Are there carbon monoxide alarms? .................................................................................................... Yes No 4
Unknown
125 126 127 128 129 130 131 132 133 134 135
E. Is there a woodstove or fireplace insert included in the sale? ............................................................... Yes No 4 *If yes, what is the make? ________________________________________________________ *If yes, was it installed with a permit? .............................................................................................. Yes* No
Unknown
Unknown
N/A
4
*If yes, is a certification label issued by the United States Environmental Protection
Agency (EPA) or the Department of Environmental Quality (DEQ) affixed to it?.............................. Yes* No
Unknown
N/A
4
F. *Has pest and dry rot, structural or “whole house” inspection been done within the
last three years? .................................................................................................................................. Yes* No
Unknown
4
G. *Are there any moisture problems, areas of water penetration, mildew odors or
other moisture conditions (especially in the basement)? ...................................................................... Yes* No 4
Unknown
*If yes, explain on attached sheet the frequency and extent of problem and any insurance
claims, repairs or remediation done.
136
H. Is there a sump pump on the Property? ............................................................................................... Yes No 4
Unknown
137 138 139
I. Are there any materials used in the construction of the structure that are or have been
the subject of a recall, class action suit, settlement or litigation? ........................................................... Yes No 4
Unknown
If yes, what are the materials? ____________________________________________________
140
(1) Are there problems with the materials?............................................................................................ Yes No
Unknown
N/A
4
FMT
Buyer Initials ________ / ________ Date __________________
Seller Initials ________ / ________ Date __________________ 10/13/2025
LINES WITH THIS SYMBOL Í REQUIRE A SIGNATURE AND DATE OREF 020 | Released 08/2025 | Page 4 of 7 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions
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