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RESIDENTIAL
SELLER’S PROPERTY DISCLOSURE STATEMENT
Property Address or Tax ID # ______________________________________________________________________________________________ 178 ________________________________________________________________________________________________________ (the “Property”) 179 450 S Timber Creek Dr, Sisters, OR 97759
180
Month
Year
Other _____________________________________
B. Regular periodic assessments: $_______________ per
181
C. *Are there any pending or proposed special assessments? ................................................................. Yes* No 4
Unknown
182 183 184 185 186 187 188
D. Are there shared “common areas” or joint maintenance agreements for facilities like walls, fences, pools, tennis courts, walkways or other areas co-owned in
undivided interest with others?............................................................................................................. Yes No 4
Unknown
E. Is the Home Owners’ Association or other governing entity a party to pending
litigation or subject to an unsatisfied judgment? ................................................................................... Yes No
Unknown
N/A
4
F. Is the Property in violation of recorded covenants, conditions and restrictions or in
violation of other bylaws or governing rules, whether recorded or not? ................................................ Yes No 4
Unknown
N/A
8. SEISMIC
189
190 191
A. Was the house constructed before 1974? ............................................................................................ Yes No If yes, has the house been bolted to its foundation?........................................................................ Yes No 4
Unknown Unknown
N/A
4
9. GENERAL
192
193 194
A. Are there problems with settling, soil, standing water or drainage on the Property
or in the immediate area? .................................................................................................................... Yes No 4
Unknown
195
B. Does the Property contain fill?.............................................................................................................. Yes No 4
Unknown
196 197 198 199
C. Is there any material damage to the Property or any of the structure(s) from fire,
wind, floods, beach movements, earthquake, expansive soils or landslides?....................................... Yes No 4
Unknown
D. Is the Property in a designated floodplain?........................................................................................... Yes No 4
Unknown
Note: Flood insurance may be required for homes in a floodplain.
200
E. Is the Property in a designated slide or other geologic hazard zone? ................................................... Yes No 4
Unknown
201 202 203 204 205 206 207
F. *Has any portion of the Property been tested or treated for asbestos, formaldehyde, radon gas, lead-based paint, mold, fuel or chemical storage tanks or contaminated
soil or water? ....................................................................................................................................... Yes* No
Unknown
4
G. Are there any tanks or underground storage tanks (for example, septic, chemical, fuel,
etc.) on the Property? .......................................................................................................................... Yes No 4
Unknown
H. Has the Property ever been used as an illegal drug manufacturing or distribution site?........................ Yes No *If yes, was a Certificate of Fitness issued? .................................................................................... Yes* No 4
Unknown Unknown
N/A
4
10. FULL DISCLOSURE BY SELLER(S)
208
209 210 211 212
A. *Are there any other material defects affecting this Property or its value that a
prospective buyer should know about? ................................................................................................ Yes* No 4
*If yes, describe the defect on attached sheet and explain the frequency and extent
of the problem and any insurance claims, repairs or remediation.
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 6 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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