Mississippi Property Condition Disclosure Statement

Information you will need

• PROPERTY 1 TO 4 UNITS located at
• SELLERS
• Approximate Age of the Residence
• Seller receive the title to the property
• If YES what were the dates of Occupancy
• If YES indicate the Home Identification number on the Data Plate
• heaving
• undefined
• years old
• functioning properly etc
• damage behind the stucco
• of the survey if available If YES please indicate by whom the survey was completed
• the survey was completed
• If YES please explain
• current Map Number used to determine the Flood Zone
• premium currently being paid and when the premium was last adjusted
• If YES please explain in detail
• the problem
• steps were taken to remedy the problem
• taken to remedy the problems
• problem you experienced and how it was mitigated
• YES ITEMSBUILTIN COOKTOP
• NO NABUILTIN COOKTOP
• GAS ELECTRICBUILTIN COOKTOP

…and 140 more fields in the PDF.

Completed by the seller and the purchaser and the licensee.