Sec. 7. (1) The disclosures required by this act shall must be made on the following form:

SELLER'S DISCLOSURE STATEMENT
Property Address:	______________________________________________
	Street
	_____________________________________ Michigan

City, Village, or Township

Purpose of Statement: This statement is a disclosure of the condition of the property in compliance with the seller disclosure act. This statement is a disclosure of the condition and information concerning the property, known by the seller. Unless otherwise advised, the seller does not possess any expertise in construction, architecture, engineering, or any other specific area related to the construction or condition of the improvements on the property or the land. Also, unless otherwise advised, the seller has not conducted any inspection of generally inaccessible areas such as the foundation or roof. This statement is not a warranty of any kind by the seller or by any agent representing the seller in this transaction, and is not a substitute for any inspections or warranties the buyer may wish to obtain.

Seller's Disclosure: The seller discloses the following information with the knowledge that even though this is not a warranty, the seller specifically makes the following representations based on the seller's knowledge at the signing of this document. Upon receiving On receipt of this statement from the seller, the seller's agent is required to shall provide a copy to the buyer or the agent of the buyer. The seller authorizes its agent(s) the seller's agent or agents to provide a copy of this statement to any prospective buyer in connection with any actual or anticipated sale of property. The following are representations made solely by the seller and are not the representations of the seller's agent(s), agent or agents, if any. THIS INFORMATION IS A DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY CONTRACT BETWEEN BUYER AND SELLER.

Instructions to the Seller: (1) Answer ALL questions. (2)

Report known conditions affecting the property. (3) Attach additional pages with your signature if additional space is required. (4) Complete this form yourself. (5) If some items do not apply to your property, check NOT AVAILABLE. If you do not know the facts, check UNKNOWN. FAILURE TO PROVIDE A PURCHASER WITH A SIGNED DISCLOSURE STATEMENT WILL ENABLE A PURCHASER TO TERMINATE AN OTHERWISE BINDING PURCHASE AGREEMENT.

	Appliances/Systems/Services: The items below are in working order
	(the items below are included in the sale of the property only if
	the purchase agreement so provides):

	Yes	No	Unknown	Not Available
Range/Ovenoven	____	____	____	____
Dishwasher	____	____	____	____
Refrigerator	____	____	____	____
Hood/fan	____	____	____	____
Disposal	____	____	____	____
TV antenna, TV rotor & controls	____	____	____	____
Electrical system	____	____	____	____
Garage door opener & remote control	____	____	____	____
Alarm system	____	____	____	____
Intercom	____	____	____	____
Central vacuum	____	____	____	____
Attic fan	____	____	____	____
Pool heater, wall liner & equipment	____	____	____	____

Microwave	____	____	____	____
Trash compactor	____	____	____	____
Ceiling fan	____	____	____	____
Sauna/hot tub	____	____	____	____
Washer	____	____	____	____
Dryer	____	____	____	____
Lawn sprinkler system	____	____	____	____
Water heater	____	____	____	____
Plumbing system	____	____	____	____
Water softener/conditioner	____	____	____	____
Well & pump	____	____	____	____
Septic tank & drain field	____	____	____	____
Sump pump	____	____	____	____
City Water Systemwater system	____	____	____	____
City Sewer Systemsewer system	____	____	____	____
Central air conditioning	____	____	____	____
Central heating system	____	____	____	____
Wall furnace	____	____	____	____
Humidifier	____	____	____	____
Electronic air filter	____	____	____	____
Solar heating system	____	____	____	____
Fireplace & chimney	____	____	____	____
Wood burning system	____	____	____	____

	Explanations (attach additional sheets if necessary):
	____________________________________________________________
	____________________________________________________________
	____________________________________________________________
	____________________________________________________________

	____________________________________________________________
	UNLESS OTHERWISE AGREED, ALL HOUSEHOLD APPLIANCES ARE SOLD IN WORKING ORDER EXCEPT AS NOTED, WITHOUT WARRANTY BEYOND DATE OF CLOSING.

Property conditions, improvements & additional information:
1. Basement/crawl space: Has there been evidence of water?
		yes____ no____
If yes, please explain: _________________________________
2. Insulation: Describe, if known __________________________
Urea Formaldehyde Foam Insulation (UFFI) is installed?
	unknown____ yes____ no____
3. Roof: Leaks?		yes____ no____
Approximate age if known ________________________________
4. Well: Type of well (depth/diameter, age, and repair
history, if known): ____________________________________
Has the water been tested?		yes____ no____
If yes, date of last report/results: ___________________
5. Septic tanks/drain fields: Condition, if known: _________
_________________________________________________________
6. Heating System: system: Type/approximate age: __________________
7. Plumbing system: Type: copper___ galvanized___ other___
Any known problems? _____________________________________
8. Electrical system: Any known problems? _________________
_________________________________________________________
9. History of infestation, if any: (termites, carpenter ants,
etc.) ___________________________________________________

10. Environmental Problems: problems: Are you aware of any substances,
materials, or products that may be an environmental
hazard such as, but not limited to, asbestos, radon gas,
formaldehyde, lead-based paint, fuel or chemical storage
tanks and or contaminated soil on the property? .
		unknown____ yes____ no____
If yes, please explain: ________________________________
_________________________________________________________
11. Flooding: Are you aware of whether the property is located in an inundation zone? unknown ____ yes___ no_____ If yes, did you provide the buyer with a map of the property showing the property's location in the inundation zone? yes____ no_____ 12. 11. Flood insurance: Do you have flood insurance on the
property?		unknown____ yes____ no____
13. 12. Mineral rights: Do you own the mineral rights?
	unknown____ yes____ no____
Other Items: items: Are you aware of any of the following:
1. Features of the property shared in common with the
adjoining landowners, such as walls, fences, roads and
driveways, or other features whose use or responsibility
for maintenance may have an effect on the property?
	unknown____ yes____ no____
2. Any encroachments, easements, zoning violations, or
nonconforming uses?	unknown____ yes____ no____
3. Any "common areas" (facilities like pools, tennis courts,
walkways, or other areas co-owned with others), or a

homeowners' association that has any authority over the
property?	unknown____ yes____ no____
4. Structural modifications, alterations, or repairs made
without necessary permits or licensed contractors?
	unknown____ yes____ no____
5. Settling, flooding, drainage, structural, or grading
problems?	unknown____ yes____ no____
6. Major damage to the property from fire, wind, floods,
landslides?	unknown____ yes____ no____
7. Any underground storage tanks?
	unknown____ yes____ no____
8. Farm or farm operation in the vicinity; or proximity to a
landfill, airport, shooting range, etc.?
	unknown____ yes____ no____
9. Any outstanding utility assessments or fees, including any
natural gas main extension surcharge?
	unknown____ yes____ no____
10. Any outstanding municipal assessments or fees?
	unknown____ yes____ no____
11. Any pending litigation that could affect the property or
or the seller's right to convey the property?
	unknown____ yes____ no____
If the answer to any of these questions is yes, please explain.
Attach additional sheets, if necessary:______________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________

The seller has lived in the residence on the property from

_________________ (date) to _________________ (date). The

seller has owned the property since ___________________ (date).

The seller has indicated above the condition of all the items

based on information known to the seller. If any changes occur

in the structural/mechanical/appliance systems of this property

from the date of this form to the date of closing, seller will

immediately disclose the changes to buyer. In no event shall

the parties hold the broker liable for any representations not

directly made by the broker or broker's agent.

Seller certifies that the information in this statement is true

and correct to the best of seller's knowledge as of the date of

seller's signature.

BUYER SHOULD OBTAIN PROFESSIONAL ADVICE AND INSPECTIONS OF THE PROPERTY TO MORE FULLY DETERMINE THE CONDITION OF THE PROPERTY. THESE INSPECTIONS SHOULD TAKE INDOOR AIR AND WATER QUALITY INTO ACCOUNT, AS WELL AS ANY EVIDENCE OF UNUSUALLY HIGH LEVELS OF POTENTIAL ALLERGENS INCLUDING, BUT NOT LIMITED TO, HOUSEHOLD MOLD, MILDEW, AND BACTERIA.

BUYERS ARE ADVISED THAT CERTAIN INFORMATION COMPILED PURSUANT TO THE SEX OFFENDERS REGISTRATION ACT, 1994 PA 295, MCL 28.721 TO 28.736, 28.730, IS AVAILABLE TO THE PUBLIC. BUYERS SEEKING THAT INFORMATION SHOULD CONTACT THE APPROPRIATE LOCAL LAW ENFORCEMENT AGENCY OR SHERIFF'S DEPARTMENT DIRECTLY.

BUYER IS ADVISED THAT THE STATE EQUALIZED VALUE OF THE PROPERTY, PRINCIPAL RESIDENCE EXEMPTION INFORMATION, AND OTHER REAL PROPERTY TAX INFORMATION IS AVAILABLE FROM THE APPROPRIATE LOCAL ASSESSOR'S OFFICE.

Seller____________________	Date____________________
Seller____________________	Date____________________

Buyer has read and acknowledges receipt of this statement.
Buyer______________	Date______________	Time:______________
Buyer______________	Date______________	Time:______________

(2) A form described in subsection (1) printed before January 1, 2006 that was in compliance complies with this section at that time may be utilized used and shall be is considered to be in compliance with this section until April 1, 2006.