DocuSign Envelope ID: 214106BE-A73B-4E24-8A0E-2C307AFC4857
DISCLOSURE STATEMENT: SELLER’S PROPERTY DISCLOSURE STATEMENT 179. Page 5
THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF SELLER’S KNOWLEDGE.
3116 W Lake Street
181. Property located at
182. Are there any items or systems on the property connected or controlled wirelessly, via internet protocol (“IP”), to 183. a router or gateway or directly to the cloud? Yes No 184. Comments regarding issues in Section C: 185. 186. D. SUBSURFACE SEWAGE TREATMENT SYSTEM DISCLOSURE: 187. (A subsurface sewage treatment system disclosure is required by MN Statute 115.55.) (Check appropriate box.) 188. Seller certifies that Seller DOES DOES NOT know of a subsurface sewage treatment system on or serving --------------- (Check one. )-------------- 189. the above-described real property. (If answer is DOES , and the system does not require a state permit, see 190. Disclosure Statement: Subsurface Sewage Treatment System .) 191. There is an abandoned subsurface sewage treatment system on the above-described real property. 192. (See Disclosure Statement: Subsurface Sewage Treatment System.) 193. E. PRIVATEWELL DISCLOSURE: (A well disclosure and Certificate are required by MN Statute 103I.235.) 194. (Check appropriate box.) 195. Seller certifies that Seller does not know of any wells on the above-described real property. 196. Seller certifies there are one or more wells located on the above-described real property. 197. (See Disclosure Statement: Well.) 198. Are there any wells serving the above-described property that are not located on the 199. property? Yes No 200. If “Yes”: 201. (1) How many properties or residences does the shared well serve? 202. (2) Is there a maintenance agreement for the shared well? Yes No 203. If “Yes,” what is the annual maintenance fee? $ 204. Is this property in a Special Well Construction Area? Yes No 205. F. PROPERTY TAX TREATMENT: 206. Valuation Exclusion Disclosure (Required by MN Statute 273.11, Subd. 18.) 207. There IS IS NOT an exclusion from market value for home improvements on this property. Any ---------- (Check one.) ----------- 208. valuation exclusion shall terminate upon sale of the property, and the property’s estimated market value for 209. property tax purposes shall increase. If a valuation exclusion exists, Buyers are encouraged to look into the 210. resulting tax consequences. 211. Additional comments: 214. Is the property subject to any preferential property tax status or any other credits affecting the property? 215. (e.g., Disability, Green Acres, CRP, RIM, Rural Preserve, Veterans’ Benefits, 216. Non-Profit Status) Yes No 217. If “Yes,” would these terminate upon the sale of the property? Yes No 218. Explain: 219. ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ 212. 213. Preferential Property Tax Treatment
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