RESIDENTIALPROPERTYANDOWNERS'ASSOCIATIONDISCLOSURESTATEMENT
InstructionstoPropertyOwners
1.TheResidentialPropertyDisclosureAct(G.S. 47E)(“DisclosureAct”)requiresownersofresidentialrealestate(single-family homes,individualcondominiums,townhouses,andthelike,andbuildingswithuptofourdwellingunits)tofurnishbuyers aResidentialPropertyandOwners'AssociationDisclosureStatement(“DisclosureStatement”).Thisformistheonlyone approvedforthispurpose.Adisclosurestatementmustbefurnishedinconnectionwiththesale,exchange,option,and saleunderaleasewithoptiontopurchasewherethetenantdoesnotoccupyorintendtooccupythedwelling.Adisclosure statementisnotrequiredforsometransactions,includingthefirstsaleofadwellingwhichhasneverbeeninhabitedand transactionsofresidentialpropertymadepursuanttoaleasewithoptiontopurchasewherethelesseeoccupiesorintendsto occupythedwelling.Foracompletelistofexemptions,seeG.S.47E-2.
2.Youmustrespondtoeachofthequestionsonthefollowingpagesofthisformbyfillingintherequestedinformationorby placingacheck(√)intheappropriatebox.Inrespondingtothequestions,youareonlyobligatedtodiscloseinformation aboutwhichyouhaveactualknowledge.
a.Ifyoucheck"Yes"foranyquestion,youmustexplainyouranswerandeitherdescribeanyproblemorattachareport fromanattorney,engineer,contractor,pestcontroloperatororotherexpertorpublicagencydescribingit.Ifyouattacha report,youwillnotbeliableforanyinaccurateorincompleteinformationcontainedinitsolongasyouwerenotgrossly negligentinobtainingortransmittingtheinformation.
b.Ifyoucheck“No,”youarestatingthatyouhavenoactualknowledgeofanyproblem.Ifyoucheck"No"andyouknow thereisaproblem,youmaybeliableformakinganintentionalmisstatement.
c.Ifyoucheck"NoRepresentation,”youarechoosingnottodisclosetheconditionsorcharacteristicsoftheproperty,even ifyouhaveactualknowledgeofthemorshouldhaveknownofthem.
d.Ifyoucheck"Yes"or"No"andsomethinghappenstothepropertytomakeyourDisclosureStatementincorrector inaccurate(forexample,theroofbeginstoleak),youmustpromptlygivethebuyeracorrectedDisclosureStatementor correcttheproblem.
3.Ifyouareassistedinthesaleofyourpropertybyalicensedrealestatebroker,youarestillresponsibleforcompletingand deliveringtheDisclosureStatementtothebuyers;andthebrokermustdiscloseanymaterialfactsaboutyourpropertywhich heorsheknowsorreasonablyshouldknow,regardlessofyourresponsesontheDisclosureStatement.
4.YoumustgivethecompletedDisclosureStatementtothebuyernolaterthanthetimethebuyermakesanoffertopurchase yourproperty.Ifyoudonot,thebuyercan,undercertainconditions,cancelanyresultingcontract(See "NotetoBuyers" below).YoushouldgivethebuyeracopyoftheDisclosureStatementcontainingyoursignatureandkeepacopysignedby thebuyerforyourrecords.
NotetoBuyer:IftheownerdoesnotgiveyouaResidentialPropertyandOwners'AssociationDisclosureStatementby thetimeyoumakeyouroffertopurchasetheproperty,youmayundercertainconditionscancelanyresultingcontractwithout penaltytoyouasthebuyer.Tocancelthecontract,youmustpersonallydeliverormailwrittennoticeofyourdecisiontocanceltotheownerortheowner'sagentwithinthreecalendardaysfollowingyourreceiptoftheDisclosureStatement,orthree calendardaysfollowingthedateofthecontract,whicheveroccursfirst.However,innoeventdoestheDisclosureActpermit youtocancelacontractaftersettlementofthetransactionor(inthecaseofasaleorexchange)afteryouhaveoccupiedthe property,whicheveroccursfirst.
5.Inthespacebelow,typeorprintininktheaddressoftheproperty(sufficienttoidentifyit)andyourname.Thensignanddate.
PropertyAddress:
Owner'sName(s):
Owner(s)acknowledge(s)havingexaminedthisDisclosureStatementbeforesigningandthatallinformationistrueandcorrectas ofthedatesigned.
OwnerSignature: Date
OwnerSignature: Date
BuyersacknowledgereceiptofacopyofthisDisclosureStatement;thattheyhaveexamineditbeforesigning;thattheyunderstandthat thisisnotawarrantybyownersorowners'agents;thatitisnotasubstituteforanyinspectionstheymaywishtoobtain;andthatthe representationsaremadebytheownersandnottheowners'agentsorsubagents.Buyersarestronglyencouragedtoobtaintheirown inspectionsfromalicensedhomeinspectororotherprofessional.Asusedherein,wordsinthepluralincludethesingular,asappropriate.
BuyerSignature: Date
BuyerSignature: Date
STATEOFNORTHCAROLINA
REC4.22Page1of4 REV8/21 Phone: Fax: ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX75201 www.lwolf.com 7805
Teakwood Road, Indian Trail, NC 28079 Catherine S Frailey
Dickens-Mitchener
28207 7048773350 704.342.1022 7805 Teakwood
DigiSign Verified - 70e7c7a1-c64a-4c08-b695-8aa21564e33d
07/13/2023
Catherine S Frailey
& Associates, 2330 Randolph Rd Charlotte NC
Sarah Szczodrowski
Catherine Frailey
PropertyAddress/Description:
Thefollowingquestionsaddressthecharacteristicsandconditionofthepropertyidentifiedaboveaboutwhichtheowner has actual knowledge.Wherethequestionrefersto“dwelling,”itisintendedtorefertothedwellingunit,orunitsifmore thanone,tobeconveyedwiththeproperty.Theterm“dwellingunit”referstoanystructureintendedforhumanhabitation.
1. Inwhatyearwasthedwellingconstructed?. Explainifnecessary:
2. Isthereanyproblem,malfunctionordefectwiththedwelling'sfoundation,slab,fireplaces/chimneys,floors, windows(includingstormwindowsandscreens),doors,ceilings,interiorandexteriorwalls,attachedgarage, patio,deckorotherstructuralcomponentsincludinganymodificationstothem?................................................
3.Thedwelling'sexteriorwallsaremadeofwhattypeofmaterial? BrickVeneerWoodStoneVinyl SyntheticStucco Composition/Hardboard Concrete FiberCement Aluminum Asbestos Other
4.Inwhatyearwasthedwelling'sroofcoveringinstalled? (Approximateifnorecordsare available)Explainifnecessary:
5.Isthereanyleakageorotherproblemwiththedwelling'sroof?...........................................................................
6.Isthereanywaterseepage,leakage,dampnessorstandingwaterinthedwelling'sbasement,crawlspace,orslab?
7.Isthereanyproblem,malfunctionordefectwiththedwelling'selectricalsystem(outlets,wiring,panel, switches,fixtures,generator,etc.)?........................................................................................................................
8.Isthereanyproblem,malfunctionordefectwiththedwelling'splumbingsystem(pipes,fixtures,waterheater,etc.)?
9.Isthereanyproblem,malfunctionordefectwiththedwelling'sheatingand/orairconditioning?......................
10.Whatisthedwelling'sheatsource? Furnace HeatPump Baseboard Other (Checkallthatapply)Ageofsystem:
11.Whatisthedwelling'scoolingsource? CentralForcedAir Wall/WindowUnit(s) Other (Checkallthatapply)Ageofsystem:
12.Whatarethedwelling'sfuelsources? Electricity NaturalGas Propane Oil Other (Checkallthatapply)
Ifthefuelsourceisstoredinatank,identifywhetherthetankis abovegroundor belowground,and whetherthetankis leasedbyselleror ownedbyseller.(Checkallthatapply)............................................
13.Whatisthedwelling'swatersupplysource? City/County CommunitySystem PrivateWell Shared Well Other (Checkallthatapply).................................................................
14.Thedwelling'swaterpipesaremadeofwhattypeofmaterial? Copper Galvanized Plastic Polybutylene Other (Checkallthatapply)...................................................
15.Isthereanyproblem,malfunctionordefectwiththedwelling'swatersupply(includingwaterquality,quantity, orwaterpressure)?..................................................................................................................................................
16.Whatisthedwelling'ssewagedisposalsystem? SepticTank SepticTankwithPump Community System ConnectedtoCity/CountySystem City/CountySystemavailable Straightpipe(wastewater doesnotgointoasepticorothersewersystem[note:useofthistypeofsystemviolatesstatelaw]) Other (Checkallthatapply).....................................................
17.Ifthedwellingisservicedbyasepticsystem,doyouknowhowmanybedroomsareallowedbytheseptic systempermit?
Ifyouransweris“yes,”howmanybedroomsareallowed? Norecordsavailable
18.Isthereanyproblem,malfunctionordefectwiththedwelling'ssewerand/orsepticsystem?...............................
19.Isthereanyproblem,malfunctionordefectwiththedwelling'scentralvacuum,pool,hottub,spa,atticfan, exhaustfan,ceilingfans,sumppump,irrigationsystem,TVcablewiringorsatellitedish,garagedooropeners, gaslogs,orothersystems?......................................................................................................................................
20.Isthereanyproblem,malfunctionordefectwithanyappliancesthatmaybeincludedintheconveyance (range/oven,attachedmicrowave,hood/fan,dishwasher,disposal,etc.)?..............................................................
No Yes No Representation
(Checkallthatapply)
BuyerInitialsandDateOwnerInitialsandDate BuyerInitialsandDateOwnerInitialsandDate REC4.22Page2of4 REV8/21 ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 7805 Teakwood Road, Indian Trail, NC 28079 1977 -X X X 2017 X X X X X X 2017 X 2017 X X -X X Polyethylene X X X X X X 7805 Teakwood DigiSign Verified - 70e7c7a1-c64a-4c08-b695-8aa21564e33d CF 07/13/2023
21.Isthereanyproblemwithpresentinfestationofthedwelling,ordamagefrompastinfestationofwood destroyinginsectsororganismswhichhasnotbeenrepaired?..............................................................................
22.Isthereanyproblem,malfunctionordefectwiththedrainage,gradingorsoilstabilityoftheproperty?............
23.Arethereanystructuraladditionsorotherstructuralormechanicalchangestothedwelling(s)tobeconveyed withtheproperty?....................................................................................................................................................
24.Isthepropertytobeconveyedinviolationofanylocalzoningordinances,restrictivecovenants,orotherlanduserestrictions,orbuildingcodes(includingthefailuretoobtainproperpermitsforroomadditionsorother changes/improvements)?.........................................................................................................................................
25.Arethereanyhazardousortoxicsubstances,materials,orproducts(suchasasbestos,formaldehyde,radon gas,methanegas,lead-basedpaint)whichexceedgovernmentsafetystandards,anydebris(whetherburiedor covered)orundergroundstoragetanks,oranyenvironmentallyhazardousconditions(suchascontaminated soilorwater,orotherenvironmentalcontamination)locatedonorwhichotherwiseaffecttheproperty?............
26.Isthereanynoise,odor,smoke,etc.fromcommercial,industrial,ormilitarysourceswhichaffectstheproperty?
27.Isthepropertysubjecttoanyutilityorothereasements,shareddriveways,partywallsorencroachmentsfrom oronadjacentproperty?.........................................................................................................................................
28.Isthepropertythesubjectofanylawsuits,foreclosures,bankruptcy,leasesorrentalagreements,judgments,tax liens,proposedassessments,mechanics'liens,materialmens'liens,ornoticesfromanygovernmentalagencythat couldaffecttitletotheproperty?............................................................................................................................
29.Isthepropertysubjecttoafloodhazardoristhepropertylocatedinafederally-designatedfloodhazardarea?
30.Doesthepropertyabutoradjoinanyprivateroad(s)orstreet(s)?..........................................................................
31.Ifthereisaprivateroadorstreetadjoiningtheproperty,isthereinexistenceanyowners'associationormaintenance agreementsdealingwiththemaintenanceoftheroadorstreet?.............................................................................
Ifyouanswered“yes”toanyofthequestionslistedabove(1-31)pleaseexplain(attachadditionalsheetsifnecessary):
Inlieuofprovidingawrittenexplanation,youmayattachawrittenreporttothisDisclosureStatementbyapublicagency,orbyan attorney,engineer,landsurveyor,geologist,pestcontroloperator,contractor,homeinspector,orotherexpert,dealingwithmatterswithin thescopeofthatpublicagency'sfunctionsortheexpert'slicenseorexpertise.
Thefollowingquestionspertaintothepropertyidentifiedabove,includingthelottobeconveyedandanydwellingunit(s),sheds, detachedgarages,orotherbuildingslocatedthereon.
32.Isthepropertysubjecttogoverningdocumentswhichimposevariousmandatorycovenants,conditions,and restrictionsuponthelotorunit?.............................................................................................................................
Ifyouanswered“yes”tothequestionabove,pleaseexplain(attachadditionalsheetsifnecessary):
33.Isthepropertysubjecttoregulationbyoneormoreowners'association(s)including,butnotlimitedto, obligationstopayregularassessmentsorduesandspecialassessments?Ifyouransweris"yes,"pleaseprovide theinformationrequestedbelowastoeachowners'associationtowhichthepropertyissubject[insertN/Ainto anyblankthatdoesnotapply]:
●(specifyname)
whoseregularassessments(“dues”)
are$ per.Thename,addressandtelephonenumberofthepresidentoftheowners'associationorthe associationmanagerare
●(specifyname)
whoseregularassessments(“dues”)
are$ per.Thename,addressandtelephonenumberofthepresidentoftheowners'associationorthe associationmanagerare
BuyerInitialsandDateOwnerInitialsandDate
BuyerInitialsandDateOwnerInitialsandDate
REC4.22Page3of4 REV8/21
No Yes No Representation
No Yes No Representation
ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com X X X X X X X X X X X X X 7805 Teakwood DigiSign Verified - 70e7c7a1-c64a-4c08-b695-8aa21564e33d 07/13/2023 CF
34.Areanyfeeschargedbytheassociationorbytheassociation'smanagementcompanyinconnectionwiththe conveyanceortransferofthelotorpropertytoanewowner?Ifyouransweris“yes,”pleasestatetheamount ofthefees:
35.AsofthedatethisDisclosureStatementissigned,arethereanydues,fees,orspecialassessmentswhichhave beendulyapprovedasrequiredbytheapplicabledeclarationorbylaws,andthatarepayabletoanassociation towhichthelotissubject?Ifyouransweris“yes,”pleasestatethenatureandamountofthedues,fees,or specialassessmentstowhichthepropertyissubject:
36.AsofthedatethisDisclosureStatementissigned,arethereanyunsatisfiedjudgmentsagainst,orpending lawsuits involvingthepropertyorlottobeconveyed?Ifyouransweris“yes,”pleasestatethenatureofeach pendinglawsuit,andtheamountofeachunsatisfiedjudgment:
37.AsofthedatethisDisclosureStatementissigned,arethereanyunsatisfiedjudgmentsagainst,orpending lawsuits involvingtheplannedcommunityortheassociationtowhichthepropertyandlotaresubject,withthe exceptionofanyactionfiledbytheassociationforthecollectionofdelinquentassessmentsonlotsotherthan thepropertyandlottobeconveyed?Ifyouransweris“yes,”pleasestatethenatureofeachpendinglawsuit, andtheamountofeachunsatisfiedjudgment:
38.Whichofthefollowingservicesandamenitiesarepaidforbytheowners'association(s)identifiedabove outoftheassociation'sregularassessments(“dues”)?(Checkallthatapply).
PestTreatment/Extermination................................................................................................................................
StreetLights...........................................................................................................................................................
Water.....................................................................................................................................................................
Sewer.....................................................................................................................................................................
StormwaterManagement/Drainage/Ponds...........................................................................................................
InternetService.....................................................................................................................................................
Cable.....................................................................................................................................................................
PrivateRoadMaintenance............................................................................................................................................
ParkingAreaMaintenance....................................................................................................................................
Gateand/orSecurity..............................................................................................................................................
Other:(specify)
*Ifyouanswered“Yes”toquestion33above,youmustcompletetheremainderofthisDisclosureStatement.Ifyouanswered “No”or“NoRepresentation”toquestion33above,youdonotneedtoanswertheremainingquestionsonthisDisclosure Statement.Skiptothebottomofthelastpageandinitialanddatethepage. No Yes No Representation
No Yes No Representation ManagementFees................................................................................................................................................... ExteriorBuildingMaintenanceofPropertytobeConveyed................................................................................. MasterInsurance................................................................................................................................................... ExteriorYard/LandscapingMaintenanceofLottobeConveyed.......................................................................... CommonAreasMaintenance................................................................................................................................. TrashRemoval....................................................................................................................................................... RecreationalAmenityMaintenance(specifyamenitiescovered)
BuyerInitialsandDateOwnerInitialsandDate BuyerInitialsandDateOwnerInitialsandDate REC4.22Page4of4 REV8/21 ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 7805 Teakwood DigiSign Verified - 70e7c7a1-c64a-4c08-b695-8aa21564e33d CF 07/13/2023
7805 Teakwood Rd, Indian Trail, NC 28079 Created by Sarah Szczodrowski with SkySlope® Forms Catherine Frailey DigiSign Verified - d63fe392-7d87-40cf-8d26-a96fd9f48080 4 4 4 Catherine Frailey 4 07/11/2023 4 4
LEAD-BASED PAINT OR LEAD-BASED PAINT HAZARD ADDENDUM
Property: ___________________________________________________________________________________________________
Seller: ______________________________________________________________________
Buyer: ______________________________________________________________________________________________________
This Addendum is attached to and made a part of the Offer to Purchase and Contract (“Contract”) between Seller and Buyer for the Property.
During the Due Diligence Period, Buyer shall have the right to obtain a risk assessment or inspection of the Property for the presence of lead-based paint and/or lead-based paint hazards* at Buyer's expense . Buyer may waive the right to obtain a risk assessment or inspection of the Property for the presence of lead -based paint and/or lead -based paint hazards at any time without cause.
*Intact lead-based paint that is in good condition is not necessarily a hazard. See EPA pamphlet "Protect Your Family From Lead in Your Home" for more information.
Disclosure of Information on Lead-Based Paint and Lead-Based Paint Hazards
Lead Warning Statement
Every Buyer of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lea d from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The Seller of any interest in residential real property is required to provide the Buyer with any information on lead -based paint hazards from risk assessments or inspections in the Seller's possession and notify the Buyer of any known lead -based paint hazards. A risk assessment or inspection for possible lead -based hazards is recommended prior to purchase.
Seller's Disclosure (initial)
(a) Presence of lead-based paint and/or lead-based paint hazards (check one below):
Known lead -based paint and/or lead-based paint hazards are present in the housing (explain).
Seller has no knowledge of lead -based paint and/or lead -based paint hazards in the housing.
(b) Records and reports available to the Seller (check one)
Seller has provided the Buyer with all available records and reports pertaining to lead -based paint and/or lead-based paint hazards in the housing (list documents below).
Seller has no reports or records pertaining to lead -based paint and/or lead -based paint hazards in the housing.
Buyer’s Acknowledgement (initial)
(c) Buyer acknowledges receipt of Seller’s statement set forth in (a) above, and copies of the records/reports listed in (b) above, if any
(d) Buyer has received the pamphlet Protect Your Family from Lead in Yo ur Home.
(e) Buyer (check one below):
Accepts the opportunity during the Due Diligence Period to conduct a risk assessment or inspection for the presence of lead -based paint and/or lead-based paint hazards; or
Page 1 of 2
This form jointly approved by: North Carolina Bar Association’s Real Property Section North Carolina Association of REALTORS , Inc.
Initials _______ _______ Seller Initials _______ ______ STANDARD FORM 2A9–T Revised 7/2021 © 7/2023
Buyer
Created by Sarah Szczodrowski with SkySlope® Forms
7805 Teakwood Rd, Indian Trail, NC 28079
DigiSign Verified - d63fe392-7d87-40cf-8d26-a96fd9f48080 CF 4 4 CF CF
Catherine Frailey
Agent's Acknowledgment (initial)
Waives the opportunity to conduct a risk assessment or inspection for the presence of lead -based paint and/or lead-based paint hazards.
(f) Agent has informed the Seller of the Seller's obligations under 42 U.S.C. 4852d and is aware of his/her responsibility to ensure compliance.
Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that the information p rovided by the signatory is true and accurate.
IN THE EVENT OF A CONFLICT BETWEEN THIS ADDENDUM AND THE CONTRACT, THIS ADDENDUM SHALL CONTROL, EXCEPT THAT IN THE CASE OF SUCH A CONFLICT AS TO THE DESCRIPTION OF THE PROPERTY OR THE IDENTITY OF THE BUYER OR SELLER, THE CONTRACT SHALL CONTROL
THE NORTH CAROLINA ASSOCIATION OF REALTORS , INC. AND THE NORTH CAROLINA BAR ASSOCIATION MAKE NO REPRESENTATION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN ANY SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE FOR YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU SIGN IT.
Date: _______________________
Buyer: ___________________________________________
Date: _______________________
Buyer: __________________________________
Date: _______________________
Entity Buyer:
(Name of LLC/Corporation/Partnership/Trust/etc)
By: ______________________________________________
Name: __________________________ Print Name
Title: _____________________________________________
Date: _______________________
Selling Agent: _____________________________________
Date: _______________________
Catherine Frailey
Seller: ____________________________________________
Date: _______________________
Seller: ____________________________________________
Entity Seller
(Name of LLC/Corporation/Partnership/Trust/etc)
By: _______________________________________________
Name:_____________________________________________ Print Name
Title: __________________________________________
Date: ________________________
Sarah Szczodrowski
Listing Agent: ______________________________________
Date: ________________________
STANDARD FORM 2A9-T Revised 7/2021 © 7/2023
Page 2 of 2
DigiSign Verified - d63fe392-7d87-40cf-8d26-a96fd9f48080 07/11/2023
SS
07/11/2023
Please list the following companies, monthly bill amounts and phone numbers. Your listing agent will attach this questionnaire to the listing in the Canopy MLS, and this information will be provided to prospective buyers of your property.
Updated 02/07/2023
Utility Provider Questionnaire
© 2023 Canopy MLS. All Rights Reserved 1 PROPERTY ADDRESS Address City State Zip Code ELECTRIC Provider Low $ High $ Phone GAS/PROPANE Provider Low $ High $ Phone WATER Town/City of Low $ High $ Phone SEWER If septic, how many bedrooms is tank approved for? # Bedroom(s)Phone Town/City of INTERNET Phone AT&T Other SpectrumWindstream Verizon CABLE Phone AT&T Other SpectrumWindstream Verizon PHONE Phone AT&T Other SpectrumWindstream Verizon Indian Trail 7805 Teakwood Rd NC Created by Sarah Szczodrowski with SkySlope® Forms 28079 DigiSign Verified - 8f85aa21-e0b7-41e7-8a5f-213844daa00b 4 Union County Water Union Power Indian Trail 4 4
Dickens Mitchener Real Estate 2330 Randolph Road Charlotte, NC 28207 704.342.1000 dickensmitchener.com