PLANS
LODGE MAIN LEVEL LODGE LOWER LEVEL FLOOR
LODGE SECOND LEVEL
Geothermal heat, propane back up- almost net zero if solar panels added to barn which is renewables ready- solar approved 25KW to feed the Lodge Central Geo Thermal AC 2- 1000 gal buried propane tanks for Lodge, 1000 Gal tank for farmhouse Elan home automation system - sound system, climate control, security/camera system, lighting Generator ready 400 amp electrical service
Custom thermally broken powder coated steel Optimum Window Systems with Iskan tempered glass Polished concrete floor mechanical room Laundry room with commercial washer and dryer
FARMHOUSE MECHANICALS
Brie Stephens Realtor® M: 603.819.8071 brie.stephens@compass.com Follow us: lakeliferealty.com @lakeliferealtynh The Lake Life Realty Team Compass is a licensed real estate broker in Massachusetts and Compass Real Estate is a licensed real estate brokerage firm in New Hampshire, Maine, and Vermont and each abides by Equal Housing Opportunity laws. All material presented herein is intended for informational purposes only. Information is compiled from sources deemed reliable but is subject to errors, omissions, changes in price, condition, sale, or withdrawal without notice. Photos may be virtually staged or digitally enhanced and may not reflect actual property conditions.
PROPERTYDISCLOSURE-RESIDENTIALONLY
NewHampshireAssociationofREALTORS® StandardForm
TOBECOMPLETEDBYSELLER
ThefollowinganswersandexplanationsaretrueandcompletetothebestofSELLER'Sknowledge.Thisstatementhasbeenpreparedto assistprospectiveBUYERSinevaluatingSELLER'Sproperty.ThisdisclosureisnotawarrantyofanykindbytheSELLER,oranyreal estateFIRMrepresentingtheSELLER,andisnotasubstituteforanyinspectionbytheBUYER.SELLERSauthorizeFIRMinthis transactiontodisclosetheinformationinthisstatementtootherrealestateagentsandtoprospectivebuyersofthisproperty.
NOTICETOSELLER(S):COMPLETEALLINFORMATIONANDSTATENOTAPPLICABLEORUNKNOWNAS APPROPRIATE.IFANYOFTHEINFORMATIONINTHISPROPERTYDISCLOSUREFORMCHANGESFROMTHEDATEOF COMPLETION,YOUARETONOTIFYTHELISTINGFIRMPROMPTLYINWRITING.
1.SELLER:
2.PROPERTYLOCATION:
3.CONDOMINIUM,CO-OP,PUDDISCLOSURERIDERORMULTIFAMILYDISCLOSURERIDERATTACHED? Yes No
4.SELLER: has hasnot occupiedthepropertyfor years.
5. WATERSUPPLY
Pleaseanswerallquestionsregardlessoftypeofwatersupply.
a. TYPEOFSYSTEM: Public Private Seasonal Unknown Drilled Dug Other
b. INSTALLATION:Location:
InstalledBy:
Whatisthesourceofyourinformation?
c. USE:Numberofpersonscurrentlyusingthesystem:
DateofInstallation:
Doessystemsupplywaterformorethanonehousehold? Yes No
d. MALFUNCTIONS:Areyouawareoforhaveyouexperiencedanymalfunctionswiththe(public/private/other)water systems?
Pump: Yes No N/A
Quantity: Yes No Quality: Yes No Unknown
IfYEStoanyquestion,pleaseexplaininCommentsbeloworwithattachment.
e. WATERTEST:Haveyouhadthewatertested? Yes No Dateofmostrecenttest
IFYEStoanyquestion,pleaseexplaininCommentsbeloworwithattachment.
Areyouawareofanytestresultsreportedasunsatisfactoryorsatisfactorywithnotations? Yes No
IFYES,aretestresultsavailable? Yes No
Whatstepsweretakentoremedytheproblem?
COMMENTS:
6. SEWAGEDISPOSALSYSTEM
a. TYPEOFSYSTEM:Public: Yes NoCommunity/Shared: Yes No Private: Yes No Unknown SepticDesignAvailable: Yes No
b. IFPUBLICORCOMMUNITY/SHARED
Haveyouexperiencedanyproblemssuchaslineorothermalfunctions? Yes No Whatstepsweretakentoremedytheproblem?
c. IFPRIVATE:
TANK: SepticTank
TankSize Gal. Unknown
Concrete Metal
Other
HoldingTank Cesspool Unknown
Other TankType
Unknown Other Location: LocationUnknown DateofInstallation: DateofLastServicing: NameofCompanyServicingTank: Haveyouexperiencedanymalfunctions? Yes No Comments: SELLER(S)INITIALS / BUYER(S)INITIALS / ©2014NEWHAMPSHIREASSOCIATIONOFREALTORS®,INC.ALLRIGHTSRESERVED.FORUSEBYNHARREALTOR®MEMBERSONLY.ALLOTHERUSEPROHIBITED 7.2021 Page1of5 Double J Lodge LLC 268 Governor Wentworth Highway, Tuftonboro, NH 03853 2 On plan Roth Artesian Well 2020 Roth Well 2 3000 on Plan 4/2020 JP 09/19/22 4:46 PM EDT dotloop verified dotloop signature verification: dtlp.us/hI3q-H1Gx-yLUc
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
d. LEACHFIELD: Yes No Other
IFYES,Location:
On Plan
Size: Unknown
Dateofinstallationofleachfield: InstalledBy:
Haveyouexperiencedanymalfunctions? Yes No
Comments:
e. ISSYSTEMLOCATEDON“DEVELOPEDWATERFRONT”asdescribedinRSA485-A? Yes No Unknown
IFYES,hasasiteassessmentbeendone? Yes No Unknown
SourceofInformation:
Comments:
On order from Agent
FORADDITIONALINFORMATIONTHEBUYERISENCOURAGEDTOCONTACTTHENHDEPARTMENTOF
7. INSULATION LOCATION Yes No Unknown IfYES,Type Amount Unknown
AtticorCap
CrawlSpace
ExteriorWalls
Floors
8. HAZARDOUSMATERIAL
a.UNDERGROUNDSTORAGETANKS-Currentorpreviouslyexisting:
Areyouawareofanypastorpresentundergroundstoragetanksonyourproperty? Yes No Unknown
IFYES:Aretankscurrentlyinuse? Yes No
IFNO:Howlonghavetank(s)beenoutofservice?
Whatmaterialsare,orwere,storedinthetank(s)?
Propane
Ageoftank(s): Sizeoftank(s):
Location:
Plan
Areyouawareofanypastorpresentproblemssuchasleakage,etc? Yes No
Comments:
Iftanksarenolongerinuse,havethetanksbeenremoved? Yes No Unknown Comments:
b.ASBESTOS-Currentorpreviouslyexisting:
Asinsulationontheheatingsystempipesorducts? Yes No Unknown
Inthesiding? Yes No UnknownIntheroofingshingles? Yes No Unknown
Inflooringtiles? Yes No UnknownOther Yes No Unknown
IfYES,Sourceofinformation:
Comments:
c.RADON/AIR-Currentorpreviouslyexisting:
Hasthepropertybeentested? Yes No Unknown
IfYES:Date: By:
Results: Ifapplicable,whatremedialstepsweretaken?
Hasthepropertybeentestedsinceremedialsteps? Yes No Aretestresultsavailable? Yes No
Comments:
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm
ENVIRONMENTALSERVICESSUBSURFACESYSTEMSBUREAU
SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 2 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853
4/2020
Spray Spray/batt Spray/batt Interior Walls Sound Sound batt
2 years 2 1000Gal On
JP 09/19/22 4:46 PM EDT dotloop verified dotloop signature verification: dtlp.us/hI3q-H1Gx-yLUc
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
d.RADON/WATER-Currentorpreviouslyexisting:
Hasthepropertybeentested? Yes No Unknown
IfYES:Date: By:
Results:
Ifapplicable,whatremedialstepsweretaken?
Hasthepropertybeentestedsinceremedialsteps? Yes No
Aretestresultsavailable? Yes No Comments:
e.LEAD-BASEDPAINT-Currentorpreviouslyexisting:
Areyouawareoflead-basedpaintonthisproperty? Yes No
IfYES:Sourceofinformation:
Areyouawareofanycracking,peeling,orflakinglead-basedpaint? Yes No
Comments:
f. Areyouawareofanyotherhazardousmaterials? Yes No
IfYES:Sourceofinformation:
Comments:
9. GENERAL INFORMATION
a. Isthispropertysubjecttoliens,encroachments,easements,rights-of-way,leases,restrictivecovenants,attachments,life estates,orrightoffirstrefusal?
Yes No UnknownIfYES,Explain:
Whatisyoursourceofinformation?
b. Isthispropertysubjecttospecialassessments,bettermentfees,associationfees,oranyothertransferablefees?
Yes No UnknownIfYES,Explain: Whatisyoursourceofinformation?
c. Areyouawareofanyonsitelandfillsoranyotherfactors,suchassoil,flooding,drainage,etc?
Yes No IfYES,Explain:
d. Areyouawareofanyproblemswithotherbuildingsontheproperty? Yes No
IfYES,Explain:
e. Areyoureceivingataxexemptionorreductionforthispropertyforanyreasonincludingbutnotlimitedtocurrentuse,land conservation,etc.?
YES NO UNKNOWNIfYES,Explain:
f. IsthispropertylocatedinaFederallyDesignatedFloodHazardZone? Yes No Unknown Comments:
g. Hasthepropertybeensurveyed?
IfYES,issurveyavailable?
h. Howisthepropertyzoned?
HeatingSystemAge:
No
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm
Yes
Unknown IfYES,By:
Yes No Unknown
i.
Type: Fuel: TankLocation: OwnerofTank: AnnualFuelConsumption: Price: Gallons: Datesystemwaslastservicedandbywhom? SecondaryHeatSystems: Comments: j. RoofAge: TypeofRoofCovering: Moistureorleakage: Comments: SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 3 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853 Driveway easement Current Use Jones and Beach Residential 2 Geo Thermal/ Propane backup Geo/propoane on plan seller 2 Standing Seam no JP 09/19/22 4:46 PM EDT dotloop verified dotloop signature verification: dtlp.us/hI3q-H1Gx-yLUc
NewHampshireAssociationofREALTORS®StandardForm
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
k. Foundation/Basement:Full Partial Other: Type: Moistureorleakage: Comments:
l. Chimney(s)HowMany? Lined?
LastCleaned: Problems? Comments:
m.PlumbingType: Age: Comments:
n. DomesticHotWater:Age: Type: Gallons:
o. ElectricalSystem:#ofAmps CircuitBreakers Fuses Comments: SolarPanels: Leased OwnedIfleased,explaintermsofagreement: Comments:
p. Modifications:Areyouawareofanymodificationsorrepairsmadewithoutthenecessarypermits? Yes No IfYes,pleaseexplain:
q. PestInfestation:Areyouawareofanypastorpresentpestinfestations? Yes NoType: Comments:
r. MethamphetamineProduction:Doyouhaveknowledgeofmethamphetamineproductioneveroccurringontheproperty? (PerRSA477:4-g) Yes NoIfYES,pleaseexplain:
s. AirConditioning:Type: Age: DateLastServicedandbywhom: Comments:
t. Pool:Age: Heated: Yes No Type: LastDateofService: ByWhom:
u. Generator:Portable: Yes NoWholeHouse: Yes NoKw/Size: LastDateofService: IfPortable: Included Negotiable Comments:
v. Internet:TypeCurrentlyUsedatProperty:
w.Other(e.g.AlarmSystem,IrrigationSystem,etc.) Comments:
NOTICETOPURCHASER(S):PRIORTOSETTLEMENTYOUSHOULDEXERCISEWHATEVERDUEDILIGENCEYOUDEEM NECESSARYWITHRESPECTTOADJACENTPARCELSINACCORDANCEWITHTHETERMSANDCONDITIONSASMAY BECONTAINEDINPURCHASEANDSALESAGREEMENTANDDEPOSITRECEIPT.YOUSHOULDEXERCISEWHATEVER
PROPERTYDISCLOSURE-RESIDENTIALONLY
DUEDILIGENCEYOUDEEMNECESSARYWITHRESPECTTOINFORMATIONONANYSEXUALOFFENDERS REGISTEREDUNDERNHRSACHAPTER651-B.SUCHINFORMATIONMAYBEOBTAINEDBYCONTACTINGTHELOCAL POLICEDEPARTMENT. SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 4 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853 Finished NO 2 yes No Pex, copper, etc 2 Years 2 Years 2 119 Gallon tanks 400 Solar approved for 25Kw on barn to feed lakehouse Geothermal 2 years Transfer switch installed Generator ready Spectrum 1 gig Alarm, whole house Elan automation. Irrigation barn, lake house, Security cameras whole house Sound system including dock and fire pit, JP 09/19/22 4:46 PM EDT dotloop verified dotloop signature verification: dtlp.us/hI3q-H1Gx-yLUc
ACKNOWLEDGEMENTS:
SELLERACKNOWLEDGESTHATHE/SHEHASPROVIDEDTHEABOVEINFORMATIONANDTHATSUCHINFORMATIONIS ACCURATE,TRUEANDCOMPLETETOTHEBESTOFHIS/HERKNOWLEDGE.SELLERAUTHORIZESTHELISTINGBROKER TODISCLOSETHEINFORMATIONCONTAINEDHEREINTOOTHERBROKERSANDPROSPECTIVEPURCHASERS.
SELLER(S)MAYBERESPONSIBLEANDLIABLEFORANYFAILURETOPROVIDEKNOWNINFORMATIONTOBUYER(S).
SELLER DATE SELLER DATE
BUYERACKNOWLEDGESRECEIPTOFTHISPROPERTYDISCLOSURERIDERANDHEREBYUNDERSTANDSTHE PRECEDINGINFORMATIONWASPROVIDEDBYSELLERANDISNOTGUARANTEEDBYBROKER/AGENT. THIS DISCLOSURESTATEMENTISNOTAREPRESENTATION,WARRANTYORGUARANTYASTOTHECONDITIONOFTHE PROPERTYBYEITHERSELLERORBROKER.BUYERISENCOURAGEDTOUNDERTAKEHIS/HEROWNINSPECTIONS ANDINVESTIGATIONSVIALEGALCOUNSEL,HOME,STRUCTURALOROTHERPROFESSIONALANDQUALIFIED ADVISORSANDTOINDEPENDENTLYVERIFYINFORMATIONDIRECTLYWITHTHETOWNORMUNICIPALITY.
BUYER DATE BUYER DATE
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm TOBECOMPLETEDBYSELLER PROPERTYLOCATION: 10.ADDITIONALINFORMATION a. ATTACHMENTEXPLAININGCURRENTPROBLEMS,PASTREPAIRS,ORADDITIONALINFORMATION? Yes No b. ADDITIONALCOMMENTS:
SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 5 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853 JOSEPH PELLEGRINO dotloop verified 09/19/22 4:46 PM EDT EVWP-JXCE-BXMD-KRKF JP 09/19/22 4:46 PM EDT dotloop verified dotloop signature verification: dtlp.us/hI3q-H1Gx-yLUc
PROPERTYDISCLOSURE-RESIDENTIALONLY
NewHampshireAssociationofREALTORS® StandardForm
TOBECOMPLETEDBYSELLER
ThefollowinganswersandexplanationsaretrueandcompletetothebestofSELLER'Sknowledge.Thisstatementhasbeenpreparedto assistprospectiveBUYERSinevaluatingSELLER'Sproperty.ThisdisclosureisnotawarrantyofanykindbytheSELLER,oranyreal estateFIRMrepresentingtheSELLER,andisnotasubstituteforanyinspectionbytheBUYER.SELLERSauthorizeFIRMinthis transactiontodisclosetheinformationinthisstatementtootherrealestateagentsandtoprospectivebuyersofthisproperty.
NOTICETOSELLER(S):COMPLETEALLINFORMATIONANDSTATENOTAPPLICABLEORUNKNOWNAS APPROPRIATE.IFANYOFTHEINFORMATIONINTHISPROPERTYDISCLOSUREFORMCHANGESFROMTHEDATEOF COMPLETION,YOUARETONOTIFYTHELISTINGFIRMPROMPTLYINWRITING.
1.SELLER:
2.PROPERTYLOCATION:
Wentworth
3.CONDOMINIUM,CO-OP,PUDDISCLOSURERIDERORMULTIFAMILYDISCLOSURERIDERATTACHED? Yes No
4.SELLER: has hasnot occupiedthepropertyfor years.
5. WATERSUPPLY
Pleaseanswerallquestionsregardlessoftypeofwatersupply.
a. TYPEOFSYSTEM: Public Private Seasonal Unknown Drilled Dug Other
b. INSTALLATION:Location:
InstalledBy:
Whatisthesourceofyourinformation?
c. USE:Numberofpersonscurrentlyusingthesystem:
DateofInstallation:
Doessystemsupplywaterformorethanonehousehold? Yes No
d. MALFUNCTIONS:Areyouawareoforhaveyouexperiencedanymalfunctionswiththe(public/private/other)water systems?
Pump: Yes No N/A
Quantity: Yes No Quality: Yes No Unknown
IfYEStoanyquestion,pleaseexplaininCommentsbeloworwithattachment.
e. WATERTEST:Haveyouhadthewatertested? Yes No Dateofmostrecenttest
IFYEStoanyquestion,pleaseexplaininCommentsbeloworwithattachment.
Areyouawareofanytestresultsreportedasunsatisfactoryorsatisfactorywithnotations? Yes No
IFYES,aretestresultsavailable? Yes No
Whatstepsweretakentoremedytheproblem?
COMMENTS:
6. SEWAGEDISPOSALSYSTEM
a. TYPEOFSYSTEM:Public: Yes NoCommunity/Shared: Yes No Private: Yes No Unknown SepticDesignAvailable: Yes No
b. IFPUBLICORCOMMUNITY/SHARED
Haveyouexperiencedanyproblemssuchaslineorothermalfunctions? Yes No
Whatstepsweretakentoremedytheproblem?
c. IFPRIVATE:
TANK: SepticTank HoldingTank
TankSize Gal. Unknown
TankType Concrete Metal
Other
Cesspool Unknown
Other
Unknown Other Location: LocationUnknown DateofInstallation: DateofLastServicing: NameofCompanyServicingTank: Haveyouexperiencedanymalfunctions? Yes No Comments: SELLER(S)INITIALS / BUYER(S)INITIALS / ©2014NEWHAMPSHIREASSOCIATIONOFREALTORS®,INC.ALLRIGHTSRESERVED.FORUSEBYNHARREALTOR®MEMBERSONLY.ALLOTHERUSEPROHIBITED 7.2021 Page1of5 Joseph Pellegrino, Jr. 268 Governor
Highway, Tuftonboro, NH 03853- Guest House 5 Marks Well 2017 2 back of house 2017 JP 09/30/22 8:11 AM EDT dotloop verified dotloop signature verification: dtlp.us/0nF8-yKN8-jpDQ
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
d. LEACHFIELD: Yes No Other
IFYES,Location:
Size: Unknown
Dateofinstallationofleachfield: InstalledBy:
Haveyouexperiencedanymalfunctions? Yes No
Comments:
e. ISSYSTEMLOCATEDON“DEVELOPEDWATERFRONT”asdescribedinRSA485-A? Yes No Unknown
IFYES,hasasiteassessmentbeendone? Yes No Unknown
SourceofInformation:
Comments:
FORADDITIONALINFORMATIONTHEBUYERISENCOURAGEDTOCONTACTTHENHDEPARTMENTOF
7. INSULATION LOCATION Yes No Unknown IfYES,Type Amount Unknown
AtticorCap
CrawlSpace
ExteriorWalls
Floors
8. HAZARDOUSMATERIAL
a.UNDERGROUNDSTORAGETANKS-Currentorpreviouslyexisting:
Areyouawareofanypastorpresentundergroundstoragetanksonyourproperty? Yes No Unknown
IFYES:Aretankscurrentlyinuse? Yes No
IFNO:Howlonghavetank(s)beenoutofservice?
Whatmaterialsare,orwere,storedinthetank(s)?
Ageoftank(s): Sizeoftank(s):
Location:
Areyouawareofanypastorpresentproblemssuchasleakage,etc? Yes No
Comments:
Iftanksarenolongerinuse,havethetanksbeenremoved? Yes No Unknown Comments:
b.ASBESTOS-Currentorpreviouslyexisting:
Asinsulationontheheatingsystempipesorducts? Yes No Unknown
Inthesiding? Yes No UnknownIntheroofingshingles?
Inflooringtiles? Yes No UnknownOther
IfYES,Sourceofinformation:
Comments:
c.RADON/AIR-Currentorpreviouslyexisting:
Hasthepropertybeentested?
IfYES:Date:
Results:
Hasthepropertybeentestedsinceremedialsteps?
Aretestresultsavailable?
Comments:
No Unknown
No Unknown
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm
ENVIRONMENTALSERVICESSUBSURFACESYSTEMSBUREAU
Yes
Yes
Yes No Unknown
By:
Ifapplicable,whatremedialstepsweretaken?
Yes No
Yes No
SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 2 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853- Guest House Sip panels R52 Batt Spray R42 Batt JP 09/30/22 8:11 AM EDT dotloop verified dotloop signature verification: dtlp.us/0nF8-yKN8-jpDQ
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
d.RADON/WATER-Currentorpreviouslyexisting:
Hasthepropertybeentested? Yes No Unknown
IfYES:Date: By:
Results:
Ifapplicable,whatremedialstepsweretaken?
Hasthepropertybeentestedsinceremedialsteps? Yes No
Aretestresultsavailable? Yes No Comments:
e.LEAD-BASEDPAINT-Currentorpreviouslyexisting:
Areyouawareoflead-basedpaintonthisproperty? Yes No
IfYES:Sourceofinformation:
Areyouawareofanycracking,peeling,orflakinglead-basedpaint? Yes No
Comments:
f. Areyouawareofanyotherhazardousmaterials? Yes No
IfYES:Sourceofinformation:
Comments:
9. GENERAL INFORMATION
a. Isthispropertysubjecttoliens,encroachments,easements,rights-of-way,leases,restrictivecovenants,attachments,life estates,orrightoffirstrefusal?
Yes No UnknownIfYES,Explain:
Whatisyoursourceofinformation?
b. Isthispropertysubjecttospecialassessments,bettermentfees,associationfees,oranyothertransferablefees?
Yes No UnknownIfYES,Explain: Whatisyoursourceofinformation?
c. Areyouawareofanyonsitelandfillsoranyotherfactors,suchassoil,flooding,drainage,etc?
Yes No IfYES,Explain:
d. Areyouawareofanyproblemswithotherbuildingsontheproperty? Yes No
IfYES,Explain:
e. Areyoureceivingataxexemptionorreductionforthispropertyforanyreasonincludingbutnotlimitedtocurrentuse,land conservation,etc.?
YES NO UNKNOWNIfYES,Explain:
f. IsthispropertylocatedinaFederallyDesignatedFloodHazardZone? Yes No Unknown
Comments:
g. Hasthepropertybeensurveyed?
Yes No Unknown IfYES,By:
IfYES,issurveyavailable? Yes No Unknown
h. Howisthepropertyzoned?
i. HeatingSystemAge:
OwnerofTank:
SecondaryHeatSystems:
j. RoofAge:
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm
Type: Fuel: TankLocation:
AnnualFuelConsumption: Price: Gallons: Datesystemwaslastservicedandbywhom?
Comments:
TypeofRoofCovering: Moistureorleakage: Comments: SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 3 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853- Guest House Driveway easement Current USE Jones and Beach Residential 5yrs Hydronic hot air LP Left of driveway 5yrs Standing Seam metal JP 09/30/22 8:11 AM EDT dotloop verified dotloop signature verification: dtlp.us/0nF8-yKN8-jpDQ
NewHampshireAssociationofREALTORS®StandardForm
TOBECOMPLETEDBYSELLER
PROPERTYLOCATION:
k. Foundation/Basement:Full Partial Other: Type: Moistureorleakage: Comments:
l. Chimney(s)HowMany? Lined?
LastCleaned: Problems? Comments:
m.PlumbingType: Age: Comments:
n. DomesticHotWater:Age: Type: Gallons:
o. ElectricalSystem:#ofAmps CircuitBreakers Fuses Comments: SolarPanels: Leased OwnedIfleased,explaintermsofagreement: Comments:
p. Modifications:Areyouawareofanymodificationsorrepairsmadewithoutthenecessarypermits? Yes No IfYes,pleaseexplain:
q. PestInfestation:Areyouawareofanypastorpresentpestinfestations? Yes NoType: Comments:
r. MethamphetamineProduction:Doyouhaveknowledgeofmethamphetamineproductioneveroccurringontheproperty? (PerRSA477:4-g) Yes NoIfYES,pleaseexplain:
s. AirConditioning:Type: Age: DateLastServicedandbywhom: Comments:
t. Pool:Age: Heated: Yes No Type: LastDateofService: ByWhom:
u. Generator:Portable: Yes NoWholeHouse: Yes NoKw/Size: LastDateofService: IfPortable: Included Negotiable Comments:
v. Internet:TypeCurrentlyUsedatProperty:
w.Other(e.g.AlarmSystem,IrrigationSystem,etc.) Comments:
NOTICETOPURCHASER(S):PRIORTOSETTLEMENTYOUSHOULDEXERCISEWHATEVERDUEDILIGENCEYOUDEEM NECESSARYWITHRESPECTTOADJACENTPARCELSINACCORDANCEWITHTHETERMSANDCONDITIONSASMAY BECONTAINEDINPURCHASEANDSALESAGREEMENTANDDEPOSITRECEIPT.YOUSHOULDEXERCISEWHATEVER
PROPERTYDISCLOSURE-RESIDENTIALONLY
DUEDILIGENCEYOUDEEMNECESSARYWITHRESPECTTOINFORMATIONONANYSEXUALOFFENDERS REGISTEREDUNDERNHRSACHAPTER651-B.SUCHINFORMATIONMAYBEOBTAINEDBYCONTACTINGTHELOCAL POLICEDEPARTMENT. SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 4 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853- Guest House unfinished no 1 2018 no Pex 5yrs 5 On Demand 200 Electric 5yrs Spectrum JP 09/30/22 8:11 AM EDT dotloop verified dotloop signature verification: dtlp.us/0nF8-yKN8-jpDQ
ACKNOWLEDGEMENTS:
SELLERACKNOWLEDGESTHATHE/SHEHASPROVIDEDTHEABOVEINFORMATIONANDTHATSUCHINFORMATIONIS ACCURATE,TRUEANDCOMPLETETOTHEBESTOFHIS/HERKNOWLEDGE.SELLERAUTHORIZESTHELISTINGBROKER TODISCLOSETHEINFORMATIONCONTAINEDHEREINTOOTHERBROKERSANDPROSPECTIVEPURCHASERS.
SELLER(S)MAYBERESPONSIBLEANDLIABLEFORANYFAILURETOPROVIDEKNOWNINFORMATIONTOBUYER(S).
SELLER DATE SELLER DATE
BUYERACKNOWLEDGESRECEIPTOFTHISPROPERTYDISCLOSURERIDERANDHEREBYUNDERSTANDSTHE PRECEDINGINFORMATIONWASPROVIDEDBYSELLERANDISNOTGUARANTEEDBYBROKER/AGENT. THIS DISCLOSURESTATEMENTISNOTAREPRESENTATION,WARRANTYORGUARANTYASTOTHECONDITIONOFTHE PROPERTYBYEITHERSELLERORBROKER.BUYERISENCOURAGEDTOUNDERTAKEHIS/HEROWNINSPECTIONS ANDINVESTIGATIONSVIALEGALCOUNSEL,HOME,STRUCTURALOROTHERPROFESSIONALANDQUALIFIED ADVISORSANDTOINDEPENDENTLYVERIFYINFORMATIONDIRECTLYWITHTHETOWNORMUNICIPALITY.
BUYER DATE BUYER DATE
PROPERTYDISCLOSURE-RESIDENTIALONLY NewHampshireAssociationofREALTORS®StandardForm TOBECOMPLETEDBYSELLER PROPERTYLOCATION: 10.ADDITIONALINFORMATION a. ATTACHMENTEXPLAININGCURRENTPROBLEMS,PASTREPAIRS,ORADDITIONALINFORMATION? Yes No b. ADDITIONALCOMMENTS:
SELLER(S)INITIALS / BUYER(S)INITIALS / © 2014 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 7.2021 Page 5 of 5 268 Governor Wentworth Highway, Tuftonboro, NH 03853- Guest House
Joseph Pellegrino, Jr.
dotloop verified 09/30/22 8:11 AM EDT 68OS-F7FB-LZGB-JSON JP 09/30/22 8:11 AM EDT dotloop verified dotloop signature verification: dtlp.us/0nF8-yKN8-jpDQ
LEAD-BASED PAINT AND/OR LEAD-BASED HAZARDS FOR HOUSING SALES
This Disclosure Form is from the National Lead Information Center under the United States Environmental Protection Agency. This is not a New Hampshire Association of REALTORS® form.
Property Address:
Governor Wentworth Highway, Tuftonboro, NH 03853 - Guest House
Lead Warning Statement
Every purchaser of any interest in residential property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead 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 paint hazards is recommended prior to purchase.
Seller’s Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i) Known lead-based paint and/or lead-based paint hazards are present in the housing (explain).
(ii) 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 (i) or (ii) below):
(i) Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below).
(ii) Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.
Purchaser’s Acknowledgement (initial)
(c) _____ Purchaser has received copies of all information listed above.
(d) _____ Purchaser has received the pamphlet Protect Your Family from Lead in Your Home.
(e) Purchaser has (check (i) or (ii) below):
(i) received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards; or (ii) waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards.
Agent’s Acknowledgement (initial)
(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 they have provided is true and accurate.
DISCLOSURE OF INFORMATION ON
© 2009 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED. 01.2009
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________________________________________ _______________________________________ Seller Date Seller Date ______________________________________ _______________________________________ Purchaser Date Purchaser Date ________________________________________ _______________________________________ Agent Date Agent Date 268
BS 09/30/22 9:16 AM EDT dotloop verified Joseph Pellegrino, Jr. dotloop verified 09/30/22 8:11 AM EDT MQVZ-Q6OS-LSTK-UNEG Brie Stephens dotloop verified 09/30/22 9:16 AM EDT 3DLQ-DGZJ-IXFB-XMQM dotloop signature verification: dtlp.us/ivfA-ahNm-3rj0
PriceGrantor
MIRRORLAKE,NH03853
03/19/21
10/27/14
NOTES
WHITE;DNVUPATIO;HSEONRD,CARD2ONWTR;W/F=1450' +50XWF+5USE+10BCH-10WFTOPO=156;12-CORRECTFRONTAGENICU ANDFRONTAGETOTALINCU;1/14ADJACPERSUBDIVRW6/14 SUBDIVIDEDSINCESALES12/14CHGLANDCLASSNICUAREANOTAT WATER,CHGTOWINNIZONEIFWATERFRONTDEVELOPEDRW10/14 PATION/V,ADJMEASRW3/17NCHGCHK18REMODELBJL3/18ESTRENO 100%RW5/18ADJACPERBLARW4/20HSE50%CHK213/21BARN70% CHK22FIN&SOLARRW
EXTRAFEATURESVALUATION