Ebook Template

TEAM RHODEN

Welcome to

5101 SE Dixon Rd Madras Or 97741

EB O O K

HEY, WE’RE TEAM RHODEN Real Estate begins with property, but it doesn’t end there. Our mission is to create lifelong relationships.

We believe that working hard at something you love to do, with people you trust, is one of the greatest experiences in life.

We offer extensive real estate knowledge and unsurpassed experience as one of the area’s top team of brokers with more than 50 years of experience. Well known in the industry for professionalism and loyalty, we have built a solid reputation for putting our clients goals first while bringing a highly personalized approach to each and every transaction.

T E A M R H OD EN

EB O O K

WELCOME TO 5101 SE DIXON RD 77.47 Acres Parcel 3 Bedroom 2 Bath Private Well Adjacent To Public Land EXPERIENCE THE BEST OF CENTRAL OREGON LIVING WITH THIS STUNNING NEW CONSTRUCTION HOME ON 77.47 PRIVATE ACRES IN MADRAS , OREGON. FEATURING 3 BEDROOMS , 2 BATHROOMS , & AN OVERSIZED 2- CAR GARAGE , THIS CUSTOM-BUILT RETREAT OFFERS BREATHTAKING CASCADE MOUNTAIN VIEWS FROM NEARLY EVERY ANGLE . ENJOY PEACEFUL MORNINGS & SPECTACUL AR SUNSETS FROM THE L ARGE COVERED BACK DECK OVERLOOKING MILES OF OPEN L ANDSCAPE . A BEAUTIFUL CUSTOM GATED ENTRY WELCOMES YOU TO THIS SECLUDED PROPERTY, BORDERED ON 3.5 SIDES BY THOUSANDS OF ACRES OF PUBLIC L AND, CREATING UNMATCHED PRIVACY & ENDLESS RECREATION OPPORTUNITIES . RIDE HORSES , ATVS , HIKE , OR EXPLORE DIRECTLY FROM YOUR PROPERTY WITH ACCESS TO MILES OF SURROUNDING TERRAIN. WHETHER YOU'RE SEEKING A FULL-TIME RESIDENCE , RECREATIONAL RETREAT, OR ACREAGE PROPERTY WITH ROOM TO ROAM, THIS EXCEPTIONAL MADRAS , OREGON HOME OFFERS THE PERFECT BLEND OF LUXURY, PRIVACY, & OUTDOOR ADVENTURE IN THE HEART OF CENTRAL OREGON.

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PROPERTY PROFILE

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MAPS

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SEPTIC INFO

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p e S Q i E t D pec s In EB O O K

WELL INFO

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Amended 4/7/2025 STATE OF OREGON WATER SUPPLY WELL REPORT

Page 1 of 2

WELL I.D. LABEL# L 155925 START CARD # 1076907 ORIGINAL LOG #

JEFF 51819

3/24/2025 (as required by ORS 537.545 & 537.765 and OAR 690-205-0210) Owner Well I.D. First Name NICK & ELAINE Last Name NICHOLS (9) LOCATION OF WELL (legal description) Company County JEFFERSON Twp 12.00 S E/W WM N/S Range 14.00 E Address 565 EDGEWATER RD Tax Lot 300 NW of the NE Sec 1/4 1/4 4 State OR Zip 97027 City GLADSTONE Tax Map Number Lot New Well Deepening Conversion (2) TYPE OF WORK DMS or DD ° ' " or 44.56253000 Lat Alteration (complete 2a & 10) Abandonment(complete 5a) ° ' " or -121.05700000 DMS or DD Long (2a) PRE-ALTERATION Street address of well Nearest address From Dia To Gauge Stl Plstc Wld Thrd Casing: 5101 SOUTHEAST DIXON DR MADRAS, OR Material From To Amt sacks/lbs Seal: (1) LAND OWNER

+

(10) STATIC WATER LEVEL

Rotary Air

Rotary Mud

Auger

Cable Mud

Irrigation

Community

(4) PROPOSED USE Industrial/ Commericial

Dewatering

From 0 19

To 19 305

(Attach copy)

ft.

SEAL

Material

From

BENTONITE

0

To

Amt

19

13 10.45

Calculated

D

44

(5a) ABANDONMENT USING UNHYDRATED BENTONITE Actual Amount

(6) CASING/LINER Dia

C L

8 6

From 1 5

Yes

Dia

Gauge

To 19 305

0.250 0.188

305

Est Flow SWL(psi)

SWL(ft)

3

110

Ground Elevation 2832.25 FT From 0 1 4 78 165 213 269

Material Top soil & gravel Orange claystone Brown claystone Maroon claystone w/ brown seems Tan claystone Brown claystone Tan claystone

To 1 4 78 165 213 269 305

Mat. Shoe Type Wld Thrd Shoe Location ST ST

From

To

+

Temp casing

+

C/L

110

(11) WELL LOG

Other: BENTONITE DRY ft. Material Size ft. Material

Proposed Amount

To

S

E

Amount Begin Time 16

110 Dry Hole?

sacks/ lbs

Calculated B C Seal placement method: A Backfill placed from ft. to Filter pack from ft. to Explosives used: Type Seal Placement Begin Date 3/18/2025

3/19/2025

SWL(ft)

Depth water was first found 110.00

WATER BEARING ZONES SWL Date From

Special Standard

Depth of Completed Well 305.00 BORE HOLE

SWL(psi)

+

Injection

Domestic Livestock Other

(5) BORE HOLE CONSTRUCTION Dia 12 8

Date Existing Well / Pre-Alteration Completed Well 3/19/2025 Flowing Artesian?

Other

Reverse Rotary

Thermal

Cable

+

(3) DRILL METHOD

(7) PERFORATIONS/SCREENS

Perforations Method Factory cut Screens Type Material Perf/ Casing/ Screen Scrn/slot Slot Screen Liner To Dia From width length Perf Liner 6 195 215 .125 2.5 Perf Liner 6 275 295 .125 2.5

# of slots 304 304

Tele/ Pipe size

(8) WELL TESTS: Minimum testing time is 1 hour Yield (gal/min ) 3

Type of Test Bailer

Temperature 56

Drill Stem/ Drawdown Pump Depth 54

Duration (hr) 1.5

°F Lab analysis Yes By Yes (describe below) TDS amount 110 Amount Description

Water quality concerns?

From To

Construction Begin Date 3/18/2025

Begin Time 00

41

End Date 3/19/2025

(unbonded) Water Well Constructor Certification I certify that the work I performed on the construction, deepening, alteration, or abandonment of this well is in compliance with Oregon water supply well construction standards. Materials used and information reported above are true to the best of my knowledge and belief.

License Number 2069 Date 3/24/2025 Signed

MEGAN NOBLITT (E-filed)

(bonded) Water Well Constructor Certification I accept responsibility for the construction, deepening, alteration, or abandonment work performed on this well during the construction dates reported above. All work performed during this time is in compliance with Oregon water supply well construction standards. This report is true to the best of my knowledge and belief.

ppm Units

License Number 1970

Date 3/24/2025

Signed NEIL FAGEN (E-filed) Drilling Company: 541-548-1245 ORIGINAL - WATER RESOURCES DEPARTMENT

THIS REPORT MUST BE SUBMITTED TO THE WATER RESOURCES DEPARTMENT WITHIN 30 DAYS OF COMPLETION OF WORK Form Version: New exempt use wells must be submitted with a map and recording fee.

Page 2 of 2 WATER SUPPLY WELL REPORT - Map with location identified must be attached and shall include an approximate scale and north arrow

Map of Hole

JEFF 51819 3/24/2025

SELLERS DISCLOSURES

T E A M R H OD EN

EB O O K

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT ADDENDUM 1

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

2

________________________________________________________________________________________________________ (the “Property”)

3

Responses marked “Yes” on items with an * require a written explanation. See below.

4

9.G. Question # ______________________

5

septic tank Details: ______________________________________________________________________________________________________________

6

1850 gallon cistern ____________________________________________________________________________________________________________________

7

____________________________________________________________________________________________________________________

8

____________________________________________________________________________________________________________________

9

Attachment Identified as:_________________________________________________________________________________________________

10

2.A.3.

Question # ______________________

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water softener Details: ______________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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Attachment Identified as: ________________________________________________________________________________________________

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3.C.2.

Question # ______________________

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Jefferson County inspected Details: ______________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

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Attachment Identified as: ________________________________________________________________________________________________

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2.A.2.b.

Question # ______________________

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well 305' Details: ______________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

25

____________________________________________________________________________________________________________________

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____________________________________________________________________________________________________________________

27

Attachment Identified as: ________________________________________________________________________________________________

28

Question # ______________________

29

Details: ______________________________________________________________________________________________________________

30

____________________________________________________________________________________________________________________

31

____________________________________________________________________________________________________________________

32

____________________________________________________________________________________________________________________

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Attachment Identified as: ________________________________________________________________________________________________

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 Seller ______________________________________________________________________ Date/Time 06/23/2026, ______________________________ 01:20:27 PM PDT

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Nick Nichols Print ______________________________________________________________________

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Seller ______________________________________________________________________ Date/Time ______________________________ 

37

Elaine Nichols Print ______________________________________________________________________

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 Seller ______________________________________________________________________ Date/Time ______________________________ 06/29/2026, 08:02:03 AM PDT

39

Print ______________________________________________________________________

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Seller ______________________________________________________________________ Date/Time ______________________________ 

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Print ______________________________________________________________________

Nick Nichols

Elaine Nichols

Buyer Initials ________ / ________ / ________ / ________ LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 028 | Released 01/2026 | Page 1 of 1 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions.

Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 1

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

2

________________________________________________________________________________________________________ (the “Property”)

INSTRUCTIONS TO THE SELLER 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

4

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

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this disclosure statement and each attachment.

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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

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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)

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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.

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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

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Property or the buyer may revoke their offer to purchase anytime prior to closing the transaction. Questions regarding the legal consequences of the

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seller's choice should be directed to a qualified attorney.

DO NOT FILL OUT THIS SECTION UNLESS YOU ARE CLAIMING AN EXCLUSION UNDER ORS 105.470 12

Section 1. EXCLUSION FROM ORS 105.462 TO 105.490:

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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

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of this form completely.

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Initial only the exclusion you wish to claim.

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________ This is the first sale of a dwelling never occupied. The dwelling is constructed or installed under building or installation permit(s) #

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_____________________________________________, issued by ______________________________________________________.

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________ 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.

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________ Seller is a court appointed (select only one)

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________ This sale or transfer is by a governmental agency.

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Signature(s) of Seller(s) claiming exclusion:

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Seller ______________________________________________________________________ Date/Time ______________________________ 

receiver,

personal representative,

trustee,

conservator, or

guardian.

23

Print ______________________________________________________________________

24

Seller ______________________________________________________________________ Date/Time ______________________________ 

25

Print ______________________________________________________________________

26

Seller ______________________________________________________________________ Date/Time ______________________________ 

27

Print ______________________________________________________________________

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Seller ______________________________________________________________________ Date/Time ______________________________ 

29

Print ______________________________________________________________________

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Signature(s) of Buyer(s) to acknowledge Seller’s claim:

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Buyer ______________________________________________________________________ Date/Time ______________________________ 

32

Print ______________________________________________________________________

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Buyer ______________________________________________________________________ Date/Time ______________________________ 

34

Print ______________________________________________________________________

35

Buyer ______________________________________________________________________ Date/Time ______________________________ 

36

Print ______________________________________________________________________

37

Buyer ______________________________________________________________________ Date/Time ______________________________ 

38

Print ______________________________________________________________________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 1 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 39

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

40

________________________________________________________________________________________________________ (the “Property”)

IF YOU DID NOT CLAIM AN EXCLUSION IN SECTION 1, YOU MUST FILL OUT THIS SECTION 41

Section 2. SELLER’S PROPERTY DISCLOSURE STATEMENT:

42

(NOT A WARRANTY) (ORS 105.464)

43

NOTICE TO THE BUYER: THE FOLLOWING REPRESENTATIONS ARE MADE BY THE SELLER(S) CONCERNING THE CONDITION OF THE

44

5101 SE Dixon Dr, Madras, OR 97741 PROPERTY LOCATED AT ______________________________________________________________________________ (THE “PROPERTY”).

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DISCLOSURES CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER’S ACTUAL KNOWLEDGE OF THE

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PROPERTY AT THE TIME OF DISCLOSURE. BUYER HAS FIVE BUSINESS DAYS FROM THE SELLER’S DELIVERY OF THIS SELLER’S

47

DISCLOSURE STATEMENT TO REVOKE BUYER’S OFFER BY DELIVERING BUYER’S SEPARATE SIGNED WRITTEN STATEMENT OF

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REVOCATION TO THE SELLER DISAPPROVING THE SELLER’S DISCLOSURE STATEMENT, UNLESS BUYER WAIVES THIS RIGHT AT OR

49

PRIOR TO ENTERING INTO A SALE AGREEMENT.

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FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY, BUYER IS ADVISED TO OBTAIN AND

51

PAY FOR THE SERVICES OF A QUALIFIED SPECIALIST TO INSPECT THE PROPERTY ON BUYER’S BEHALF INCLUDING, FOR EXAMPLE,

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ONE OR MORE OF THE FOLLOWING: ARCHITECTS, ENGINEERS, PLUMBERS, ELECTRICIANS, ROOFERS, ENVIRONMENTAL

53

INSPECTORS, BUILDING INSPECTORS, CERTIFIED HOME INSPECTORS, OR PEST AND DRY ROT INSPECTORS.

54

Seller (select one) 4 is

is not occupying the Property.

I. SELLER’S REPRESENTATIONS 55

The following are representations made by Seller and are not the representations of any financial institution that may have made or may make a loan

56

pertaining to the Property, or that may have or take a security interest in the Property, or any real estate licensee engaged by Seller or Buyer.

57

(Select or fill in an answer to each question below. Select “N/A” if a question is not applicable to the Property.)

58

*If you mark “Yes” on items with *, attach a copy or explain on an attached sheet.

59

1. TITLE

60

A. Do you have legal authority to sell the Property? .................................................................................... 4 Yes

61

B. *Is title to the Property subject to any of the following? ...........................................................................

62

First right of refusal

Option

Lease or rental agreement

Other listing

C. *Is the Property being transferred an unlawfully established unit of land? ..............................................

64

D. *Are there any encroachments, boundary agreements, boundary disputes or

66

Unknown

Yes* 4 No

Unknown

Yes* 4 No

Unknown

Yes* 4 No

Unknown

Life estate

63

65

No

recent boundary changes? .....................................................................................................................

E. *Are there any rights of way, easements, licenses, access limitations or claims

67

that may affect your interest in the Property? .........................................................................................

Yes* 4 No

Unknown

68

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

Yes* 4 No

Unknown

69

G. *Are there any governmental studies, designations, zoning overlays, surveys or

70

notices that would affect the Property? ...................................................................................................

Yes* 4 No

Unknown

71

H. *Are there any pending or existing governmental assessments against the Property? ..........................

Yes* 4 No

Unknown

72

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

Yes* 4 No

Unknown

Buyer Initials ________ / ________ / ________ / ________

EN

Seller Initials NN ________ / ________ / ________ / ________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 2 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 73

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

74

________________________________________________________________________________________________________ (the “Property”)

75

J. *Is there a boundary survey for the Property? .........................................................................................

76

K. *Are there any covenants, conditions, restrictions or private assessments that affect

77 78 79 80 81

the Property? ..........................................................................................................................................

Yes*

No 4 Unknown

Yes* 4 No

Unknown

Yes* 4 No

Unknown

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

82

(1) The source of the water is (select ALL that apply):

83

(2) Water source information:

Public

Community 4 Private

Other (specify) ____________________

84

a. *Does the water source require a water permit? ...........................................................................

85

If yes, do you have a permit?.....................................................................................................

86

b. Is the water source located on the Property? ................................................................................ 4 Yes

No

Unknown

87

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

No

Unknown 4 N/A

88 89 90 91

94 95 96

Yes*

Unknown Unknown 4 N/A

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

Yes* 4 No

Unknown

d. If the source of water is from a well or spring, have you had any of the following in the past 12 months?.................................................................................................... 4 Yes

No

Unknown

Yes* 4 No

Unknown

N/A

Flow test 4 Bacteria test 4 Chemical contents test e. *Are there any water source plumbing problems or needed repairs?............................................

(3) Are there any water treatment systems for the Property? .................................................................. 4 Yes

No

Unknown

Leased 4 Owned B. Irrigation

97

(1) Are there any

other irrigation rights for the Property? .....................................

Yes

No 4 Unknown

98

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

Yes*

No

99

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

Yes*

No 4 Unknown

100

N/A

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

92 93

Yes* 4 No Yes No

water rights or

Unknown 4 N/A N/A

C. Outdoor sprinkler system

101

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

Yes

4 No

102

(2) Has a back flow valve been installed? ................................................................................................

Yes

No

Unknown 4 N/A

103

(3) Is the outdoor sprinkler system operable? ..........................................................................................

Yes

No

Unknown 4 N/A

104

Unknown

3. SEWAGE SYSTEM

105

A. Is the Property connected to a public or community sewage system? ....................................................

Yes

4 No

Unknown

106

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

Yes

4 No

Unknown

107

C. Is the Property connected to an on-site septic system? .......................................................................... 4 Yes

No

Unknown

09/2025 (1) If yes, when was the system installed? ________________________ .........................................................................

Unknown

108

Buyer Initials ________ / ________ / ________ / ________

N/A

EN

Seller Initials NN ________ / ________ / ________ / ________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 3 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 109

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

110

________________________________________________________________________________________________________ (the “Property”)

111

(2) *If yes, was the system installed by permit? ....................................................................................... 4 Yes*

No

Unknown

N/A

112

(3) *Has the system been repaired or altered? ........................................................................................

Yes* 4 No

Unknown

N/A

113

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

Yes* 4 No

Unknown

N/A

114

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

Yes

Unknown

N/A

115

4 No

If yes, when? ________________________ ................................................................................................................................... 4 N/A

116

(6) Does the system have a pump? .........................................................................................................

Yes

4 No

Unknown

N/A

117

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

Yes

4 No

Unknown

N/A

118

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

Yes* 4 No

Unknown

N/A

119

(9) Are all components of the system located on the Property? .............................................................. 4 Yes

No

Unknown

N/A

120

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

Yes* 4 No

Unknown

121

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

Yes

4 No

Unknown

124

(1) Ceiling? ............................................................................................................................................... 4 Yes

No

Unknown

125

(2) Exterior walls? .................................................................................................................................... 4 Yes

No

Unknown

126

(3) Floors? ................................................................................................................................................ 4 Yes

No

Unknown

4 No

Unknown

Yes* 4 No Yes No

Unknown

Unknown

122

4. DWELLING INSULATION

123

A. Is there insulation in the:

127 128

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

Yes

5. DWELLING STRUCTURE

129

A. *Has the roof leaked? ..............................................................................................................................

130

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

131

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

Yes

4 No

132

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

Yes

No

Unknown 4 N/A

133

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

Yes

No

Unknown 4 N/A

134

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

Yes

No

Unknown 4 N/A

135

C. Are there smoke alarms or detectors? .................................................................................................... 4 Yes

No

Unknown

136

D. Are there carbon monoxide alarms? ....................................................................................................... 4 Yes

No

Unknown

137

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

Yes

4 No

Unknown

138

*If yes, what is the make? ________________________________________________________

139

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

Yes*

No

Unknown 4 N/A

140

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

141

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

Yes*

No

Unknown 4 N/A

142 143

Unknown 4 N/A

F. *Has pest and dry rot, structural or “whole house” inspection been done within the last three years? .....................................................................................................................................

Buyer Initials ________ / ________ / ________ / ________

Yes* 4 No

Unknown

EN

Seller Initials NN ________ / ________ / ________ / ________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 4 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 144

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

145

________________________________________________________________________________________________________ (the “Property”)

146 147

G. *Are there any moisture problems, areas of water penetration, mildew odors or other moisture conditions (especially in the basement)? ........................................................................

148

*If yes, explain on attached sheet the frequency and extent of problem and any insurance

149

claims, repairs or remediation done.

150

H. Is there a sump pump on the Property? ..................................................................................................

151

I. Are there any materials used in the construction of the structure that are or have been

Yes* 4 No

Unknown

Yes

4 No

Unknown

Yes

4 No

Unknown

152

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

153

If yes, what are the materials? ____________________________________________________

154

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

Yes

No

Unknown 4 N/A

155

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

Yes

No

Unknown 4 N/A

156

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

Yes

No

Unknown 4 N/A

157

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

Yes

No

Unknown 4 N/A

158

If yes, when? ________________________ ................................................................................................................................... 4 N/A

159

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

Yes

No

Unknown 4 N/A

160

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

Yes

No

Unknown 4 N/A

161

6. DWELLING SYSTEMS AND FIXTURES

162

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?

163

A. Electrical system, including wiring, switches, outlets and service ........................................................... 4 Yes

No

Unknown

164

B. Plumbing system, including pipes, faucets, fixtures and toilets ............................................................... 4 Yes

No

Unknown

165

C. Water heater tank .................................................................................................................................... 4 Yes

No

Unknown

166

D. Garbage disposal ....................................................................................................................................

Yes

No

Unknown 4 N/A

167

E. Built-in range and oven............................................................................................................................ 4 Yes

No

Unknown

N/A

168

F. Built-in dishwasher................................................................................................................................... 4 Yes

No

Unknown

N/A

169

G. Sump pump .............................................................................................................................................

Yes

No

Unknown 4 N/A

170

H. Heating and cooling systems

171

(1) Heating systems ................................................................................................................................. 4 Yes

No

Unknown

N/A

172

(2) Cooling systems ................................................................................................................................. 4 Yes

No

Unknown

N/A

Yes

No

Unknown 4 N/A

Yes

4 No

173

I. Security system

Owned

Leased ....................................................................................................

174

J. Are there any materials or products used in the systems and fixtures that are or have

175

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

176

If yes, what product? ____________________________________________________________

177

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

Yes

No

Unknown 4 N/A

178

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

Yes

No

Unknown 4 N/A

179

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

Yes

No

Unknown 4 N/A

Buyer Initials ________ / ________ / ________ / ________

Unknown

EN

Seller Initials NN ________ / ________ / ________ / ________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 5 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 180

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

181

________________________________________________________________________________________________________ (the “Property”)

182 183

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

Yes

No

Unknown 4 N/A

If yes, when? ________________________

184

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

Yes

No

Unknown 4 N/A

185

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

Yes

No

Unknown 4 N/A

Yes

4 No

186 187

7. COMMON INTEREST A. Is there a Home Owners’ Association or other governing entity?............................................................

Unknown

188

Name of Association or Other Governing Entity: ________________________________________________________________

189

Contact Person: _________________________________________________________________________________________

190

Address: _______________________________________________________________________________________________

191

Phone Number: __________________________________________________________________________________________

192

B. Regular periodic assessments: $_______________ per

193

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

194

D. Are there shared “common areas” or joint maintenance agreements for facilities

195

like walls, fences, pools, tennis courts, walkways or other areas co-owned in

196

undivided interest with others? ...............................................................................................................

197 198 199 200 201

Month

Year

Other _____________________________________ Yes* 4 No

Unknown

Yes

4 No

Unknown

Yes

No

Yes

4 No

Unknown

Unknown

E. Is the Home Owners’ Association or other governing entity a party to pending litigation or subject to an unsatisfied judgment? .....................................................................................

F. Is the Property in violation of recorded covenants, conditions and restrictions or in violation of other bylaws or governing rules, whether recorded or not? ..................................................

A. Was the house constructed before 1974? ...............................................................................................

Yes

4 No

203

If yes, has the house been bolted to its foundation? .........................................................................

Yes

No

205

Unknown 4 N/A

9. GENERAL A. Are there problems with settling, soil, standing water or drainage on the Property

206

or in the immediate area? .......................................................................................................................

Yes

4 No

Unknown

207

B. Does the Property contain fill? ................................................................................................................

Yes

4 No

Unknown

208

C. Is there any material damage to the Property or any of the structure(s) from fire,

209

wind, floods, beach movements, earthquake, expansive soils or landslides? ........................................

Yes

4 No

Unknown

210

D. Is the Property in a designated floodplain? .............................................................................................

Yes

4 No

Unknown

Yes

4 No

Unknown

Yes* 4 No

Unknown

211

Note: Flood insurance may be required for homes in a floodplain.

212

E. Is the Property in a designated slide or other geologic hazard zone? .....................................................

213

F. *Has any portion of the Property been tested or treated for asbestos, formaldehyde,

214

radon gas, lead-based paint, mold, fuel or chemical storage tanks or contaminated

215

soil or water? ...........................................................................................................................................

216 217

N/A

8. SEISMIC

202

204

Unknown 4 N/A

G. Are there any tanks or underground storage tanks (for example, septic, chemical, fuel, etc.) on the Property? ............................................................................................................................. 4 Yes

Buyer Initials ________ / ________ / ________ / ________

No

Unknown

EN

Seller Initials NN ________ / ________ / ________ / ________

LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 6 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

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RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 218

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

219

________________________________________________________________________________________________________ (the “Property”)

220

H. Has the Property ever been used as an illegal drug manufacturing or distribution site? ........................

Yes

4 No

221

*If yes, was a Certificate of Fitness issued? ......................................................................................

Yes*

No

222 223 224

Unknown Unknown 4 N/A

10. FULL DISCLOSURE BY SELLER(S) A. *Are there any other material defects affecting this Property or its value that a prospective buyer should know about? ...................................................................................................

225

*If yes, describe the defect on attached sheet and explain the frequency and extent

226

of the problem and any insurance claims, repairs or remediation.

Yes* 4 No

VERIFICATION 227

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

228

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

229

their agents.

230

Total number of pages attached, including all addenda, reports, or any other documents. (complete even if zero) ______ 0

231

Seller ______________________________________________________________________ Date/Time 06/23/2026, ______________________________ 01:20:27 PM PDT 

232

Nick Nichols Print ______________________________________________________________________

233

Seller ______________________________________________________________________ Date/Time ______________________________  06/29/2026, 08:02:03 AM PDT

234

Elaine Nichols Print ______________________________________________________________________

235

Seller ______________________________________________________________________ Date/Time ______________________________ 

236

Print ______________________________________________________________________

237

Seller ______________________________________________________________________ Date/Time ______________________________ 

238

Print ______________________________________________________________________

Nick Nichols

Elaine Nichols

II. BUYER’S ACKNOWLEDGMENT 239

A. 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

240

utilizing diligent attention and observation.

241

B. Each Buyer acknowledges and understands that the disclosures set forth in this statement and in any amendments to this statement are made

242

only by Seller and are not representations of any financial institution that may have made or may make a loan pertaining to the Property, or that

243

may have or take a security interest in the Property, or of any real estate licensee engaged by Seller or Buyer. A financial institution or real estate

244

licensee is not bound by and has no liability with respect to any representation, misrepresentation, omission, error or inaccuracy contained in

245

another party’s disclosure statement required by this section or any amendment to the disclosure statement.

246

C. Buyer (which term includes all persons signing the “buyer’s acknowledgment” portion of this disclosure statement below) hereby acknowledges

247

receipt of a copy of this disclosure statement (including attachments, if any) bearing Seller’s signature(s).

248

DISCLOSURES, IF ANY, CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF SELLER’S ACTUAL KNOWLEDGE

249

OF THE PROPERTY AT THE TIME OF DISCLOSURE. IF THE SELLER HAS FILLED OUT SECTION 2 OF THIS FORM, YOU, THE BUYER, HAVE

250

FIVE BUSINESS DAYS FROM THE SELLER’S DELIVERY OF THIS DISCLOSURE STATEMENT TO REVOKE YOUR OFFER BY DELIVERING

251

YOUR SEPARATE SIGNED WRITTEN STATEMENT OF REVOCATION TO THE SELLER DISAPPROVING THE SELLER’S DISCLOSURE UNLESS

252

YOU WAIVE THIS RIGHT AT OR PRIOR TO ENTERING INTO A SALE AGREEMENT.

Buyer Initials ________ / ________ / ________ / ________ LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 7 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

DigiSign Verified - c5523250-8e7b-4483-9adc-4be716ec07a0 80c633c4-7ceb-4f8e-b4d7-da1de6871849

RESIDENTIAL

SELLER’S PROPERTY DISCLOSURE STATEMENT 253

5101 SE Dixon Dr, Madras, OR 97741 Property Address or Tax ID # ______________________________________________________________________________________________

254

________________________________________________________________________________________________________ (the “Property”)

255

BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS SELLER’S PROPERTY DISCLOSURE STATEMENT.

256

Buyer ______________________________________________________________________ Date/Time ______________________________ 

257

Print ______________________________________________________________________

258

Buyer ______________________________________________________________________ Date/Time ______________________________ 

259

Print ______________________________________________________________________

260

Buyer ______________________________________________________________________ Date/Time ______________________________ 

261

Print ______________________________________________________________________

262

Buyer ______________________________________________________________________ Date/Time ______________________________ 

263

Print ______________________________________________________________________

264

Agent receiving disclosure statement on Buyer’s behalf to sign and date:

265

Real Estate Agent _______________________________________ Real Estate Firm (identify) _______________________________________

266

Date received by Agent ________________________

Seller Initials NN ________ / ________ / ________ / ________ LINES WITH THIS SYMBOL  REQUIRE A SIGNATURE AND DATE OREF 020 | Released 01/2026 | Page 8 of 8 No portion of this form may be reproduced without the express permission of Oregon Real Estate Forms, LLC | Copyright Oregon Real Estate Forms, LLC 2022 This form has been licensed for use solely by the user named below under the terms of the Oregon Real Estate Forms license agreement located at: https://orefonline.com/oref-forms-license-terms-and-conditions Created by Rachel Rhoden with SkySlope® Breeze.

TESTIMONIALS MY HUSBAND AND I LOVE RACHEL. SHE IS A W E S O M E TO W O RK W I T H . MA K ES T H IN GS E A S Y A N D S M OO T H . G OES WA Y A BO VE A N D B E Y O ND TO H EL P IN AN Y W A Y S H E C A N . S H E IS A M A Z I N G !

K E N Z I E M A D E T H E P R OC E S S O F B U YI NG O U R H OME A SM O OT H ON E . S HE L I S T E N E D TO O U R N EE D S A ND I S V E RY H A R D W O R K I NG AN D DED IC A TE D . S H E W E N T A B O V E A N D B E YON D A T A L L T I M ES .

S H E A L W A Y S S H O W ED U P N O M A T T E R W H A T . H E R PO S I T I V E A T TI T UD E A ND E N T H U S IA SM F ROM BE G INN I N G U N T IL T H E E N D OF T H E P RO CE S S N EV E R W A V ER E D . W E H A D A W O N D ER E X P E R I E N CE W OR KIN G W IT H K E N ZI E . W E W I L L D E F I NI TEL Y CH O O S E TO W O R K W I T H K E N Z I E A G A I N F O R O U R R E AL E ST A T E N EED S .

V E R Y V ER Y HE L P F U L A N D A LOT OF K N O W L E DGE AB OU T T H E B U Y I N G A N D S E L L I N G W OR L D. AL W A Y S S EE M S T O B E T H E R E W H E N Y OU N EE D H E R. VE RY P R O F E S S I ON A L ! ! H EL PE D T H R O UG H T H E W H O L E P R OC E S S F RO M S T A RT T O F I N IS H A N D W E N T AB O V E A N D B EY O ND T O M A KE S U R E I T W EN T WEL L .

T E A M R H OD EN

EB O O K

WANT TO LEARN MORE?

RACHEL RHODEN

JERED RHODEN

TEAM RHODEN - LEADER 541-771-6251

541-771-6252 JW@TEAMRHODEN.COM @ROPIN_BROKER

RACHEL@TEAMRHODEN.COM @ R A C H E L R H OD EN S R E AL ES T A T E

KENZIE CARNAHAN 541-419-4132 KENZIE@TEAMRHODEN.COM @REALTOR.KENZIECARNAHAN

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KRISTI KINSEYHAVNIEAR 541-815-4268 KRISTI@TEAMRHODEN.COM @KRISTI.KINSEY.REALTOR