UnderMaineLaw,certaininformationmustbemadeavailabletobuyerspriortoorduringpreparationofanoffer. Thisstatementhasbeenpreparedtoassistprospectivebuyersinevaluatingthisproperty.Thisdisclosureisnota warrantyoftheconditionofthepropertyandisnotpartofanycontractbetweenSellerandanyBuyer.Seller authorizesthedisclosureoftheinformationinthisstatementtorealestatelicenseesandtoprospectivebuyersof thisproperty.TheSelleragreestoprovidepromptnoticeofanychangesintheinformationandthisformwill beappropriatelychangedwithanamendmentdate.Inspectionsarehighlyrecommended.
DONOTLEAVEANYQUESTIONSBLANK. STRIKE,WRITEN/AORUNKNOWNIFNEEDED.
SECTIONI─WATERSUPPLY
PROPERTYLOCATEDAT: PROPERTYDISCLOSURE
TYPEOFSYSTEM: Public Private Seasonal Unknown Drilled Dug Other
Pump(ifany):......................................................... N/A Yes No Unknown Quantity:............................................................................... Yes No Unknown Quality:................................................................................. Yes No Unknown IfYestoanyquestion,pleaseexplaininthecommentsectionbeloworwithattachment. WATERTEST:Haveyouhadthewatertested?.................................................................... Yes No IfYes,Dateofmostrecenttest: Aretestresultsavailable?.. Yes No Toyourknowledge,haveanytestresultseverbeenreportedasunsatisfactory orsatisfactorywithnotation?...................................................................... Yes No IfYes,aretestresultsavailable?................................................................. Yes No Whatstepsweretakentoremedytheproblem? IFPRIVATE:(StrikeSectionifNotApplicable): INSTALLATION:Location: Installedby: DateofInstallation: USE: Numberofpersonscurrentlyusingsystem: Doessystemsupplywaterformorethanonehousehold? Yes No Unknown Comments: SourceofSectionIinformation: BuyerInitials Page1of7 SellerInitials Phone: Fax: ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011 X X X X X 07/2015 X X None Public Records/Sellers The
50
St Portland ME 04102 2075532662 2078799801 Burns Ian and
DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
MALFUNCTIONS:Areyouawareoforhaveyouexperiencedanymalfunctionswiththe (public/private/other)watersystem?
Tru Brit Team - Keller Williams Realty,
Sewall
Deborah Meek
PROPERTYLOCATEDAT: SECTIONII─ WASTEWATERDISPOSAL TYPEOFSYSTEM: Public Private Quasi-Public Unknown IFPUBLICORQUASI-PUBLIC(StrikeSectionifNotApplicable): Haveyouhadthesewerlineinspected?.................................................................................. Yes No IfYes,whatresults: Haveyouexperiencedanyproblemssuchaslineorothermalfunctions?.............................. Yes No Whatstepsweretakentoremedytheproblem?
Tank: SepticTank HoldingTank Cesspool Other: TankSize: 500Gallon 1000Gallon Unknown Other: TankType: Concrete Metal Unknown Other: Location: OR Unknown Dateinstalled: Datelastpumped: Nameofpumpingcompany: Haveyouexperiencedanymalfunctions?............................................................................. Yes No IfYes,givethedateanddescribetheproblem: Dateoflastservicingoftank: Nameofcompanyservicingtank: LeachField:................................................................................................... Yes No Unknown IfYes,Location: Dateofinstallationofleachfield: Installedby: Dateoflastservicingofleachfield: Companyservicingleachfield: Haveyouexperiencedanymalfunctions?.............................................................................. Yes No IfYes,givethedateanddescribetheproblemandwhatstepsweretakentoremedy: Doyouhaverecordsofthedesignindicatingthe#ofbedroomsthesystemwasdesignedfor? Yes No IfYes,aretheyavailable? Yes No IsSystemlocatedinaShorelandZone?......................................................... Yes No Unknown Comments: SourceofSectionIIinformation: BuyerInitials Page2of7 SellerInitials ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011 X X No known issues X N/A None Public Records/Sellers Burns Ian and DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
IFPRIVATE(StrikeSectionifNotApplicable):
SECTIONIII─HEATINGSYSTEM(S)/HEATINGSOURCES(S)
Malfunctionpersystem(s)or source(s)withinpast2years
Otherpertinentinformation
PROPERTYLOCATEDAT:
HeatingSystem(s)orSource(s) TYPE(S) Ageofsystem(s)orsource(s) Nameofcompanythatservices system(s)orsource(s)
Dateofmostrecentservicecall Annualconsumptionpersystem orsource(i.e.,gallons,kilowatt hours,cords)
SYSTEM1SYSTEM2SYSTEM3SYSTEM4 Aretherefuelsupplylines?................................................................................ YesNo Unknown Areanyburied?.................................................................................................. YesNo Unknown Areallsleeved?.................................................................................................. YesNo Unknown Chimney(s):........................................................................................................ YesNo IfYes,aretheylined:.................................................................................... YesNo Unknown Ismorethanoneheatsourceventedthroughoneflue?............................... YesNo Unknown Hadachimneyfire:..................................................................................... YesNo Unknown Haschimney(s)beeninspected?.................................................................. YesNo Unknown IfYes,date: Datechimney(s)lastcleaned: Direct/PowerVent(s):......................................................................................... YesNo Unknown Hasvent(s)beeninspected?......................................................................... YesNo Unknown IfYes,date: Comments: SourceofSectionIIIinformation:
A.UNDERGROUNDSTORAGETANKS -Aretherenow,orhavethereeverbeen,anyunderground storagetanksontheproperty?........................................................................ YesNo Unknown IfYes,aretanksincurrentuse?........................................................................ YesNo Unknown Ifnolongerinuse,howlonghavetheybeenoutofservice? Iftanksarenolongerinuse,havetanksbeenabandonedaccordingtoDEP? YesNo Unknown AretanksregisteredwithDEP?...................................................................... YesNo Unknown Ageoftank(s):Sizeoftank(s): Location: BuyerInitials Page3of7 SellerInitials ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com
FHA/Oil 1984* Dog House 03/2023 300 gallons Burner motor replaced 10/22 *Per prior owner Propane HW Tank 2008 Dead River None 250 gallons None Propane fuels hot water only X X X X X X X X Unknown X X Hot water tank uses power vent Public Records/Sellers/*Prior Owner X Burns Ian and DocuSign Envelope
SECTIONIV─HAZARDOUSMATERIAL ThelicenseeisdisclosingthattheSellerismakingrepresentationscontainedherein.
20 Minat Avenue, Brunswick, ME 04011
ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
PROPERTYLOCATEDAT: Whatmaterialsare,orwere,storedinthetank(s)? Haveyouexperiencedanyproblemssuchasleakage:.................................. Yes No Unknown Comments: Sourceofinformation: B.ASBESTOS ─Istherenoworhastherebeenasbestos: Asinsulationontheheatingsystempipesorductwork?.............................. Yes No Unknown Intheceilings?............................................................................................... Yes No Unknown Inthesiding?.................................................................................................. Yes No Unknown Intheroofingshingles?.................................................................................. Yes No Unknown Inflooringtiles?............................................................................................. Yes No Unknown Other: Yes No Unknown Comments: Sourceofinformation: C.RADON/AIR -Currentorpreviouslyexisting: Hasthepropertybeentested?........................................................................ Yes No Unknown IfYes:Date: By: Results: Ifapplicable,whatremedialstepsweretaken? Hasthepropertybeentestedsinceremedialsteps?....................................... Yes No Unknown Aretestresultsavailable?.............................................................................. Yes No Results/Comments: Sourceofinformation: D.RADON/WATER -Currentorpreviouslyexisting: Hasthepropertybeentested?......................................................................... Yes No Unknown IfYes:Date: By: Results: Ifapplicable,whatremedialstepsweretaken? Hasthepropertybeentestedsinceremedialsteps?....................................... Yes No Unknown Aretestresultsavailable?.............................................................................. Yes No Results/Comments: Sourceofinformation: E.METHAMPHETAMINE- Currentorpreviouslyexisting: Yes No Unknown Comments: Sourceofinformation: BuyerInitials Page4of7 SellerInitials ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011 None Public Records/Sellers X X X X X None known X Abatement completed by a former owner according to previous seller* Public Records/Seller/*Prior Owner X 09/2012* Dewitt Kimball* Satisfactory* Mitigation system installed although not required* X X None/None Public Records/Sellers/*Prior Owner X None/None Public Records/Sellers X None Public Records/Sellers Burns Ian and DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
F.LEAD-BASEDPAINT/PAINTHAZARDS (Note:Lead-basedpaintismostcommonlyfoundinhomes constructedpriorto1978)
Istherenoworhasthereeverbeenlead-basedpaintand/orlead-basedpainthazardsontheproperty?..............
IfYes,describelocationandbasisfordetermination:
Doyouknowofanyrecords/reportspertainingtosuchlead-basedpaint/lead-basedpainthazards: Yes No
IfYes,describe:
Areyouawareofanycracking,peelingorflakingpaint?............................................................... Yes No
Comments:
Sourceofinformation:
G.OTHERHAZARDOUSMATERIALS -Currentorpreviouslyexisting:
Sourceofinformation: Buyersareencouragedtoseekinformationfromprofessionalsregardinganyspecificissueorconcern.
SECTIONV─ GENERALINFORMATION
Isthepropertysubjecttoorhavethebenefitofanyencroachments,easements,rights-of-way,leases,rightsof firstrefusal,lifeestates,privateways,trails,homeownerassociations(includingcondominiums andPUD's)orrestrictivecovenants?.............................................................
IsaccessbymeansofawayownedandmaintainedbytheState,acounty,oramunicipality overwhichthepublichasarighttopass?.........................................................
IfNo,whoisresponsibleformaintenance?
RoadAssociationName(ifknown):
PROPERTYLOCATEDAT:
................................................ Yes No Unknown Unknown(butpossibleduetoage)
TOXICMATERIAL:..................................................................................... Yes No Unknown LANDFILL:....................................................................................................... Yes No Unknown RADIOACTIVEMATERIAL:...................................................................... Yes No Unknown
Other:
Yes No Unknown IfYes,explain:
Sourceofinformation:
Yes
Unknown
No
BuyerInitials Page5of7 SellerInitials ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011 X X X None Public Records/Sellers X X X None known Public Records/Sellers X Public Records/Sellers X Burns Ian and DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
Arethereanytaxexemptionsorreductionsforthispropertyforanyreasonincludingbutnotlimitedto:
Equipmentleasedornotowned(includingbutnotlimitedto,propanetank,hotwaterheater,satellitedish, waterfiltrationsystem,photovoltaics,windturbines):Type:
YearPrincipalStructureBuilt:
WhatyeardidSelleracquireproperty?
KNOWNMATERIALDEFECTSaboutPhysicalConditionand/orvalueofProperty,includingthosethatmay haveanadverseimpactonhealth/safety:
PROPERTYLOCATEDAT:
........................................................................................................................ Yes No Unknown IfYes,explain: IsaForestManagementandHarvestPlanavailable?............................... Yes No Unknown Ishousenowcoveredbyfloodinsurancepolicy (notadeterminationoffloodzone) Yes No Unknown
TreeGrowth,OpenSpaceandFarmland,Veteran's,HomesteadExemption,Blind,WorkingWaterfront?...................
Roof:YearShingles/OtherInstalled: Water,moistureorleakage: Comments: Foundation/Basement: IsthereaSumpPump?....................................................................... Yes No Unknown Water,moistureorleakagesinceyouownedtheproperty:............... Yes No Unknown Priorwater,moistureorleakage?...................................................... Yes No Unknown Comments: Mold:Hasthepropertyeverbeentestedformold?...................................... Yes No Unknown IfYes,aretestresultsavailable?...................................................... Yes No Comments: Electrical: Fuses CircuitBreaker Other: Unknown Comments: Hasalloraportionofthepropertybeensurveyed?...................................... Yes No Unknown IfYes,isthesurveyavailable?................................................................ Yes No Unknown ManufacturedHousing‒Istheresidencea: MobileHome........................................................................................... Yes No Unknown Modular.................................................................................................... Yes No Unknown Knowndefectsorhazardousmaterialscausedbyinsectoranimalinfestationinsideorontheresidentialstructure ......................................................................................................................... Yes No Unknown Comments:
Comments: SourceofSectionVinformation: BuyerInitials Page6of7 SellerInitials ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011 X Homestead X X Propane Tank - Dead River 1950 2015 2023 None New roof shingle installed this summer, gutters installed 2015 X X X None X None X None X X X X X None None known None Public Records/Sellers Burns Ian and DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A
Recent seller updates: Kitchen remodel 2021 including new hardwood flooring, lights, quartz counters and refinished cabinets. New refrigerator 2022 + new bathroom vinyl flooring. Roof replaced 2023 on main house, new vinyl siding on garage.
ATTACHMENTSEXPLAININGCURRENTPROBLEMS,PASTREPAIRSORADDITIONAL INFORMATIONINANYSECTIONINDISCLOSURE:........................................................... Yes No
Sellershallberesponsibleandliableforanyfailuretoprovideknowninformationregardingknownmaterial defectstotheBuyer.
NeitherSellernoranyBrokermakesanyrepresentationsastotheapplicabilityof,orcompliancewith,anycodes ofanysort,whetherstate,municipal,federaloranyother,includingbutnotlimitedtofire,lifesafety,building, electricalorplumbing.
AsSellers,wehaveprovidedtheaboveinformationandrepresentthatallinformationiscorrect.Tothebestof ourknowledge,allsystemsandequipment,unlessotherwisenotedonthisform,areinoperationalcondition.
I/Wehavereadandreceivedacopyofthisdisclosure,thearsenicinwoodfactsheet,thearsenicinwater brochure,andunderstandthatI/weshouldseekinformationfromqualifiedprofessionalsifI/wehavequestions orconcerns.
PROPERTYLOCATEDAT:
SECTIONVI─ ADDITIONALINFORMATION
SELLER DATESELLER DATE SELLER DATESELLER DATE
BUYER DATEBUYER DATE BUYER DATEBUYER DATE Page7of7 MaineAssociationofREALTORS®/Copyright©2023. AllRightsReserved.Revised2022. ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com 20 Minat Avenue, Brunswick, ME 04011
X Ian
Cassedy
Burns Ian and DocuSign Envelope ID: 2B4289ED-D209-4BEE-9CBC-F637D234993A 7/20/2023 | 2:47 PM 7/20/2023 | 2:46 PM EDT
B. Burns
R. Burns
