Flipping Book Final_1

DocuSign Envelope ID: D15CC7DE-797A-4F37-882E-A49929EE2548

529 W 18th St Concerning the Property at _ __________ ___:Hc...:.o-=--u=s=t=o_n:_:_L-T=--:X....:_7:....7; :....:0:.0.:::..8:::'-3-'=6::..::0:.7:._ ___________

Section 9. Seller .x_ has _ has not attached a survey of the Property.

Section 10. Within the last 4 years, have you (Seller) received any written inspection reports from persons who regularly provide inspections and who are either licensed as inspectors or otherwise permitted by law to perform inspections? _ yes _ no If yes, attach copies and complete the following:

No. of Pages

Name of Inspector

Inspection Date

Type

Note: A buyer should not rely on the above-cited reports as a reflection of the current condition of the Property. A buyer should obtain inspections from inspectors chosen by the buyer. Section 11. Check any tax exemption(s) which you (Seller) cu rrently claim for the Property: _x__ Homestead _x__ Senior Citizen Disabled _ Wildlife Management _ Agricultural Disabled Veteran Other:____ _ _ _ _ _ __________ Unknown Section 12. Have you (Seller) ever filed a claim for damage, other than flood damage, to the Property with any insurance provider? _ yes .x_ no Section 13. Have you (Seller) ever received proceeds for a claim for damage to the Property (for example, an insurance claim or a settlement or award in a legal proceeding) and not used the proceeds to make the repairs for which the claim was made? _ yes _x__ no If yes, explain: _____________ ___________

Section 14. Does the Property have working smoke detectors installed in accordance with the smoke detector requirements of Chapter 766 of the Health and Safety Code?* _ unknown _ no _x__ yes. If no or unknown, explain. (Attach additional sheets if necessary):

*Chapter 766 of the Health and Safety Code requires one-family or two-family dwellings to have working smoke detectors installed in accordance with the requirements of the building code in effect in the area in which the dwelling is located, including performance, location, and power source requirements. If you do not know the building code requirements in effect in your area, you may check unknown above or contact your local building official for more information. A buyer may require a seller to install smoke detectors for the hearing impaired if: (1) the buyer or a member of the buyer's family who will reside in the dwelling is hearing-impaired; (2) the buyer gives the seller written evidence of the hearing impairment from a licensed physician; and (3) within 10 days after the effective date, the buyer makes a written request for the seller to install smoke detectors for the hearing-impaired and specifies the locations for installation. The parties may agree who will bear the cost of installing the smoke detectors and which brand ofsmoke detectors to install. Seller acknowledges that the statements in this notice are true to the best of Seller's belief and that no person, including the broker(s), has instructed or influenced Seller to provide inaccurate information or to omit any material information. ~: a. fLli!A.lWtY 1 0111s12022 11?' 1:l'f Seller Date Signature of Seller Date

Printed Name: - ------------ ---- ------------------

Printed Name:

Initialed by: Buyer: ___ _ __ and Sellerfl={J.='itt~- ___

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(TXR-1406) 09-01-19

Produced with Lone Wolf Transactions (zipForm Edition) 231 Shearson Cr. Cambridge, Ontario, Canada N1T 1J5 www.lwolf.com

529 W 18th S treet

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