Purpose of Disclosure Statement: Pursuant to Hawai'i Revised Statutes, Chapter 508D
A seller of residential real property is obligated to fully and accurately disclose in writing to a buyer all “material facts” concerning the property. For all other real estate transactions, including the sale of vacant land, sellers are also advised to uphold any common law duty to disclose all material facts necessary to prevent misleading representations.[tooltips "Material facts are defined as:
Any fact, defect, or condition, past or present, that would be expected to measurably affect the value to a reasonable person of the residential real property being offered for sale."]

I understand that I am the legal seller of this Property. It is my responsibility to meet any legal requirements for selling, disclosures and any other legal requirements. I will not receive any legal indemnity from SRPDS.com for any issues that may arise.

Pursuant to Hawai'i Revised Statutes, Chapter 508D-8, this Disclosure Statement may exclude information regarding:

(1) An occupant of the residential real property was afflicted with acquired immune deficiency syndrome (AIDS) or AIDS related complex, or had been tested for human immunodeficiency virus; or
(2) The residential real property was the site of an act or occurrence that had no effect on the physical structure or the physical environment of the residential real property, or the improvements located on the residential real property.

This Disclosure Statement is intended to assist Seller in organizing and presenting all material facts concerning the Property. It is very important that Seller exercise due care in preparing responses to questions posed in the Disclosure Statement, and that all responses are made in good faith, are truthful and complete to the best of Seller's knowledge. Seller's agent, Buyer and Buyer's agent may rely upon Seller's disclosures.

SELLER IS ENCOURAGED TO OBTAIN PROFESSIONAL ADVICE AND/OR HAVE AN EXPERT INSPECT PROPERTY PRIOR TO PREPARING THE DISCLOSURE STATEMENT.

Seller's Statement: This is a statement concerning information relating to the condition of Property that:
(i) is within the knowledge or control of Seller;
(ii) can be observed from visible, accessible areas; or
(iii) which is required by Section 508D-4.5 and 508D-15, Hawai'i Revised Statutes. Seller may not be aware of problems affecting Property, and there may be material facts of which Seller is not aware that qualified experts may be able to discover or time may reveal. Unless Buyer has been otherwise specifically advised, Seller has not conducted any inspections of generally inaccessible areas of Property.

The statements made below are made by Seller and are not statements or representations of Seller's agent unless specifically identified.

THIS DISCLOSURE STATEMENT IS NOT A WARRANTY OF ANY KIND BY SELLER OR BY ANY AGENT REPRESENTING SELLER AND IS NOT A SUBSTITUTE FOR ANY EXPERT INSPECTION, PROFESSIONAL ADVICE, OR WARRANTY THAT BUYER MAY WISH TO OBTAIN.

General Instructions to Seller:

(1) Answer ALL questions in the applicable sections.

(2) If checked or answered YES, explain all material facts known to you.

(3) Each property/dwelling/structure shall have its own Disclosure.

(4)NTMK means NOT TO MY KNOWLEDGE.

(5)NA means NOT APPLICABLE and cannot be answered by YES, NO or NTMK

MUST BE COMPLETED BY SELLER ONLY

Seller Name:

Is there another seller on Title?

YESNO

Property Reference or Address:

Street Number:Street:TypeAveBeachBgBgsBlfsBlvdBndBypCirClbClfCmnCorCpCpeCresCrkCtCtrCtsCynDmDrDrsEstEstsExtFrstGdnGdnsHbrHlHlsHtsHwyIsLandLkLnLndgLoopMallMdwMdwsMlParkParsPkwyPlPtRadlRdRdgRdsRnchRowRiseRteShrsSpgsSqStStaStrmStsTerTrlVisVlgVlyVwWalkWayWlXing
Unit:
City:
Zip:

Parcel Number
Tax Map Key(TMK)[tooltips "TMK Or Tax Map Key
A TMK is an identifier for a property in Hawaii. It's found on your property tax statement, and it's used when an owner sells their property. The number is several digits in length and is divided into six segments: ISLAND – ZONE- SECTION – PLAT – PARCEL – CPR

SEARCH FOR YOUR TMK

"]

TMK:
[tooltips "Enter the 9-digit TMK using the format (without special characters)

Example:
I-Z-S-PPP-ppp
I = Island Number (1 digit)
Z = Zone Number (1 digit)
S = Section Number (1 digit)
PPP = Plat Number (3 digits)
ppp = Parcel Number (3 digits)
cpr =CPR Number (4 digits)

Island Numbers:
1 = Honolulu
2 = Maui
3 = Hawaii
4 = Kauai

Parcel Number 3921180030052 is entered as 3-9-2-118-003-0052"]

Tenure:

Fee SimpleLeasehold

Your Agents Name:Brokerage Firm:
Agent Email:Your Email:

Do you currently "Occupy" property?[tooltips "Occupied property means a residential property with a structure on which any person, including an owner, operator, or tenant, but not a trespasser, lives, sleeps, cooks, or otherwise maintains actual possession"]

YESNO

Has the property ever been rented during your term of ownership?

YESNO

SECTION A: GENERAL Question 1 of 34

1) Is the property subject to Covenants, Conditions and Restrictions (CC&Rs)?

YESNONTMKNA

SECTION A: GENERAL Question 2 of 34

2) Is the property currently used for transient accommodations?[tooltips "e.g. Short Term Vacation Rentals, B&B, etc."]

YESNONTMKNA

SECTION A: GENERAL Question 3 of 34

3) Is the property subject to any recorded or unrecorded land lease[tooltips "e.g. Pasture lease, Sandwich lease, etc."]

YESNONTMKNA

SECTION A: GENERAL Question 4 of 34

4) Is the Property located in a Special Management Area?[tooltips "SMA
A Special Management Area, or SMA, is the area of the island that is in close proximity to the shoreline.

SMA MAP

"]

YESNONTMKNA

SECTION A: GENERAL Question 5 of 34

5) Is the Property located in a tsunami evacuation zone?[tooltips "A tsunami evacuation zone is an area that you may need to evacuate from if you feel a long or strong earthquake, or if there is an official tsunami warning. There are three zones – red, orange and yellow – based on the areas that could be affected in different sized tsunamis.

Search Tsunami Zone Map

"]

YESNONTMKNA

SECTION A: GENERAL Question 6 of 34

6) Is the Property located in volcanic hazard Zone 1 or 2?[tooltips "Only applicable to Island of Hawaii"]

YESNONTMKNA

SECTION A: GENERAL Question 7 of 34

7) Is the Property subject to excessive air pollution?[tooltips "Example
VOG"]

YESNONTMKNA

SECTION A: GENERAL Question 8 of 34

8) Is the property located in a geothermal subzone or near a geothermal facility?

YESNONTMKNA

SECTION A: GENERAL Question 9 of 34

9) Is the property located in the regular path of aircraft and does it experience regular excessive aircraft?

YESNONTMKNA

SECTION A: GENERAL Question 10 of 34

10) Is the property located within the boundaries of the Air Installation Compatibility Use Zone (restricted air space) of any Air Force, Army, Navy, or Marine Corps airport as officially designated by military authorities?

YESNONTMKNA

SECTION A: GENERAL Question 11 of 34

11) Are you aware of the presence of or removal of unexploded military ordinance in this general area?

YESNONTMKNA

SECTION A: GENERAL Question 12 of 34

12) Is the Property located in a Special Flood Hazard Area based on FEMA's Flood Insurance Rate Maps?[tooltips "Built before the following dates:
- Honolulu County before 9/3/1980
- Maui County before 6/1/1981
- Kauai County before 11/4/1981
- Hawaii County before 5/3/1982"]

YESNONTMKNA

SECTION A: GENERAL Question 13 of 34

13) Are there any easements affecting the property?

YESNONTMKNA

SECTION A: GENERAL Question 14 of 34

14) Are there any roadways, driveways, walls, fences, and/or other improvements which are shared with adjoining land owners?

YESNONTMKNA

SECTION A: GENERAL Question 15 of 34

15) Are there any known encroachments?

YESNONTMKNA

SECTION A: GENERAL Question 16 of 34

16) Are there any written agreements concerning items 13, 14, or 15?[tooltips "13) Are there any easements affecting the property?

14) Are there any roadways, driveways, walls, fences, and/or other improvements which are shared with adjoining land owners?

15) Are there any known encroachments?"]

YESNONTMKNA

SECTION A: GENERAL Question 17 of 34

17) Is access to the Property restricted?

YESNONTMKNA

SECTION A: GENERAL Question 18 of 34

18) Are there any violations of government regulations/ordinances related to the property?

YESNONTMKNA

SECTION A: GENERAL Question 19 of 34

19) Are there any restrictions on rebuilding?

YESNONTMKNA

SECTION A: GENERAL Question 20 of 34

20) Are there any nonconforming uses or unpermitted structures on the property?

YESNONTMKNA

SECTION A: GENERAL Question 21 of 34

21) Is the Property exposed to other types of recurring excessive noise[tooltips "e.g. night club, school, street traffic, animals, coqui frogs, birds, barking dogs etc."]

YESNONTMKNA

SECTION A: GENERAL Question 22 of 34

22) Are there any additional facts regarding the Property that may be deemed a material fact?

YESNONTMKNA

SECTION A: GENERAL Question 23 of 34

23) Are there any other additional material facts related to the property concerning historic registers, Hawai'i's Historic Preservation Program, archaeological surveys or historic features?

YESNONTMKNA

SECTION A: GENERAL Question 24 of 34

24) Is there any existing or past damage to the property or any of the structures (interior or exterior) from earthquake, fire, smoke, flooding, leaks, landslides, falling rocks, tsunami, volcanic activity, or wind?

YESNONTMKNA

SECTION A: GENERAL Question 25 of 34

25) Are there any additional material facts regarding the neighborhood that would be expected to measurably affect the value of the Property?[tooltips "e.g., pesticides, soil problems, irrigation, odors, pending development in the area, road widening projects, zoning changes, rail, etc."]

YESNONTMKNA

SECTION A: GENERAL Question 26 of 34

26) Have there ever been substances, materials, or products known to be an environmental or health hazard such as, but not limited to, asbestos, formaldehyde, by-products of methamphetamine manufacturing, radon gas, lead-based paint, fuel or chemical storage tanks, contaminated soil or water?

YESNONTMKNA

SECTION A: GENERAL Question 27 of 34

27) Is there filled land on the property?

YESNONTMKNA

SECTION A: GENERAL Question 28 of 34

28) Has there ever been any settling or slippage, sliding, subsidence, or other soil problem?

YESNONTMKNA

SECTION A: GENERAL Question 29 of 34

29) Has there ever been any drainage, water infiltration, seepage, flooding, or grading problems?

YESNONTMKNA

SECTION A: GENERAL Question 30 of 34

30) Is there any damage caused by tree roots to/from the property or to/from another adjoining property?

YESNONTMKNA

SECTION A: GENERAL Question 31 of 34

31) Were additions, modifications, and/or alterations made to the property without obtaining required approvals?

YESNONTMKNA

SECTION A: GENERAL Question 32 of 34

32) Does any other party have an unrecorded interest in the property and/or a say in its disposition?

YESNONTMKNA

SECTION A: GENERAL Question 33 of 34

33) Are there any lawsuits or foreclosure actions affecting the property?

YESNONTMKNA

SECTION A: GENERAL Question 34 of 34

34) If you purchased the property as a foreclosure, was the foreclosure judicial or non-judicial?

JudicialNon-JudicialNA

SECTION B: UTILITIES AND SERVICES: 1 of 4

B1) What is your source of Water supply?

PublicPrivateNA

SECTION B: UTILITIES AND SERVICES: 2 of 4

What is your source of Electrical Power?

PublicPhoto VoltaicNA

SECTION B: UTILITIES AND SERVICES: 3 of 4

What type of Wastewater/Sewage system do you have?

PublicPrivateNA

Is there an Abandoned Cesspool Or Septic System anywhere on the property?

YESNONTMK

SECTION B: UTILITIES AND SERVICES: ALARM?

B5) Is there an Alarm System?
YESNO

B5a) Is Security Alarm and/or Home Automation System is included with the sale?
YESNO

Is the system: LeasedFinancedOwned outrightNA


Please attach ALL applicable documentation[tooltips "i.e. lease/financing agreement, service/maintenance agreements, user manuals)"]
Do you have these Documents ready to Upload?[tooltips "Documents MUST be in PDF Format"]
YESNO

Please locate these files, they WILL be needed to close Escrow

SECTION B: UTILITIES AND SERVICES: GAS?

B6) Gas:PipedPropane TankNone

SECTION B: UTILITIES AND SERVICES: Phone

B7) Telephone Service:TraditionalParty line onlyCableCellSatelliteNone

SECTION B: UTILITIES AND SERVICES: TELEVISION

B8) Television Service:CableSatelliteAntennaNot Available

SECTION B: UTILITIES AND SERVICES: INTERNET

B9) Broadband Internet:CableDSLNoneOther
Please Explain Yes Answer to Question B9 "Other"

SECTION B: UTILITIES AND SERVICES: MAIL

B10) US Postal Delivery:Individual Curbside MailboxCommunity BoxPO BoxTo Door

PROPERTY TYPE

Property Type:CondoResidentialLand

SECTION E: IMPROVEMENTS - Question 1 of 12[tooltips "
Dwelling Improvents
Defined as a dwelling on the property; additions, alterations, modifications, structural or otherwise in/on property/etc."]

E1) Do any improvements, additions, structural modifications or alterations exist at the property without required building permits, association design committee or other governmental approvals?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 2 of 12

E2) Were any improvements, additions, structural modifications or alterations built/made with building permits, association design committee or other governmental approvals?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 3 of 12

E3) Was any electrical or plumbing work done without a licensed electrician or plumber?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 4 of 12

E4) Is the Seller/Builder a licensed contractor who is providing warranties?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 5 of 12

E5) Have you given any release or waiver of liability, or release from a warranty to any government agency, contractor, engineer, architect, land surveyor, or landscape architect, for any defect, mistake, or omission in the design or construction of the Property?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 6 of 12

E6) Is the property sprinklered for fire protection?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 7 of 12

E7) Is the property equipped with smoke/carbon monoxide detectors? How many? Are they wired into the electrical system?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 8 of 12

E8) What is the age of the main roof and the roofing of any other addition(s)? Age of RoofUnknownNo Dwelling on Property0-6 Months6-12 Months1 to 2 Years2 to 3 Years3 to 4 Years4 to 5 Years5 to 10 Years10 to 15 Years15 to 20 Years

E8a) Has the roof been replaced, repaired, or treated?

ReplacedRepairedTreatedNTMKNA

SECTION E: IMPROVEMENTS - Question 9 of 12

E9) Has there been any evidence or presence of mold, mildew and/or fungus interior or exterior?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 10 of 12

E10) Has there been any evidence of pest infestation (e.g., roaches, fleas, bedbugs, mites, ticks, ants, rats, centipedes, etc.)?

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 11 of 12

E11) Has there been any evidence or presence of wood destroying organisms in the improvements ?[tooltips "e.g., termites, powder post beetles, dry rot, carpenter ants/bees, etc."]

YESNONTMKNA

SECTION E: IMPROVEMENTS - Question 12 of 12

E12) Are there any transferable warranties (appliances, pest treatment, roof, photovoltaic, other)?

YESNONTMKNA

SECTION F: DEFECTS, REPAIRS OR REPLACEMENTS (Past or present):

Check items listed below if you are aware of any past or present defects, repairs or replacements.

F1) Air conditioningF2) AppliancesF3) Bathtubs/ShowersF4) CeilingsF5) Ceiling FansF6) Central Vacuum SystemsF7) Counters/CabinetsF8) Decking/Railings/LanaiF9) DoorbellsF10) Doors (all types)F11) DrivewaysF12) Electrical Systems Switches, etc.F13) Electronic Controls/RemotesF14) Fences/Perimeter WallsF15) Fire Sprinkler SystemF16) Fireplace/ChimneyF17) Floors/Floor CoveringsF18) Foundations/SlabsF19) GuttersF20) Heating SystemsF21) Lawn Sprinkler SystemF22) Lighting FixturesF23) Plumbing -InteriorF24) Plumbing -ExteriorF25) Roofs/Eaves/SkylightsF26) Security SystemsF27) Sinks/FaucetsF28) Smoke DetectorsF29) Solar Water SystemsF30) Solar/PhotovoltaicSystemsF31) Spa/Hot Tub/SaunaF32) Swimming PoolF33) ToiletsF34) Ventilation SystemsF35) WalkwaysF36) Walls Exterior/TrimF37) Walls Interior/Baseboards/TrimF38) Water FeaturesF39) Water HeaterF40) Window Coverings/AwningsF41) Windows/ScreensF42) Other

FINAL STEP

Your Signature

Submit Form