Page 1

105 First Street Fossil, Oregon

Offered at $300,000


Dan Fox and Jake Moorhead The JD Real Estate Group Licensed brokers with Cascade Sotheby’s International Realty

With a lifetime of experience in agriculture, construction and business, The JD Real Estate Group is taking Central Oregon by storm. The team works in Farm and Rach, Residential and New Developments. Whether buying or selling, they have the knowledge and dedication to deliver a superior experience.

CascadeSothebysRealty.com TheJDGroup.com


RURAL, small town living with income producing property. Fossil Motel & RV Park is located on the Oregon Scenic Byway and provides rooms/RV spots to hunters, fishermen, tourists and local workers. Seven motel rooms – four full and six with electric RV spots. On city sewer and water. Recent updates for most of the bathrooms and potential to increase number of rooms with minimal remodel. CENTRALLY located to the John Day Fossil Beds and functions as a gateway for tourist exploration of the John Day River. Twenty minutes to the John Day River and being in the Fossil hunting unit makes this a prime spot for hunters and fishermen.


105 First Street, Fossil, Oregon 97830

Square Feet: 1100 Est. Gross Income: $50,000

Lot Size: 1.95 Acres Price: $300,000

VIEWS Terrain

Water

ADDITIONAL AMENITIES Kitchen Gravel Parking Lot Separate Buildings (4)

Full RV Hook-ups Waterfront Scenic Byway Frontage

PROPERTY DETAILS

LOT

0

BLOCK

0

BUILT

1940

ZONED

C

TAXES

$3021

CC&RS

Yes

DEFERRAL

Yes

IRRIGATION

None

WATER

City

POWER

Columbia Basin


LIST KIT


WHEELER COUNTY Property Account Summary As Of 4/9/2018

Status: Active

Account No.:

24

Account Type:

Real Property

TCA:

1

Situs Address:

105 FIRST STREET FOSSIL OR 97830

Legal:

SECTION 32 TOWNSHIP 6S RANGE 21 E QUARTER D PRCL 600 MapTax Lot: 06S21 E32D00600

Alternate Property Number:

062132D0-00600-00024

Parties: Role

Name & Address

owner

FIELDING JAMES DARRELL & HYON 0 PO BOX387 FOSSIL OR 97830

Taxpayer

FIELDING JAMES DARRELL & HYON 0 PO BOX387 FOSSIL OR 97830

Property Values: Value Name Assessed Value Regular (AVR) Taxable Value Regular (TVR) MKLND + SAMKL (MKLTL) MKIMP + SAMKI (MKITL) Real MKT Total (MKTTL)

2017

2016

2015

$126,130 $126,130 $102,839 $100,851 $203.690

$122,456 $122,456 $79,716 $97,755 $177,471

$118,889 $118,889 $81,343 $98,604 $179,947

Property Characteristics: Tax Year

Characteristic

Value

2017

Neighborhood Land Class Category Acreage Zone Change property ratio

210 : Fossil Commercial 201: Comm Improved 1.950 COMM : Comercial 2XXCommercial

Exemptions:

(End of Repo,t)

Run: 4/9/2018 8:36:45 AM

ASC0037 [AscendWheelerMain]

Page 1


Year

Category TCA/Distric Charged Minimum Bal. Due Due Date 2017 Property Tax I 1 2930.11 1953.41 2930.11 11/15/2017 2017 Property Tax I 1 91.16 60.76 91.16 4/9/2018

Account Number: 24 Centroid: 06S21E32D0060000 T.6 SOUTH R. 21 E. WM A PARCEL OF LAND LY IN THE NW 1/4 SE 1/4 OF SEC 32 BEING M/P DESC AS FOLLOWS BAAP ON THE S R/W LI OF FIRST ST. SD PT BEING 530' W OF THE NW COR OF LOT 2 BLK 1 KELSAY'$ SECOND ADD'N THE CONT W ALG SD S R/W LINE 326' TH S TO THE CENTER OF BUTTE CREEK TH ELY FOL SD BUTTE CREEK TO A PT THAT IS 350' W & ·242• S OF THE NW COR OF LOT 2 BLK 1 KELSAY'S SECOND ADD'N TH W 180' TH N 244.8' TO THE POINT OF BEGINING EXC TL 1802 (M37-413) .81 AC. REQUEST 11/29/77 05/01/78 M38 168 06/19/86 M37 616 617 618 619 620 621 12/30/86 M37 750 06/19/86 M24 967 06/04/91 M39 42 B.S. 08/15/16 2016-0212


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O R E G O N R E A L E S TAT E A G E N C Y I NI T I AL DI SC LOSUR E PAM PHL ET


OREGON REAL ESTATE INITIAL AGENCY DISCLOSURE PAMPHLET OAR 863-015-215 (4) This pamphlet describes the legal obligations of real estate agents in Oregon. Real estate agents and Principal Brokers are required to provide this information to you when they first meet you. This pamphlet is informational only. Neither the pamphlet nor its delivery to you may be interpreted as evidence of intent to create an agency relationship between you and an agent or Principal Broker. Real Estate Agency Relationships An "agency" relationship is a voluntary legal relationship in which a licensed real estate agent or Principal Broker agrees to act on behalf of a buyer or a seller (the "client") in a real estate transaction. Oregon law provides for three types of agency relationships between real estate agents and their clients: Seller's Agent - Represents the seller only; Buyer's Agent - Represents the buyer only; Disclosed Limited Agent - Represents both the buyer and seller, or multiple buyers who want to purchase the same property. This can be done only with the written permission of both clients. The actual agency relationships between the seller, buyer and their agents in a real estate transaction must be acknowledged at the time an offer to purchase is made. Please read this pamphlet carefully before entering into an agency relationship with a real estate agent. Definition of "Confidential Information" Generally, agents must maintain confidential information about their clients. "Confidential information" is information communicated to the agent or the agent's Principal Broker by the buyer or seller of one to four residential units regarding the real property transaction, including but not limited to price, terms, financial qualifications or motivation to buy or sell. "Confidential information" does not mean information that: a. b.

The buyer instructs the agent or the agent's Principal Broker to disclose about the buyer to the seller, or the seller instructs the agent or the agent's Principal Broker to disclose about the seller to the buyer; and The agent or the agent's Principal Broker knows or should know failure to disclose would constitute fraudulent representation. Duties and Responsibilities of Seller's Agent

Under a written listing agreement to sell property, an agent represents only the seller unless the seller agrees in writing to allow the agent to also represent the buyer. An agent who represents only the seller owes the following affirmative duties to the seller, the other parties and the other parties' agents involved in a real estate transaction: 1. 2. 3.

To deal honestly and in good faith; To present all written offers, notices and other communications to and from the parties in a timely manner without regard to whether the property is subject to a contract for sale or the buyer is already a party to a contract to purchase; and To disclose material facts known by the agent and not apparent or readily ascertainable to a party;

This form has been licensed for use solely by Jacob Moorhead pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC. www.orefonline.com Provided by Oregon Real Estate Forms, LLC 2018 May n ot be reproduced without express permission of Oregon Real Estate Forms, LLC

Cascade Sotheby's h1t'l, 650 SW Bond St Suite 100 Bend, OR 97702 Phone: (541)480-6790 Fax Jacob Moorhead Produced with zipFormÂŽ by ziplogix 18070 Fifteen Mile Road. Fraser. Michigan 48026 www ziplogix corn

OREF 042 Page 1 of 3

Test


A Seller's Agent owes the seller the following affirmative duties; 1. 2. 3. 4. 5. 6. 7.

To exercise reasonable care and diligence; To account in a timely manner for money and property received from or on behalf of the seller; To be loyal to the seller by not taking action that is adverse or detrimental to the seller's interest in a transaction; To disclose in a timely manner to the seller any conflict of interest, existing or contemplated; To advise the seller to seek expert advice on matters related to the transactions that are beyond the agent's expertise; To maintain confidential information from or about the seller except under subpoena or court order, even after termination of the agency relationship; and Unless agreed otherwise in writing, to make a continuous, good faith effort to find a buyer for the property, except that a Seller's Agent is not required to seek additional offers to purchase the property while the property is subject to a contract for sale.

None of the above affirmative duties of an agent may be waived, except #7. The affirmative duty listed in #7 can only be waived by written agreement between seller and agent. Under Oregon law, a Seller's Agent may show properties owned by another seller to a prospective buyer and may list competing properties for sale without breaching any affirmative duty to the seller. Unless agreed to in writing, an agent has no duty to investigate matters that are outside the scope of the agent's expertise, including but not limited to investigation of the condition of property, the legal status of the title or the seller's past conformance with law. Duties and Responsibilities of Buyer's Agent An agent, other than the Seller's Agent, may agree to act as the Buyer's Agent only. The Buyer's Agent is not representing the seller, even if the Buyer's Agent is receiving compensation for services rendered, either in full or in part, from the seller or through the Seller's Agent. An agent who represents only the buyer owes the following affirmative duties to the buyer, the other parties and the other parties' agents involved in a real estate transaction: 1. 2. 3.

To deal honestly and in good faith; To present all written offers, notices and other communications to and from the parties in a timely manner without regard to whether the property is subject to a contract for sale or the buyer is already a party to a contract to purchase; and To disclose material facts known by the agent and not apparent or readily ascertainable to a party.

A Buyer's Agent owes the buyer the following affirmative duties: 1. 2. 3. 4. 5. 6. 7.

To exercise reasonable care and diligence; To account in a timely manner for money and property received from or on behalf of the buyer; To be loyal to the buyer by not taking action that is adverse or detrimental to the buyer's interest in a transaction; To disclose in a timely manner to the buyer any conflict of interest, existing or contemplated; To advise the buyer to seek expert advice on matters related to the transaction that are beyond the agent's expertise; To maintain confidential information from or about the buyer except under subpoena or court order, even after termination of the agency relationship; and Unless agreed otherwise in writing, to make a continuous, good faith effort to find property for the buyer, except that a buyer's agent is not required to seek additional properties for the buyer while the buyer is subject to a contract for purchase.

None of these affirmative duties of an agent may be waived, except #7. The affirmative duty listed in #7 can only be waived by written agreement between buyer and agent. This form has been licensed for use solely by Jacob Moorhead pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

Provided by Oregon Real Estate Forms, LLC 2018

OREF 042 Page 2 of 3

www.orefonline.com

May not be reproduced without express permission of Oregon Real Estate Forms, LLC Produced with zipFormÂŽ by ziplogix 18070 Fifteen Mile Road. Fraser. Michigan 48026 www ziplogix com

Test


Under Oregon law, a Buyer's Agent may show properties in which the buyer is interested to other prospective buyers without breaching an affirmative duty to the buyer. Unless agreed to in writing, an agent has no duty to investigate matters that are outside the scope of the agent's expertise, including but not limited to investigation of the condition of property, the legal status of the title or the seller's past conformance with law. Duties and Responsibilities of an Agent Who Represents More than One Client in a Transaction One agent may represent both the seller and the buyer in the same transaction, or multiple buyers who want to purchase the same property, only under a written "Disclosed Limited Agency Agreement" signed by the seller and buyer(s). Disclosed Limited Agents have the following duties to their clients: 1. To the seller, the duties listed above for a seller's agent; and 2. To the buyer, the duties listed above for a buyer's agent; 3. To both buyer and seller, except with express written permission of the respective person, the duty not to disclose to the other person: a. That the seller will accept a price lower or terms less favorable than the listing price or terms; b. That the buyer will pay a price greater or terms more favorable than the offering price or terms; or c. Confidential information as defined above. Unless agreed to in writing, an agent has no duty to investigate matters that are outside the scope of the agent's expertise. When different agents associated with the same Principal Broker (a real estate agent who supervises other agents) establish agency relationships with different parties to the same transaction, only the Principal Broker will act as a Disclosed Limited Agent for both buyer and seller. If applicable, see Disclosed Limited Agency Agreement for identification of Disclosed Limited Agent. The other agents continue to represent only the party with whom the agents have already established an agency relationship unless all parties agree otherwise in writing. The Principal Broker and agents representing either seller or buyer shall owe the following duties to the seller and buyer: 1. 2. 3.

To disclose a conflict of interest in writing to all parties; To take no action that is adverse or detrimental to either party's interest in the transaction; and To obey the lawful instruction of both parties.

No matter whom they represent, an agent must disclose information the agent knows or should know that failure to disclose would constitute fraudulent misrepresentation. You are encouraged to discuss the above information with the agent delivering this pamphlet to you. If you intend for that agent, or any other Oregon agent, to represent you as a Seller's Agent, Buyer's Agent, or Disclosed Limited Agent, you should have a specific discussion with the agent about the nature and scope of the agency relationship. Whether you are a buyer or seller, you cannot make an agent your agent without the agent's knowledge and consent, and an agent cannot make you their client without your knowledge and consent.

This form has been licensed for use solely by Jacob Moorhead pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC. www.orefonline.com Provided by Oregon Real Estate Forms, LLC 2018 May not be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zip FormÂŽ by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026

www ziplogix com

OREF 042 Page 3 of 3

Test


SELLERâ&#x20AC;&#x2122;S PROPERT Y DI SC LOSUR E


SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 1051st St Fossil OR 97830

. 1 2 3

4 5 6 7

INSTRUCTIONS TO THE SELLER

Please complete the following form. Do not leave any spaces blank. Please refer to the line number(s) of the question(s) when you provide your explanation(s). If you are not claiming an exclusion or refusing to provide the form under ORS 105.475 (4), you should date and sign each page of this disclosure statement and each attachment.

Each seller of residential property described in ORS 105.465 must deliver this form to each buyer who makes a written offer to purchase. Under ORS 105.475 (4), refusal to provide this form gives the buyer the right to revoke their offer at any time prior to closing the transaction. Use only the section(s) of the form that apply to the transaction for which the form is used. If you are claiming an exclusion under ORS 105.470, fill out only Section 1.

8 9 10

An exclusion may be claimed only if the seller qualifies for the exclusion under the law. If not excluded, the seller must disclose the condition of the property or the buyer may revoke their offer to purchase any time prior to closing the transaction. Questions regarding the legal consequences of the seller's choice should be directed to a qualified attorney.

12 13 14

Section 1. EXCLUSION FROM ORS 105 465 TO 105 490: You may claim an exclusion under ORS 105.470 only if you qualify under the statute. If you are Section 2 of this form completely.

11

15

16 17

DO NOT FILL OUT THIS SECTION UNLESS YOU ARE CLAIMING AN EXCLUSION UNDER ORS 105

Initial only the exclusion you wish to claim.

. The dwelling is constructed or installed under building or installation permit(s) #

------------=-=------ issued by ________________

18 19

___ This sale is by a fina ·a1 nstitution that acquired the property as custodian, agent or trustee, or by foreclosure or deed in lieu of foreclosure.

23

Seller _______________ Date _____ <- Seller _______________ Date _____

24

Signature(s) of Buyer(s) Acknowledging Seller's Claim

20

r is a court.appointed (Check only one): _ � 21 1 nis sale or transfer is by a governmental agency. � 22 Signature(s) of Seller(s) Claiming Exclusion

25

26

D receiver O personal representative D trustee O conservator D guardian

James Darrell Fielding

Hyon 0. Fielding

Buyer _______________ Date _____ <- Buyer _______________ Date ____ IF YOU DID NOT CLAIM AN EXCLUSION IN SECTION 1, YOU MUST FILL OUT THIS SECTION.

27

Section 2. SELLER'S PROPERTY DISCLOSURE STATEMENT

29 30

NOTICE TO THE BUYER: THE FOLLOWING REPRESENTATIONS ARE MADE BY THE SELLER(S) CONCERNING THE CONDITION OF "THE PROPERTY." THE PROPERTY LOCATED AT 1051st St Fossil OR 97830

28

31 32 33 34 35 36

(NOT A WARRANTY) (ORS 105.465)

DISCLOSURES CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME OF DISCLOSURE. BUYER HAS FIVE BUSINESS DAYS FROM THE SELLER'S DELIVERY OF THIS SELLER'S DISCLOSURE STATEMENT TO REVOKE BUYER'S OFFER BY DELI ERING BUYER'S SEPARATE SIGNED WRITTEN STATEMENT OF REVOCATION TO TH SELLER DISAPPROVING THE SELLER'S SCLOSURE ST E, E , UNLESS BUYER WAIVES THIS RIGHT AT OR PRIOR TO ENTE G I TOt SA E AGREEMENT. '.Y,,.,-· � � _i'--1" ' Date Seller_V,,:;l.Ll'.���M��'.:.._,���rt, Date �-))-jB Seller -,,,,

2 �

!£«-

f(J -

4�

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This form has been licensed for use solely by Daniel Fox pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

LINES WITH THIS SYMBOL +- REQUIRE A SIGNATURE AND DATE Copyright Oregon Real Estate Forms, LLC 2018 www.orefonline.com No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

IBuyer Initials _ _ / __ Date ____

Cascade Sotheby's International Rtalty� 650 S\\' bond St Bend OR 97702 Phone: (541)480-0763 Fax: Daniel Fox Produced with zipForm® by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 WNWziplogi x com

OREF 020

Page 1 of 7 105 1st St Fossil


SELLER'S PROPERTY DISCLOSURE STATEMENT

37 38 39 40 41

Property Address 1051st St Fossil OR 97830

FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY, BUYER IS ADVISED TO OBTAIN AND PAY FOR THE SERVICES OF A QUALIFIED SPECIALIST TO INSPECT THE PROPERTY ON BUYER'S BEHALF INCLUDING, FOR EXAMPLE, ONE OR MORE OF THE FOLLOWING: ARCHITECTS, ENGINEERS, PLUMBERS, ELECTRICIANS, ROOFERS, ENVIRONMENTAL INSPECTORS, BUILDING INSPECTORS, CERTIFIED HOME INSPECTORS, OR PEST AND DRY ROT INSPECTORS. Seller Dis Dis not occupying the property.

I. SELLER'S REPRESENTATIONS:

42 43 44

The following are representations made by the seller and are not the representations of any financial institution that may have made or may make a loan pertaining to the property, or that may have or take a security interest in the property, or any real estate licensee engaged by the seller or the buyer.

46

1. TITLE

45 47 48

49 50

*If you mark yes on items with •, attach a copy or explain on an attached sheet.

A.

*B.

*D.

53

*E.

55

*F.

52

54 56

57

58

�es

Is title to the property subject to any of the following: ........................................................

D First right of refusal D Option D Lease or rental agreement

D Yes*

DOther listing

Are there any encroachments, boundary agreements, boundary disputes or recent boundary changes? .S.-e..J./.-?.�[ ..."1;.,..

�es*

ftS�tYr1?.n!...L............................

Are there any rights of way, easements, licenses, access limitations or

OYes* �o

Are there any agreements for joint maintenance of an easement or right of way? ............

*G.

Are there any governmental studies, designations, zoning overlays, surveys

or notices that would affect the property? .......................................................................... .

*H.

Are there any pending or existing governmental assessments against the property? ........

*I.

Are there any zoning violations or nonconforming uses? ....................................................

61

*K.

Are there any covenants, conditions, restrictions or private assessments that affect the property?

62

63 64

65 66

Is there a boundary survey for the properly? ......................................................................

*J.

*L.

Is the property subject to any special tax assessment or tax treatment that may

result in levy of additional taxes if the property is sold?......................................................

2. WATER

A.

Household water

(1) The source of the water is (check ALL that apply)�ublic

(2) Water source information:

67

*a)

68 69

70 71

Seller

e

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it

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;&

Unknown

D Unknown

D Yes* �No D Unknown

OYes* �o

□ □

OYes*�o

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LJYes* �o

□ Unknown

OYes* �o

Unknown

Unknown

OYes* ONo �nknown

D Community D Private D Other

� : ,;�a{j

�:::.t:: ::� �:::::;;;�;�.�.�� �,.���� �::::·.:::::::::::·.:::::::·.::·.·.:::::·.::::::·.:::::·.:::

•01 1, /he wale, ,o"'c�locale

D No D Unknown

OYes* �o

claims that may affect your interest in the property? ..........................................................

59

60

D No D Unknown D Unknown

�o

D Life estate Is the property being transferred an unlawfully established unit of land?............................ D Yes* �o D Unknown

*C.

51

Do you have legal authority to sell the property? ...............................................................

B :::• !�: B ����:=�

. Fieldin

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This form has been licensed for use solely by Daniel Fox pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.

LINES WITH THIS SYMBOL +- REQUIRE A SIGNATURE AND DATE Copyright Oregon Real Estate Forms, LLC 2018 www.orefonline.com No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC

Produced with zipForm® by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026

I Buyer Initials __ I __ Date ____ OREF 020 Page 2 of 7

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105 1st St Fossil


SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 1051st St Fossil OR 97830

72

*c)

73

74 75

d)

76

81 82 85

86 87

B.

C.

0Yes

0Yes �No

D Leased D Owned

Irrigation

(1) Are there any

�o

0Yes* �o'

0Yes �o

D water rights or D other rights for the property?.................................

Yes*

No

i 0Yes* No

* (3) Is there a water rights certificate or other written evidence available? ........................ Outdoor sprinkler system

0Yes �No

(1) Is there an outdoor sprinkler system for the property? .................................................

0Yes �o

(2) Has a back flow valve been installed? .......................................................................... (3) Is the outdoor sprinkler system operable? ............................................ .......................

3. SEWAGE SYSTEM

Yes

□ □

No

No

A.

Is the property connected to a public or community sewage system?................................. �Yes

C.

Is the property connected to an on-site septic system?.......................................................

D Yes D Yes

(2) *If yes, was the system installed by permit? .................................................................

0Yes* 0No

B.

Are there any new public or community sewage systems proposed for the property? .......

(1) If yes, when was the system installed? .......................................................................... (3) *Has the system been repaired or altered? ...................................................................

(4) *Has the condition of the system been evaluated and a report issued?........................ .

96 97

(5) Has the septic tank ever been pumped? .......................................................................

If yes, when? .................................................................................................................

98

(7) Does the system have a treatment unit such as a sand filter or an aerobic unit?

100 101

(8) Is a service contract for routine maintenance required for the system?

*D.

E.

�o

�o

Yes* 0No

0Yes �o

D Yes D No

D Yes D Yes D Yes

(6) Does the system have a pump?

99

104

the following in the past 12 months? .................................................................. .

* (2) If any exist, has the irrigation water been used during the last five-year period?........

94 95

102 103

0Yes* �No

If the source of water is from a well or spring, have you had any of

*e) Are there any water source plumbing problems or needed repairs?....................

88

89 90 91 92 93

maintenance of the water source? ......................................................................

Is there an easement (recorded or unrecorded) for your access to or

(3) Are there any water treatment systems for the property? ............................................ .

83

84

0Yes* �

D Flow test D Bacteria test D Chemical contents test

77 78 79

80

*If not, are there any written agreements for a shared water source? ................ .

(9) Are all components of the system located on the property?

Are there any sewage system problems or needed repairs? ..............................................

Does your sewage system require on-site pumping to another level? ................... ............

0

0

D Unknown

□ □ □ □

Unknown Unknown

NA

Unknown

Unknown

NA

Unknown 0NA

D Unknown

□ □

NA

Unknown

D Unknown

□ □

Unknown

NA

Unknown ,,NA

D Unknown

□ □ □ □ □

NA

Unknown 0NA

Unknown 0NA

unknown 0NA

unknown Unknown

D Unknown

□ □

NA

NA

ONA

□unknown �A

□ D □ D □ □

�A

Unknown �A Unknown

Unknown

Unknown

Unknown

Unknown

O NA

□ □ □ □

NA

NA

NA

NA

Thi form has been licensed for use solely by Daniel Fox pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC. LINES WITH THIS SYMBOL +- REQUIRE A SIGNATURE AND DATE Copyright Oregon Real Estate Forms, LLC 2018 www.orefonline.com No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC Produced with zipForm® by ziplogix 18070 Fifteen Mile Road. Fraser, Michigan 48026

I Buyer Initials

Date OREF 020 Page 3 of 7

www zioLogix com

105 1st St Fossil


SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 1051st St Fossil OR 97830 106

107

108

4. DWELLING INSULATION *A.

109

110

111

Is there insulation in the:

(1) Ceiling? ......................................................................................................................... �es

Are there any defective insulated doors or windows? ........................................................

113

*A.

Has the roof leaked?...........................................................................................................

115

B.

Are there any additions, conversions or remodeling? ........................................................

114

116

118 120

121

122

D.

E.

123

125

126 127

128 129

130

131

132

133

134

135 136

137

138

139

If yes, has it been repaired?................................................................................................

0Yes

*F.

*G.

H. I.

No

No

0Yes �o

□ □

If yes, was a building permit required?.............................................................................. ..

Yes

Yes

0Yes

If yes, was final inspection obtained? ................................................................................. .

0No

0No 0No

□ D □

Unknown

Unknown Unknown

D Unknown

□ □

Unknown

Unknown ONA

D Unknown D Unknown

□ D □

unknown Unknown

Unknown

Are there smoke alarms or detectors?................................................................................

)(Yes

0No

Is there a woodstove or fireplace insert included in the sale?............................................ .

�es

0No �nknown

0Yes �No

Are there carbon monoxide alarms?...................................................................................

*If yes, what is the make? ______________________

D Yes* D No D Unknown

(EPA) or the Department of Environmental Quality (DEQ) affixed to it?..............................

0Yes* 0No

0Yes* �o

□ □

0 Yes*�o

D Unknown

Is there a sump pump on the property?...............................................................................

D Yes

�o

D Unknown

have been the subject of a recall. class action suit. settlement or litigation? ......................

0Yes Jj(llio

nunknown

(1) Are there problems with the materials? .........................................................................

0Yes �o

Has pest and dry rot, structural or ''whole house" inspection been done within the last three years? Are there any moisture problems, areas of water penetration, mildew odors or other moisture conditions (especially in the basement)?.................................................

ONA

□ □

NA

NA

D Unknown

*If yes, was it installed with a permit?....................................................................

*If yes, is a certification label issued by the United States Environmental Protection Agency

124

No

0Yes* �o

If yes, was a building permit obtained?............................................................................... C.

No

0Yes �o

5. DWELLING STRUCTURE

117

119

t:8(.xes

(3) Floors? ..........................................................................................................................

B.

112

�s

(2) Exterior Walls?...............................................................................................................

□ □ □

ONA

Unknown ONA Unknown

*If yes, explain on attached sheet the frequency and extent of problem and any insurance claims, repairs or remediation done. Are there any materials used in the construction of the structure that are or

If yes, what are the materials? ____________________

(2) Are the materials covered by a warranty? .....................................................................

(4) Have there ever been claims filed for these materials by you or by previous owners?..

0Yes �No

(3) Have the materials been inspected? .............................................................................

If yes, when? _________________________

Yes

0Yes �o

D Unknown D Unknown D Unknown

□ □

NA

NA

ONA

unknown ONA

, Unknown ate

0NA

0NA

1-)£-/.J

This form has been licensed for use solely by Daniel Fox pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC. LINES WITH THIS SYMBOL - REQUIRE A SIGNATURE AND DATE Copyright Oregon Real Estate Forms, LLC 2018 www.orefonline.com No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC Produced with zipForm® by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026

I Buyer Initials __ / __ Date ____

wwwzipLogix com

105 Isl SI Fossil

OREF 020 Page 4 of 7


SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 105 1st St Fossil OR 97830 141

142

DYes �o

(6) Were any of the materials repaired or replaced? ..........................................................

6. DWELLING SYSTEMS AND FIXTURES

D Unknown DNA

143

If the following systems or fixtures are included in the purchase price. are they in good working order on the date this form is signed by Seller?

145

B.

144 146

147

148

149 150

151

152

153

154

155

156

A.

Electrical system. including wiring. switches, outlets and service.......................................

�s

C.

Water heater tank ..............................................................................................................

,:gyes

Built-in range and oven.......................................................................................................

�s

D.

E.

Plumbing system, including pipes, faucets, fixtures and toilets........................................... �es

F.

Built-in dishwasher..............................................................................................................

H.

Heating and cooling systems

G.

I.

J.

157

D Yes

Garbage disposal................................................................................................................

;%x.es

Sump pump ........................................................................................................................

D Yes

164

166

0Yes �o

(1) Are there problems with the product?.............................................................................

0Yes ·�o

(3) Has the product been inspected?...................................................................................

0Yes

167

170

171

172

173

Is there a Home Owners' Association or other governing entity?........................................

0Yes�o

7. COMMON INTEREST

DUnknown �A D Unknown DNA

Unknown

DUnknown

D Unknown

□ □ □

Unknown Unknown 0NA Unknown

D Unknown

Yes �o

D Unknown

No

Unknown

Yes

Yes �o

□ □ □

□ NA □ NA □ NA

Unknown

□ NA □ NA □ NA 0NA

0NA

Unknown

Name of Association or Other Governing Entity _______ __________________ _____

Contact Person--------------------------------------- -B.

*C. D.

Address _____ _____ __________________ Phone Number ___ _______

Regular periodic assessments: $ ___ _____ per DMonth DYear

DOther

Are there any pending or proposed special assessments?.................................................

0Yes* D No

DUnknown

pools, tennis courts, walkways or other areas co-owned in undivided interest with others?...

DYes

D Unknown

Are there shared "common areas" or joint maintenance agreement for facilities like walls, fences, Is the Home Owners' Association or other governing entity a party to

174

E.

176

Seller _i;;,1..tn...lO..-�UY.J!.,,{J'.._J_!���- Date

175

�o

(6) Were any of the materials or products repaired or replaced? .........................................

If yes, when? _________________________

168

169

0Yes �o

□ □ □

(5) Was money received? ....................................................................................................

A.

I: J2fND

that are or have been the subject of a recall, class action settlement or other litigations?..

Are there any materials or products used in the systems and fixtures

(4) Have claims been filed for this product by you or by previous owners?.........................

165

DUnknown DNA

0Yes

0Yes

161

162

D No

Security system DOwned D Leased..................................................................................

(2) Cooling systems ............................................................................................................

(2) Is the product covered by a warranty?............................................................................

163

DUnknown DNA

D No

0Yes

159 160

D No

D No

(1) Heating systems............................................................................................................

If yes, what product? _______________________

158

D No D No

D Unknown D Unknown D Unknown

DNo

DNo

pending litigation or sub·ect to an unsatisfied judgment?....................................... .............

q -/ b-Jf,

Seller

D Unknown D NA

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.::::t-::/Jj..fh:t?:��:'.Zfj��4-- Date '-/ -/

This form has been licensed for use solely by Daniel Fox pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC. LINES WITH THIS SYMBOL <- REQUIRE A SIGNATURE AND DATE Copyright Oregon Real Estate Forms, LLC 2018 www.orefonline.com No portion may be reproduced without express permission of Oregon Real Estate Forms, LLC Produced with zipForm® by ziplogix 18070 Fifteen Mile Road, Fraser, Michigan 48026

I Buyer Initials

wwwzipLogix com

Date

105 Isl SI Fossil

OREF 020 Page 5 of 7


L EA D PA INT DI SC LOSUR E


MAPS


Fossil RV Wheeler County, Oregon, 1.82 AC +/-

Boundary

Dan Fox P: 541-480-0763

theJDGroup.com

The information contained herein was obtained from sources deemed to be reliable. MapRight Services makes no warranties or guarantees as to the completeness or accuracy thereof.


C O N TA C T D E TA I L S


JAKE MOORHEAD Licensed Oregon Broker 541.480.6790 Jake@TheJDGroup.com

DAN F OX Licensed Oregon Broker 541.480.0763 Dan@TheJDGroup.com

Each office is independently owned and operated.

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