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Arizona Residential Sellers Property Disclosure Statement

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Arizona Residential Sellers Property Disclosure Statement Page 5
Arizona Residential Sellers Property Disclosure Statement
YES NO
ELECTRICAL AND OTHER RELATED SYSTEMS:
nn nn Are you aware of any past or present problems with the electrical system Explain:
nn nn Is there a security system If yes, is it (Check all that apply):
nn Leased (Attach copy of lease if available) nn Owned nn Monitored nn Other
nn nn Are you aware of any past or present problems with the security system Explain:
nn nn Does the Property contain any of the following systems or detectors(Check all that apply):
nn Smoke/fire detection nn Fire suppression (sprinklers) nn Carbon monoxide detector
If yes, are you aware of any past or present problems with the above systems Explain:
MISCELLANEOUS:
nn nn Are you aware of or have you observed any of the following on the Property (Check all that apply):
nn Scorpions nn Rabid animals nn Bee swarms nn Rodents nn Reptiles nn Other:
Explain:
How often is the Property serviced or treated for pests, reptiles, insects or animals
Name of service provider: Date of last service:
nn nn Are you aware of any work done on the Property, such as building, plumbing, electrical or other improvements
(If no, skip to line 144.)
Explain:
nn nn Are you aware of any rooms added to the Property or converted to bedrooms
nn nn Were permits for the work required Explain:
nn nn If yes, were permits for the work obtained Explain:
nn nn Was the work performed by a person licensed to perform the work Explain:
nn nn Was approval for the work required by any association governing the property Explain:
If yes, was approval granted by the association Explain:
nn nn Was the work completed Explain:
nn nn Are there any security bars or other obstructions to door or window openings Explain:
nn nn Are you aware of any past or present problems with any built-in appliances Explain:
nn nn Are there any leased propane tanks, equipment or other systems on the Property Explain:
UTILITIES
DOES THE PROPERTY CURRENTLY RECEIVE THE FOLLOWING SERVICES
YES NO PROVIDER
nn nn Electricity: ....................................................................
nn nn Fuel: nn Natural gas nn Propane nn Oil ..............
nn nn Cable: ..........................................................................
nn nn Telephone: ..................................................................
nn nn Garbage Collection: ....................................................
nn nn Fire:..............................................................................
nn nn Irrigation:......................................................................
nn nn
Water Source:
nn
Public
nn
Private water co.
nn
Private well
nn
Shared well
nn
Hauled water
If water source is a private or shared well, complete and attach DOMESTIC WATER WELL/WATER USE ADDENDUM.
If source is public, a private water company, or hauled water, Provider is:
NOTICE TO BUYER: IF THE PROPERTY IS SERVED BY A WELL, PRIVATE WATER COMPANY OR A
MUNICIPAL WATER PROVIDER, THE ARIZONA DEPARTMENT OF WATER RESOURCES MAY NOT
HAVE MADE A WATER SUPPLY DETERMINATION. FOR MORE INFORMATION ABOUT WATER SUPPLY,
CONTACT THE WATER PROVIDER.
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Residential Sellers Property Disclosure Statement (SPDS)
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Residential Seller’s Property Disclosure Statement (SPDS)
Updated: August 2012 • Copyright © 2012 Arizona Association of REALTORS
®
.
All rights reserved.
Page 4 of 6
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Arizona Residential Sellers Property Disclosure Statement