Utah Sellers Property Condition Disclosure Form 10

Information you will need

• SELLER NAME
• PROPERTY ADDRESS
• LISTING BROKERAGE
• Approx Date
• B Are you aware of any existing or threatened legal action affecting the Property If Yes please
• C Are you aware of any past or present violations of any local state or federal law or regulation or of any
• D To your knowledge is any portion of the Property presently assessed for property tax purposes as
• nature and location of any past or present leaks
• the nature and location of any past or present problems or defects with the roof
• describe to your knowledge the nature of any roof repairs or replacements
• knowledge the nature of any past or present problems with utility service or utility systems
• Culinary water service for the Property is provided by check applicable box Public Water Private Water
• pressure etc If Yes please describe to your knowledge the nature of any such problems
• knowledge the nature of any such problems
• F To your knowledge is your water right for the well represented by a contract with a special improvement
• A Sewer service for the Property will be provided by check applicable box Public Sewer Septic Tank
• problems
• central vacuum doesnt work etc
• describe to your knowledge the nature of any such problems for example disposal doesnt work etc
• not working etc
• such problems for example pump for jetted bathtub doesnt work skylights leak etc
• driveway only works on portion of driveway etc
• such problems
• mitigate such damage

…and 78 more fields in the PDF.

Completed by the seller and the buyer and the agent.

The form includes a notary acknowledgment.