21605 Paloma Dr. Bend, OR
Presented by Natalie Vandenborn & Laura Blossey, Brokers
1
Listing Information
Client Detail Report Listings as of 09/28/18 at 10:05am Active 09/28/18
Page 1
Listing # 201809923 County: Deschutes
21605 Paloma Dr, Bend, OR 97701-9542 Cross St: Hamby
Listing Price: CALL FOR PRICE
Property Type Area/Addition Section Beds Baths
Residential B-Vista Del Sol SE 4 2.50
Property Subtype
Residential
Sq Ft (approx) Price / SqFt
2088 Assessor $251.44
Year Built Map and Taxlot
1978 171225B001500
Lot Sq Ft (approx) Acreage
98010 2.2500
Welcome to Vista del Sol, a NE Bend community conveniently located 1/2 mile to Buckingham Elementary, 1 mile to Big Sky Park, 2.3 Marketing Remarks miles to St. Charles Medical Center & more. This 4-bedroom home is well planned with a split-level entry leading to the main floor living, kitchen and dining area as well as the master suite. Bedrooms are nicely separated on the upper level, including the wood paneled office/ 4th bedroom with walk-out deck. Relish the large separate shop and 2.25 acres of low-maintenance privacy. Current Tenant Tax Acct# Elementary School Sr. High School Taxes Farm Deferral Irrigation Electric Company Style Foundation Interior
No 109113 Buckingham Mountain View $4157.49 No No CEC Northwest Stemwall Security System, Ceiling Fan, Walk in Closet, Washer/Dryer, Master Ground Level
Zoning New Construction Jr. High School HOA Tax Year CC&R Water District Excluded 1 Levels Construction Rooms
MUA10 No Pilot Butte No 2017 Yes Avion Sellers' personal property Multi/Split Frame Kitchen, Breakfast Nook, Living Room, Den/Office, Dining Area, Utility Room
Kitchen
Brk Counter/Bar, Pantry, Counters-Laminate, Range/Oven, Refrigerator, Counters-Solid Surf, Dishwasher, Disposal
Bathroom
Shower and Tub, Tiled Shower, Double Vanity, Linen Closet
Floors Roof
Carpet, Vinyl Composition
Exterior Doors/Windows
View Parking
Terrain Driveway - Concrete, Other Parking, Garage - 1 Door, Garage - Double New Loan, Cash Paved Streets, Corner Lot Yes
Heat/Cool Existing Water
Sprinkler System, Native Plant Lndscp., Patio/Deck Aluminum Windows, Skylight(s), SlidingGlass Door(s), Dbl. Pane Windows Electric, Forced Air City
Sewer/Septic Water Heater Seller Auth. Photos
Septic Inst Electric Yes
Terms Additional Features Sign On Property
Presented By:
Natalie Vandenborn
Primary Secondary Other
541-508-9581
E-mail: nvandenborn@gmail.com Web Page: experiencebendliving.com September 2018
Cascade Sotheby's International Realty 650 SW Bond St Suite 100 Bend, OR 97702 541-383-7600 See our listings on the Internet: http://www.bendluxuryhomes.com
Featured properties may not be listed by the office/agent presenting this brochure. Information has not been verified, is not guaranteed and is subject to change.
Photos
Property Tax Information
Deschutes County Property Information Report Date: 12/6/2018 4:20:59 PM
Disclaimer The information and maps presented in this report are provided for your convenience. Every reasonable effort has been made to assure the accuracy of the data and associated maps. Deschutes County makes no warranty, representation or guarantee as to the content, sequence, accuracy, timeliness or completeness of any of the data provided herein. Deschutes County explicitly disclaims any representations and warranties, including, without limitation, the implied warranties of merchantability and fitness for a particular purpose. Deschutes County shall assume no liability for any errors, omissions, or inaccuracies in the information provided regardless of how caused. Deschutes County assumes no liability for any decisions made or actions taken or not taken by the user of this information or data furnished hereunder.
Account Summary Account Information Mailing Name:
Ownership Mailing Address:
KRUMWIEDE,LARRY E & LINDA K
KRUMWIEDE,LARRY E & LINDA K
Map and Taxlot: 171225B001500
21605 PALOMA DR
Account: Tax Status:
109113 Assessable
Situs Address:
21605 PALOMA DR, BEND, OR 97701
BEND, OR 97701 Valuation
Property Taxes
Real Market Values as of Jan. 1, 2018
Current Tax Year: $4,270.13
Land
$243,910
Structures
$303,200
Total
$547,110
Tax Code Area:
1003
Assessment
Current Assessed Values:
Subdivision: VISTA DEL SOL
Maximum Assessed
$311,560
Block: 1
Assessed Value
$311,560
Assessor Acres: 2.25 Property Class: 401 -- TRACT
Veterans Exemption
Lot:
1
Warnings, Notations, and Special Assessments Review of digital records maintained by the Deschutes County Assessor’s Office, Tax Office, Finance Office, and the Community Development Department indicates that there are no special tax, assessment or property development related notations associated with this account. However, independent verification of the presence of other Deschutes County tax, assessment, development, and additional property related considerations is recommended. Confirmation is commonly provided by title companies, real estate agents, developers, engineering and surveying firms, and other parties who are involved in property transactions or property development. In addition, County departments may be contacted directly to discuss the information.
Valuation History All values are as of January 1 of each year. Real Market Value - Land Real Market Value - Structures Total Real Market Value
Tax year is July 1st through June 30th of each year.
2014 - 2015 $155,980 $198,300 $354,280
2015 - 2016 $178,600 $228,040 $406,640
2016 - 2017 $202,880 $259,960 $462,840
2017 - 2018 $212,770 $278,160 $490,930
2018 - 2019 $243,910 $303,200 $547,110
$276,830 $276,830 $0
$285,130 $285,130 $0
$293,680 $293,680 $0
$302,490 $302,490 $0
$311,560 $311,560 $0
Maximum Assessed Value Total Assessed Value Veterans Exemption
Deschutes County Property Information Report, page 1
Tax Payment History Year
Date Due
Transaction Type
Transaction Date
As Of Date
Amount Received
Tax Due
Discount Amount
Interest Charged
Refund Interest
2018
11-15-2018
PAYMENT
11-09-2018
11-09-2018
$4,142.03
($4,270.13)
$128.10
$0.00
$0.00
2018
11-15-2018
IMPOSED
10-13-2018
11-15-2018
$0.00 Total:
$4,270.13 $0.00
$0.00
$0.00
$0.00
2017
11-15-2017
PAYMENT
11-06-2017
11-06-2017
$4,032.77
($4,157.49)
$124.72
$0.00
$0.00
2017
11-15-2017
IMPOSED
10-13-2017
11-15-2017
$0.00 Total:
$4,157.49 $0.00
$0.00
$0.00
$0.00
2016
11-15-2016
PAYMENT
11-16-2016
11-14-2016
$3,831.46
($3,949.96)
$118.50
$0.00
$0.00
2016
11-15-2016
IMPOSED
10-13-2016
11-15-2016
$0.00 Total:
$3,949.96 $0.00
$0.00
$0.00
$0.00
Sales History Sale Date
Seller
12/11/1987
Buyer
Sale Amount
Sale Type
Recording Instrument
UNKNOWN
$96,500
30-UNCONFIRMED SALE
1987-1560719
Structures Stat Class/Description
Improvement Description
110 - RESIDENCE: Other Improvements
GARAGE Det/Low Cost, General Purpose Bld, General Purpose Bld
Code Area
Stat Class/Description
Improvement Description
Year Built Total Sq Ft
1003
0
Code Area
143 - RESIDENCE: Two story
Year Built Total Sq Ft
1003
Floor Description First Floor
1978
Sq Ft 1,262
2,088
Type of Heating FORCED AIR HEATING
Rooms Living
Dining
Kitchen
Nook
Great
Family
Bed
Full Bath
Half Bath
Bonus
Utility
Den
Other
1
1
1
0
0
0
1
1
1
0
1
0
0
Floor Description
Deschutes County Property Information Report, page 2 (For Report Disclaimer see page 1)
Sq Ft
Type of Heating
Second Floor
826
FORCED AIR HEATING
Rooms Living
Dining
Kitchen
Nook
Great
Family
Bed
Full Bath
Half Bath
Bonus
Utility
Den
Other
0
0
0
0
0
0
3
1
0
0
0
0
0
Floor Description Garage-Attached-Low Cost
Sq Ft 528
Accessory Description DECK-AVERAGE
Type of Heating
Sq Ft 810
CONCRETE-PAVING
Quantity
925
ASPHALT-PAVING
2,680
DECK COVER - EXC
346
Stat Class/Description
Improvement Description
300 - FARM BLDG: GP Building
GP Building - CLASS 4
Code Area
60
Sq Ft 60
Type of Heating
Code Area
Year Built Total Sq Ft
Floor Description Building Structure
Stat Class/Description
Improvement Description
300 - FARM BLDG: GP Building
GP Building - CLASS 4
Year Built Total Sq Ft
1003
1003
Floor Description Building Structure
Sq Ft 120
120 Type of Heating
Land Characteristics Land Description
Acres
Rural Lot
2.25
Land Classification
Ownership Name Type
Name
Ownership Type
OWNER
KRUMWIEDE, LARRYE
OWNER
OWNER
KRUMWIEDE, LINDAK
OWNER
Ownership Percentage
Related Accounts Related accounts apply to a property that may be on one map and tax lot but due to billing have more than one account. This occurs when a property is in multiple tax code areas. In other cases there may be business personal property or a manufactured home on this property that is not in the same ownership as the land. No Related Accounts found.
Service Providers Please contact districts to confirm. Category
Name
Phone
Address
COUNTY SERVICES
DESCHUTES COUNTY DESCHUTES COUNTY SHERIFF'S OFFICE BEND RURAL FIRE
(541) 388-6570
1300 NW WALL ST, BEND, OR 97703
(541) 693-6911
63333 HIGHWAY 20 WEST, BEND, OR 97703
(541) 318-0459
1212 SW SIMPSON AVE, BEND, OR 97702
BEND - LA PINE SCHOOL DISTRICT
(541) 355-1000
520 NW WALL ST, BEND, OR 97703
BUCKINGHAM ELEMENTARY SCHOOL (541) 355-2600
62560 HAMBY RD, BEND, OR 97701
PILOT BUTTE MIDDLE SCHOOL
(541) 355-7400
1501 NE NEFF RD, BEND, OR 97701
MOUNTAIN VIEW HIGH SCHOOL
(541) 355-4400
2755 NE 27TH ST, BEND, OR 97701
HIGH DESERT EDUCATION SERVICE DISTRICT
(541) 693-5600
145 SE SALMON AVE, REDMOND, OR 97756
POLICE SERVICES FIRE DISTRICT SCHOOL DISTRICT ELEMENTARY SCHOOL ATTENDANCE AREA MIDDLE SCHOOL ATTENDANCE AREA HIGH SCHOOL ATTENDANCE AREA EDUCATION SERVICE TAX DISTRICT
Deschutes County Property Information Report, page 3 (For Report Disclaimer see page 1)
COLLEGE TAX DISTRICT LIBRARY DISTRICT WATER SERVICE PROVIDER LIVESTOCK DISTRICT IRRIGATION DISTRICT GARBAGE & RECYCLING SERVICE
CENTRAL OREGON COMMUNITY COLLEGE DESCHUTES PUBLIC LIBRARY
(541) 383-7700
2600 NW COLLEGE WAY, BEND, OR 97703
(541) 617-7050
601 NW WALL ST, BEND, OR 97703
AVION WATER COMPANY DESCHUTES COUNTY LIVESTOCK DISTRICT NUMBER 2 CENTRAL OREGON IRRIGATION DISTRICT
(541) 382-5342
60813 PARRELL RD, BEND, OR 97702
(541) 388-6623
1300 NW WALL ST, BEND, OR 97703
(541) 548-6047
1055 SW LAKE CT, REDMOND, OR 97756
BEND GARBAGE & RECYCLING
(541) 382 - 2263
20835 NE MONTANA WAY, BEND, OR 97709
Development Summary Planning Jursidiction: Urban Growth Boundary: Urban Reserve Area:
Deschutes County
County Zone
Description
No
MUA10
MULTIPLE USE AGRICULTURAL 10 ACRE MINIMUM
No
AS
AIRPORT SAFETY COMBINING ZONE
County Development Details Wetland (National or Local):
Not Within a Mapped Wetland
Conservation Easement: FEMA 100 Year Flood Plain:
No Conservation Easement Recorded
TDC/PRC Restrictive Covenant: Ground Snow Load:
No TDC/PRC Restrictive Covenant Found
Not Within 100 Year Flood Plain
25 #/sq. ft.
Deschutes County Permits Permit ID
Permit Type
Applicant
Application Date
Status
247-B10045
Building
TSAURMAS,JAMES
07/16/1985
Finaled
247-B4510
Building
TSOURMAS,JAMES
01/01/1978
Finaled
247-B4851
Building
TSOURMAS,JAMES
01/01/1978
Finaled
247-S11698
Septic
TSOURMAS,JAMES & BARBARA
12/14/1987
Expired
247-S1351
Septic
TSOURMAS,JAMES
09/08/1978
Expired
Deschutes County Property Information Report, page 4 (For Report Disclaimer see page 1)
STATEMENT OF TAX ACCOUNT DESCHUTES COUNTY TAX COLLECTOR DESCHUTES SERVICES BUILDING BEND OR 97703 (541) 388-6540 6-Dec-2018 KRUMWIEDE,LARRY E & LINDA K 21605 PALOMA DR BEND, OR 97701 Tax Account # Account Status Roll Type Situs Address
109113 A Real 21605 PALOMA DR BEND 97701
Lender Name Loan Number 1003 Property ID Interest To Dec 6, 2018
Tax Summary Tax Year 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996
Tax Type ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM ADVALOREM Total
Total Due
Current Due
Interest Due
Discount Available
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00
$0.00
$0.00
$0.00
Deschutes County Property Information Report, page 5 (For Report Disclaimer see page 1)
Original Due $4,270.13 $4,157.49 $3,949.96 $3,839.09 $3,715.74 $3,574.96 $3,507.03 $3,433.66 $3,388.86 $3,255.85 $3,143.15 $2,990.17 $2,777.62 $2,711.63 $2,642.76 $2,494.66 $2,424.19 $2,264.46 $2,200.16 $2,207.74 $2,148.91 $2,009.77 $1,973.90
Due Date Nov 15, 2018 Nov 15, 2017 Nov 15, 2016 Nov 15, 2015 Nov 15, 2014 Nov 15, 2013 Nov 15, 2012 Nov 15, 2011 Nov 15, 2010 Nov 15, 2009 Nov 15, 2008 Nov 15, 2007 Nov 15, 2006 Nov 15, 2005 Nov 15, 2004 Nov 15, 2003 Nov 15, 2002 Nov 15, 2001 Nov 15, 2000 Nov 15, 1999 Nov 15, 1998 Dec 15, 1997 Nov 15, 1996
REAL PROPERTY TAX STATEMENT JULY 1, 2018 TO JUNE 30, 2019 DESCHUTES COUNTY, OREGON 1300 NW WALL ST., SUITE 200 BEND OR 97703
PROPERTY DESCRIPTION CODE: MAP: CLASS: SITUS: LEGAL:
1003 171225-B0-01500 401 21605 PALOMA DR BEND VISTA DEL SOL 1 1
KRUMWIEDE,LARRY E & LINDA K 21605 PALOMA DR BEND, OR 97701 VALUES: REAL MARKET (RMV) LAND STRUCTURES TOTAL RMV
LAST YEAR
THIS YEAR
212,770 278,160 490,930
243,910 303,200 547,110
MAXIMUM ASSESSED VALUE
302,490
311,560
TOTAL ASSESSED VALUE
302,490
311,560
EXEMPTIONS NET TAXABLE:
0 302,490
0 311,560
TOTAL PROPERTY TAX:
4,157.49
4,270.13
ASSESSMENT QUESTIONS TAX QUESTIONS
Date Due 11/15/18 02/15/19 05/15/19 Total
SCHOOL DISTRICT #1 HIGH DESERT ESD C O C C EDUCATION TOTAL:
1,484.30 30.03 193.29 1,707.62
DESCHUTES COUNTY COUNTY LIBRARY COUNTYWIDE LAW ENFORCEMENT RURAL LAW ENFORCEMENT COUNTY EXTENSION/4H 9-1-1 RURAL FIRE DISTRICT #2 RURAL FIRE DISTRICT #2 LOCAL OPTION GENERAL GOVT TOTAL:
379.57 171.36 336.48 417.49 6.98 112.72 447.59 62.31 1,934.50
SCHOOL #1 BOND 2007 SCHOOL #1 BOND 2013 SCHOOL #1 BOND 2017 C O C C BOND BONDS - OTHER TOTAL:
227.53 220.55 145.22 34.71 628.01
(541) 388-6508 (541) 388-6540
PAYMENT OPTIONS 3% Option 2% Option 2,789.81 4,142.03
4,142.03
ACCOUNT NO: 109113
1,423.38 4,213.19
2018 - 2019 TAX ( Before Discount )
4,270.13
Trimester Option 1,423.38 1,423.38 1,423.37 4,270.13
TOTAL DUE (After Discount and Pre-payments) Tear Here
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
2018 - 2019 PROPERTY TAXES PAYMENT OPTIONS Full Payment Enclosed or 2/3 Payment Enclosed or 1/3 Payment Enclosed
Discount
Tear Here
DESCHUTES COUNTY REAL Date Due
Amount
Date Due
ACCOUNT NO. 109113 Amount
Date Due
3% 2% 0%
05/15/19
1,423.38
05/15/19
1,423.37
DISCOUNT IS LOST & INTEREST APPLIES AFTER DUE DATE
02/15/19
1,423.38
Amount
11/15/18 11/15/18
4,142.03 2,789.81
11/15/18
1,423.38
Mailing address change on back Enter Payment Amount
MAKE PAYMENT TO: - 016788 - 414203 KRUMWIEDE,LARRY E & LINDA K 21605 PALOMA DR BEND, OR 97701
4,142.03
$
DESCHUTES COUNTY TAX COLLECTOR PO BOX 7559 BEND, OR 97708-7559
0 9Disclaimer 1 0 0 0 0see 1 0page 9 1 11)3 0 0 0 0 1 4 2 3 3 8 0 0 0 0 2 7 8 9 8 1 0 0 0 0 4 1 4 2 0 3 9 Deschutes County Property Information Report, page 6 (For Report
Deschutes County Property Information Report, page 7 (For Report Disclaimer see page 1)
Deschutes County Property Information - Dial Road Map
Deschutes County GIS
Map and Taxlot: 171225B001500
Deschutes County Property Information Report, page 8 (For Report Disclaimer see page 1)
Seller’s Property Disclosure Information
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
INSTRUCTIONS TO THE SELLER 1 2 3
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.
4 5 6 7
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.
11
DO NOT FILL OUT THIS SECTION UNLESS YOU ARE CLAIMING AN EXCLUSION UNDER ORS 105.470
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 not claiming an exclusion, you must fill out Section 2 of this form completely.
15
Initial only the exclusion you wish to claim.
16 17
This is the first sale of a dwelling never occupied. The dwelling is constructed or installed under building or installation permit(s) # issued by .
18 19
This sale is by a financial institution that acquired the property as custodian, agent or trustee, or by foreclosure or deed in lieu of foreclosure.
20
The seller is a court appointed (Check only one):
21
This sale or transfer is by a governmental agency.
22
Signature(s) of Seller(s) Claiming Exclusion
23
Seller
Date
receiver
personal representative
conservator
← Seller
Larry E. Krumwiede
guardian
Date
←
Date
←
Linda K. Krumwiede
24
Signature(s) of Buyer(s) Acknowledging Seller's Claim
25
Buyer
26
trustee
Date
← Buyer
IF YOU DID NOT CLAIM AN EXCLUSION IN SECTION 1, YOU MUST FILL OUT THIS SECTION.
27
Section 2. SELLER'S PROPERTY DISCLOSURE STATEMENT
28
(NOT A WARRANTY) (ORS 105.465)
29 30
NOTICE TO THE BUYER: THE FOLLOWING REPRESENTATIONS ARE MADE BY THE SELLER(S) CONCERNING THE CONDITION OF THE PROPERTY LOCATED AT 21605 Paloma Dr, Bend, OR 97701-9542 “THE PROPERTY."
31 32 33 34 35
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 DELIVERING BUYER'S SEPARATE SIGNED WRITTEN STATEMENT OF REVOCATION TO THE SELLER DISAPPROVING THE SELLER'S DISCLOSURE STATEMENT, UNLESS BUYER WAIVES THIS RIGHT AT OR PRIOR TO ENTERING INTO A SALE AGREEMENT.
36
Seller
12:34 PM PDT Date 09/26/2018 ← |Seller Larry E. Krumwiede
Date 09/26/2018 ← | 12:
Linda K. Krumwiede
This form has been licensed for use solely by Natalie Vandenborn 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
Buyer Initials
Cascade Sotheby’s International Realty, 650 SW Bond Street, Suite 100 Bend OR 97702 Phone: (541)5089581 Natalie Vandenborn Produced with zipForm® by zipLogix 18070 Fifteen Mile Road, Fraser, Michigan 48026 www.zipLogix.com
/
Date OREF 020 Page 1 of 7
Fax: 5413234488
Krumwiede 20605
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
37 38 39 40
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.
41
Seller
is X is 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.
45
*If you mark yes on items with *, attach a copy or explain on an attached sheet.
46
1. TITLE
47
A.
Do you have legal authority to sell the property? ...............................................................
48
*B.
Is title to the property subject to any of the following: ........................................................
49
First right of refusal
Option
Lease or rental agreement
Other listing
50
*C.
Is the property being transferred an unlawfully established unit of land?............................
*D.
Are there any encroachments, boundary agreements, boundary disputes or
53
No
Unknown
Yes*
X No
Unknown
Yes*
X No
Unknown
Yes*
X No
Unknown
Life estate
51 52
X Yes
recent boundary changes? ................................................................................................ *E.
Are there any rights of way, easements, licenses, access limitations or claims that may affect your interest in the property? ..........................................................
Yes*
X No
Unknown
55
*F.
Are there any agreements for joint maintenance of an easement or right of way? ............
X Yes*
No
Unknown
56
*G.
Are there any governmental studies, designations, zoning overlays, surveys
54
57
just the Avion easement, no joint maintenance agreement
or notices that would affect the property? ...........................................................................
Yes*
X No
Unknown
58
*H.
Are there any pending or existing governmental assessments against the property? ........
Yes*
X No
Unknown
59
*I.
Are there any zoning violations or nonconforming uses? ....................................................
Yes*
X No
Unknown
60
*J.
Is there a boundary survey for the property? ......................................................................
Yes*
X No
Unknown
61
*K.
Are there any covenants, conditions, restrictions or private assessments that affect the property?
X Yes*
No
Unknown
62
*L.
Is the property subject to any special tax assessment or tax treatment that may Yes*
X No
Unknown
63
result in levy of additional taxes if the property is sold?......................................................
64
2. WATER
65
A.
Household water
66
(1) The source of the water is (check ALL that apply): X Public
67
(2) Water source information:
Community
Private
68
*a) Does the water source require a water permit?...................................................
69
If yes, do you have a permit? ..............................................................................
70
*b) Is the water source located on the property? ......................................................
71
Other Yes* Yes Yes*
X No
Unknown
No
Unknown
X NA
X No
Unknown
NA
12:34 PM PDT Date 09/26/2018 ← |Seller
Seller Larry E. Krumwiede
Date 09/26/2018 ← | 12:
Linda K. Krumwiede
This form has been licensed for use solely by Natalie Vandenborn pursuant to a Forms License Agreement with Oregon Real Estate Forms, LLC.
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Buyer Initials
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Date OREF 020 Page 2 of 7
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Krumwiede 20605
DocuSign Envelope ID: 15B58C6F-EBB7-4AC6-A431-66F378B3BFBB
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
72
*If not, are there any written agreements for a shared water source? .................
73
X No
Unknown
X Yes*
No
Unknown
No
Unknown
Yes*
X No
Unknown
Yes
X No
Unknown
Yes
X No
Unknown
NA
*c) Is there an easement (recorded or unrecorded) for your access to or
74
maintenance of the water source? ......................................................................
75
d)
76
If the source of water is from a well or spring, have you had any of the following in the past 12 months? ...................................................................
77
Flow test
Bacteria test
*e) Are there any water source plumbing problems or needed repairs?....................
79
(3) Are there any water treatment systems for the property? .............................................
80
Leased B.
Yes
X NA
Chemical contents test
78
81
Yes*
Owned
Irrigation
82
(1) Are there any
water rights or
other rights for the property?.................................
83
* (2) If any exist, has the irrigation water been used during the last five-year period?........
Yes*
No
Unknown
X NA
84
* (3) Is there a water rights certificate or other written evidence available? ........................
Yes*
No
Unknown
X NA
85
C.
Outdoor sprinkler system
86
(1) Is there an outdoor sprinkler system for the property? .................................................
X Yes
No
Unknown
87
(2) Has a back flow valve been installed? ..........................................................................
X Yes
No
Unknown
NA
88
(3) Is the outdoor sprinkler system operable? ....................................................................
X Yes
No
Unknown
NA
89
3. SEWAGE SYSTEM
90
A.
Is the property connected to a public or community sewage system?.................................
Yes
X No
Unknown
NA
91
B.
Are there any new public or community sewage systems proposed for the property? .......
Yes
X No
Unknown
NA
92
C.
Is the property connected to an on-site septic system?.......................................................
X Yes
No
Unknown
NA
93
10/10/1978. Approx Install (1) If yes, when was the system installed?Permit ..........................................................................
01/10/1979
Unknown
NA
94
(2) *If yes, was the system installed by permit? .................................................................
X Yes*
No
Unknown
NA
95
(3) *Has the system been repaired or altered? ...................................................................
Yes*
X No
Unknown
NA
96
(4) *Has the condition of the system been evaluated and a report issued?.........................
Yes
X No
Unknown
NA
97
(5) Has the septic tank ever been pumped? .......................................................................
X Yes
No
Unknown
NA
98
If yes, when? .................................................................................................................
99
NA
2017
(6) Does the system have a pump?
Yes
X No
Unknown
NA
100
(7) Does the system have a treatment unit such as a sand filter or an aerobic unit?
Yes
X No
Unknown
NA
101
(8) Is a service contract for routine maintenance required for the system?
Yes
X No
Unknown
NA
102
(9) Are all components of the system located on the property?
X Yes
No
Unknown
NA
Unknown
NA
Unknown
NA
103
*D.
Are there any sewage system problems or needed repairs? ..............................................
Yes*
X No
104
E.
Does your sewage system require on-site pumping to another level? ................................
Yes
X No
10/02/2018 | 8:47 AM PDT 105
Seller
Date Larry E. Krumwiede
10/02/2018 | 8:49 AM P
← Seller
Date
←
Linda K. Krumwiede
This form has been licensed for use solely by Natalie Vandenborn 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
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Buyer Initials
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Date OREF 020 Page 3 of 7
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Krumwiede 21605
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
106
4. DWELLING INSULATION
107
*A.
Is there insulation in the:
108
(1) Ceiling? .........................................................................................................................
X Yes
No
Unknown
109
(2) Exterior Walls?...............................................................................................................
X Yes
No
Unknown
110
(3) Floors? ..........................................................................................................................
Yes
No
X Unknown
Are there any defective insulated doors or windows? ........................................................
Yes
X No
Unknown
111
B.
112
5. DWELLING STRUCTURE
113
*A.
114 115
B.
See Addendum to SPD for explanation
Has the roof leaked?...........................................................................................................
X Yes*
No
Unknown
If yes, has it been repaired?................................................................................................
X Yes
No
Unknown
NA
Are there any additions, conversions or remodeling? ........................................................
Yes
X No
Unknown
116
If yes, was a building permit required?................................................................................
Yes
No
Unknown
X NA
117
If yes, was a building permit obtained?...............................................................................
Yes
No
Unknown
X NA
118
If yes, was final inspection obtained?..................................................................................
Yes
No
Unknown
X NA
119
C.
Are there smoke alarms or detectors?................................................................................
Yes
No
X Unknown
120
D.
Are there carbon monoxide alarms?...................................................................................
Yes
No
X Unknown
121
E.
Is there a woodstove or fireplace insert included in the sale?.............................................
Yes
X No
Unknown
Yes*
No
Unknown
X NA X NA
122
*If yes, what is the make?
123
*If yes, was it installed with a permit?..................................................................................
124
*If yes, is a certification label issued by the United States Environmental Protection Agency
125
(EPA) or the Department of Environmental Quality (DEQ) affixed to it?..............................
Yes*
No
Unknown
Yes*
X No
Unknown
Yes*
X No
Unknown
126
*F.
Has pest and dry rot, structural or "whole house" inspection been done within the last three years?
127
*G.
Are there any moisture problems, areas of water penetration, mildew odors
128
or other moisture conditions (especially in the basement)?.................................................
129
*If yes, explain on attached sheet the frequency and extent of problem and any insurance claims, repairs or remediation done.
130
H.
131
I.
Is there a sump pump on the property?...............................................................................
Yes
X No
Unknown
Yes
X No
Unknown
Are there any materials used in the construction of the structure that are or
132
have been the subject of a recall, class action suit, settlement or litigation? ......................
133
If yes, what are the materials?
134
(1) Are there problems with the materials? .........................................................................
Yes
No
Unknown
X NA
135
(2) Are the materials covered by a warranty? .....................................................................
Yes
No
Unknown
X NA
136
(3) Have the materials been inspected? .............................................................................
Yes
No
Unknown
X NA
137
(4) Have there ever been claims filed for these materials by you or by previous owners?..
Yes
No
Unknown
X NA
138
If yes, when?
139 140
X NA
(5) Was money received? ..................................................................................................
Yes
No
Unknown
12:34 PM PDT Date 09/26/2018 ← |Seller
Seller Larry E. Krumwiede
X NA
Date 09/26/2018 ← | 12:
Linda K. Krumwiede
This form has been licensed for use solely by Natalie Vandenborn 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
Buyer Initials
/
Date OREF 020 Page 4 of 7
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Krumwiede 20605
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
141
(6) Were any of the materials repaired or replaced? ..........................................................
Yes
No
Unknown
X NA
142
6. DWELLING SYSTEMS AND FIXTURES
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?
144
A.
Electrical system, including wiring, switches, outlets and service.......................................
X Yes
No
Unknown
145
B.
Plumbing system, including pipes, faucets, fixtures and toilets...........................................
X Yes
No
Unknown
146
C.
Water heater tank ..............................................................................................................
X Yes
No
Unknown
147
D.
Garbage disposal................................................................................................................
X Yes
No
Unknown
NA
148
E.
Built-in range and oven.......................................................................................................
X Yes
No
Unknown
NA
149
F.
Built-in dishwasher..............................................................................................................
X Yes
No
Unknown
NA
150
G.
Sump pump ........................................................................................................................
Yes
No
Unknown
X NA
151
H.
Heating and cooling systems
152
(1) Heating systems............................................................................................................
X Yes
No
Unknown
NA
153
(2) Cooling systems ............................................................................................................
Yes
No
Unknown
X NA
X Yes
No
Unknown
NA
Yes
X No
Unknown
154
I.
155
J.
Security system
Owned X Leased..................................................................................
Are there any materials or products used in the systems and fixtures
156
that are or have been the subject of a recall, class action settlement or other litigations?..
157
If yes, what product?
158
(1) Are there problems with the product?.............................................................................
Yes
No
Unknown
X NA
159
(2) Is the product covered by a warranty?............................................................................
Yes
No
Unknown
X NA
160
(3) Has the product been inspected?...................................................................................
Yes
No
Unknown
X NA
161
(4) Have claims been filed for this product by you or by previous owners?.........................
Yes
No
Unknown
X NA
162
If yes, when?
163
(5) Was money received? ....................................................................................................
Yes
No
Unknown
X NA
164
(6) Were any of the materials or products repaired or replaced? .........................................
Yes
No
Unknown
X NA
Yes
X No
Unknown
165
7. COMMON INTEREST
166
A.
Is there a Home Owners' Association or other governing entity?........................................
167
Name of Association or Other Governing Entity
168
Contact Person
169
Address
170
B.
Phone Number
Regular periodic assessments: $
per
Month
Year
Other
171
*C.
Are there any pending or proposed special assessments? .................................................
172
D.
Are there shared "common areas" or joint maintenance agreement for facilities like walls, fences,
173 174
pools, tennis courts, walkways or other areas co-owned in undivided interest with others? ... E.
X No
Unknown
Yes
X No
Unknown
Yes
No
Unknown
Is the Home Owners' Association or other governing entity a party to
175 176
Yes*
pending litigation or subject to an unsatisfied judgment?.....................................................
12:34 PM PDT Date 09/26/2018 ← |Seller
Seller Larry E. Krumwiede
X NA
Date 09/26/2018 ← | 12:
Linda K. Krumwiede
This form has been licensed for use solely by Natalie Vandenborn 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
Buyer Initials
/
Date OREF 020 Page 5 of 7
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Krumwiede 20605
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
177
F.
Is the property in violation of recorded covenants, conditions and
178
restrictions or in violation of other bylaws or governing rules, whether recorded or not?.....
Yes
X No
Unknown
Was the house constructed before 1974? ...........................................................................
Yes
X No
Unknown
If yes, has the house been bolted to its foundation? ............................................................
Yes
No
Unknown
the property or in the immediate area? ................................................................................
Yes
X No
Unknown
Yes
X No
Unknown
179
8. SEISMIC
180
A.
181 182
9. GENERAL
183
A.
NA
Are there problems with settling, soil, standing water or drainage on
184 185
B.
Does the property contain fill? .............................................................................................
186
C.
Is there any material damage to the property or any of the structure(s)
187
from fire, wind, floods, beach movements, earthquake, expansive soils or landslides?.......
Yes
X No
Unknown
188
D.
Is the property in a designated floodplain? ...........................................................................
Yes
X No
Unknown
189
E.
Is the property in a designated slide or other geologic hazard zone?...................................
Yes
X No
Unknown
190
*F.
Has any portion of the property been tested or treated for asbestos, formaldehyde, radon, gas, Yes*
191
X No
Unknown
192
G.
Are there any tanks or underground storage tanks (e.g., septic, chemical, fuel, etc.) on the property?
X Yes
No
Unknown
193
H.
Has the property ever been used as an illegal drug manufacturing or distribution site? ......
Yes
X No
Unknown
*If yes, was a Certificate of Fitness issued? .........................................................................
Yes*
No
Unknown
Has the property been classified as forestland-urban interface?..........................................
Yes
X No
Unknown
lead-based paint, mold, fuel or chemical storage tanks or contaminated soil or water?........
194 195
I.
196
10. FULL DISCLOSURE BY SELLER(S)
197
*A.
Are there any other material defects affecting this property or its value that
198
a prospective buyer should know about?.............................................................................
199
If yes, describe the defect on attached sheet and explain the frequency and extent of the problem and any insurance claims, repairs or
200
remediation?
Yes*
X No
VERIFICATION 201 202 203
The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy of this disclosure statement. I/we authorize my/our agents to deliver a copy of this disclosure statement to all prospective buyers of the property or their agents. (complete even if zero) Number of pages of explanations are attached. one
204
Seller
12:34 PM PDT Date 09/26/2018 ← |Seller Larry E. Krumwiede
Date 09/26/2018 ← | 12:
Linda K. Krumwiede
II. BUYER'S ACKNOWLEDGMENT: 205 206 207 208 209 210 211
A. B.
As buyer(s), I/we acknowledge the duty to pay diligent attention to any material defects that are known to me/us or can be known by me/us by utilizing diligent attention and observation. Each buyer acknowledges and understands that the disclosures set forth in this statement and in any amendments to this statement are made only 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 of any real estate licensee engaged by the seller or buyer. A financial institution or real estate licensee is not bound by and has no liability with respect to any representation, misrepresentation, omission, error or inaccuracy contained in another party's disclosure statement required by this section or any amendment to the disclosure statement. This form has been licensed for use solely by Natalie Vandenborn 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
Buyer Initials
/
Date OREF 020 Page 6 of 7
www.zipLogix.com
Krumwiede 20605
DocuSign Envelope ID: 86C93E4B-F8CD-489E-A5CC-B73BA4BBDA97
SELLER'S PROPERTY DISCLOSURE STATEMENT Property Address 21605 Paloma Dr, Bend, OR 97701-9542
212 213 214 215 216 217 218
C.
219
BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS SELLER'S PROPERTY DISCLOSURE STATEMENT.
220
Buyer
221 222 223
Agent receiving disclosure statement on buyer's behalf to sign and date:
Buyer (which term includes all persons signing the "Buyer's Acknowledgment" portion of this disclosure statement below) hereby
acknowledges receipt of a copy of this disclosure statement (including attachments, if any) bearing seller's signature(s).DISCLOSURES, IF ANY, 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. IF THE SELLER HAS FILLED OUT SECTION 2 OF THIS FORM, YOU, THE BUYER, HAVE FIVE BUSINESS DAYS FROM THE SELLER'S DELIVERY OF THIS DISCLOSURE STATEMENT TO REVOKE YOUR OFFER BY DELIVERING YOUR SEPARATE SIGNED WRITTEN STATEMENT OF REVOCATION TO THE SELLER DISAPPROVING THE SELLER'S DISCLOSURE UNLESS YOU WAIVE THIS RIGHT AT OR PRIOR TO ENTERING INTO A SALE AGREEMENT.
Date
← Buyer
Real Estate Licensee
Date
←
Date received by Licensee
Real Estate Firm
This form has been licensed for use solely by Natalie Vandenborn 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
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OREF 020 Page 7 of 7 Krumwiede 20605
Septic Information
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