Vermont Sellers Property Information Report Form VR 041

Information you will need

• Date Prepared
• Sellers Names
• Other
• Annual Costs
• Other explain
• Further explanation of any of the above
• Age of FurnaceBoiler
• Annual Fuel Usage
• Provider
• Rented If rented from whom
• Monthly rental fee
• NO Owned
• or Leased
• Annual electricity usage
• Electric utility provider
• If Yes current provider
• NO If Yes list available providers
• NO If Yes current provider
• Whirlpool Bath
• Are any of the items that will be included in the sale of the Property in need of repair or replacement
• If yes explain in detail
• undefined
• Exterior Walls
• If any of the above items are checked describe the defect malfunction or items that need significant repair

…and 109 more fields in the PDF.

Completed by the seller and the buyer and the purchaser.

The form includes 4 signature lines.