SRPDS

     UNDER DEVELOPMENT - DO NOT USE

    Alaska Sellers Disclosure Statement


    Year Property Built:

    Hawaii Sellers Disclosure Statement

    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.

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     What is a Sellers's Disclosure:

    Typically, within 7 days of an accepted offer the Seller(s) will provide the SRPDS to the Buyer(s).

    It asks various questions and is meant for the Seller to tell the Buyer everything there is to know about the property, to comply with State Laws, and prevent Lawsuits. Things that should be noted on the SRPDS would be if any leaks, assessments, appliance conditions, or if electrical was moved or worked on. There are also basic questions such as what is the normal electricity bill, what kind of telephone or internet service you have, and when you were at the property last (if vacant or tenant occupied).

    Seller’s disclosures vary greatly in their detail, and both Buyers and Sellers agents cannot force a Seller to be “more detailed” yet they can always ask follow up questions. If there was any work done that should have been done by a licensed contractor or if permits were needed for any major construction, Buyers usually follow up on those items. If the SRPDS is provided the Buyers home inspection, Buyer's Agents usually forward it to the home inspector to make sure any past issues are not present or if they were corrected properly.

    Buyers will typically have 7 days to review and accept this document. If there are issues that are disclosed that cannot be corrected or any issues negotiated, then Buyer may cancel during the SRPDS review period.

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     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.
    (5) NTMK means NOT TO MY KNOWLEDGE.
    (6) NA means NOT APPLICABLE and cannot be answered by YES, NO or NTMK

    MUST BE COMPLETED BY SELLER ONLY

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     Seller Information:

    Seller Name:

    Is there another seller on Title?

    Second Seller Name:

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     Property Reference or Address:

    Address:

    Property ID (Parcel Number)

    Tenure

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     Occupancy

    Do you currently occupy, or have you ever occupied this property?

    Have you ever visited the property?
    YESNEVER

    If not presently owner occupied, date of Seller's last visit?

    Seller has owned the property for years.

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     Agent and Brokerage Infomation

    Your Agent's Name:
    Your Agent's Brokerage Firm:

    Your Agent's Email:
    Your Email:

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     SECTION 1 - TITLE Questions 1-7

    T-1). Do you have legal authority to sell the property?
    YESNO

    Please Explain "NO" Answer to Question T-1

    T-2) Is title to the property subject to any of the following:
    First right of refusalOptionLease or Rental AgreementLife EstateNTMKNO

    Please Explain Answer to Question T-2

    Do you have these files to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    T-3) Are there any encroachments, boundary disputes, or boundary agreements?

    Please Explain Yes Answer to Question T-3

    Do you have these files to Upload?

    Please located these Files, they will be needed to complete Escrow and Closing

    T-4) Are there any rights of way, easements, or access limitations that may affect the owner's use of the property?
    YESNONTMK

    Please Explain Yes Answer to Question T-4

    T-5) Are there any written agreements for joint maintenance of an easement or right of way?
    YESNONTMK

    Please Explain Yes Answer to Question T-5

    Do you have these files to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    T-6) Is there any study, survey project, or notice that would adversely affect the property?
    YESNONTMK

    Please Explain Yes Answer to Question T-6

    T-7). Are there any pending or existing assessments against the property?
    YESNONTMK

    Please Explain Yes Answer to Question T-7

    Amount Due?

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    SECTION 1 - TITLE Questions 8-14

    T-8) Are there any zoning violations, nonconforming uses, or any unusual restrictions on the subject property that would affect future construction or remodeling?
    YESNONTMK

    Please Explain Yes Answer to Question T-8

    T-9) Is there a boundary survey for the property?
    YESNONTMK

    Do you have PDF to Upload?
    YESNO

    Pleased Upload PDF

    Please located these Files, they will be needed to complete Escrow and Closing

    T-10) Are the property’s boundaries marked?
    YESNONTMK

    Please Explain Yes Answer to Question T-10

    T-11) Are there any Fences, or Walls on the property?
    YESNONTMK

    Please Explain Yes Answer to Question T-11

    If yes, were the fences put up by You?
    YESNO

    T-12) Are any trees or other flora on the property diseased, dead or damaged?
    YESNONTMK

    Please Explain Yes Answer to Question T-12

    T13) Are there any covenants, conditions, or restrictions which affect the property?
    YESNONTMK

    Please Explain Yes Answer to Question T-13

    T-14) Is the property accessed by public or private road?
    PublicPrivateNTMK

    If Private, what yearly upkeep amount is paid by the property owner?
    If Private, Please explain road upkeep in detail.

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    SECTION 2 - UTILITIES - POWER

    What is your source of Electrical Power?
    PublicSolarNA

    Do you pay your electrical utility bill directly?
    YESNO

    If yes, please state the amount you paid for electricity for the most recent three-month period that the property was occupied.
    Mon/Day/Year: Amount: $
    Mon/Day/Year: Amount: $
    Mon/Day/Year: Amount: $

    Buyer's actual electricity costs may vary substantially based on usage or consumption.

    Has Usage been significantly lower or higher than normal usage?
    YESNONTMK

    Please Explain Yes Answer to Question about significantly lower or higher than normal usage

    Is PV System included in sale?[tooltip "PV meaning:
    Solar Electrice Source]

    YESNO

    Is the PV system: LeasedFinancedOwned outright

    Do you have Photovoltaic Lease documents ready to upload?
    YESNO

    These Documents WILL be required, please locate as soon as possible

    UPLOAD Photo Voltaic Documents

    If there is a photovoltaic system, does it contain an energy storage system, such as batteries?
    YESNO

    Please Explain How Many Batteries

    Batteries Location

    Please Explain Yes Answer to Question about significantly lower or higher than normal usage

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    SECTION 2 - UTILITIES - WATER

    W-1) Source of the water is:
    PublicPrivateNA

    Please Explain Source of "Private" Water

    W-2) Is Water Shared?
    YESNONTMK

    W-2A) Are there any written agreements for the Shared water source?
    YESNONTMK

    Please Explain Shared Water Source

    Do you have Shared Water Agreement file to Upload?
    YESNO

    Pleased locate this file, it will be needed to close Escrow

    W-3) Is there an easement (recorded or unrecorded) for access to and/or maintenance of the water source?
    YESNONTMK

    Do you have this File to Upload?
    YESNO

    Pleased locate this file, it will be needed to close Escrow

    W-4) Are any known problems or repairs needed with Water System?
    YESNONTMK

    Please Explain Yes Answer to Question W-4

    W-5) Does the source provide an adequate Year-Round supply of potable water?
    YESNONTMK

    Please Explain "NO" Answer to Question W-5

    W-6) Are there any Water Treatment System(s) for the property?
    YESNONTMK

    Please Explain "YES" Answer to Question W-6

    Is Water Treatment System: FinancedLeasedOwned

    Do you have Water Treatment System Lease Documents file to Upload?
    YESNO

    Pleased locate this file, it will be needed to close Escrow

    W7) Is there an Outdoor Sprinkler System for the property?
    YESNO

    W7a) Are there any defects in the outdoor sprinkler system?
    YESNONTMK

    Please Explain Sprinkler Defect(s)

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    SECTION 2 - UTILITIES - WATER- IRRIGATION

    W-8) Are there any Water Rights for the property?
    YESNONTMK

    Please Explain Yes Answer to Question W-8

    W8a) If they exist, to your knowledge, have the water rights been used during the last five year period?
    YESNONTMK

    Please Explain Yes Answer to Water Rights Question

    If YES, is the certificate available?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

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    SECTION 2 - UTILITIES - SEWER/SEPTIC SYSTEM

    S1) Property is served by:
    Public SewerSeptic Tank SystemOtherNA

    Please Explain Yes Answer to Sewer "Other"

    Location of Septic Tank(s)?

    (1) Was a permit issued for its construction, and was it approved by the city or county following its construction?
    YESNONTMK

    (2) On what date was it last pumped:

    (3) Are there any Defects, Changes or Repairs in the operation of the septic system?
    YESNONTMK

    Please explain "Septic Defects"

    Repairs Made?
    YESNO

    Please explain Yes answer to "Septic Defects" Repairs Made, Describe the location, extent, date, and name of person/company who did work.

    Who Did Repairs?

    Date Repaired:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they may be needed to complete Escrow and Closing

    (4) On what date was it last inspected:
    By whom:

    S5) How many bedrooms was the system approved for?

    S6) Do all plumbing fixtures, including laundry drain, go to the septic/sewer system?
    YESNONTMK

    Please Explain "NO" Answer

    S7) Is the septic system, including drainage field, located entirely within the property’s boundaries?
    YESNONTMK

    Please Explain "NO" Answer

    S8) If the property is served by a public or community sewer main, is the house connected to the main?
    YESNONTMKNA

    Please Explain "NO" answer to S8

    S9) Is the property currently subject to any Sewer Charge or Fee?
    YESNONTMK

    Please explain Sewer Charge or Fee

    Sewer Charge Amount:

    Sewer Charge Frequency
    MonthlyQuarterlyBi-AnnualYearly

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    SECTION 3 - STRUCTURAL

    How old is the current roof?

    Roof is constructed of:

    ST1) Has the Roof ever Leaked or been Damaged during your ownership?
    YESNONTMK

    Please explain ST1 "YES" answer

    Repairs Made?
    YESNO

    Please explain Yes answer to ST1, Describe the location, extent, date, and name of person/company who did work.

    Who Did Repairs?

    Date Repaired:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    ST2) Has the house undergone any conversions, additions, or remodeling?
    YESNONTMKNA

    Please explain any conversions/additions/remodeling

    1. If yes, were all building permits obtained?
    YESNONTMK
    2. If yes, were all final inspections obtained?
    YESNONTMK

    ST3) Do you know the age of the house?
    YESNONTMKNA

    If yes, give year of original construction:

    ST4) Any movement, shifting, deterioration or other problems with walls, foundation, crawl space or slab?
    YESNONTMKNA

    Please explain Question ST4

    Were any Repairs Made?
    YESNO

    Please explain Yes answer to ST4, Describe the location, extent, date, and name of person/company who did work.

    Who Did Repairs?

    Date Repaired:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    ST5) Any cracks or flaws in the walls, ceilings, foundations, concrete slab, crawl space, basement, floors or garage?
    YESNONTMK

    Please explain ST5 "YES" answer

    Repairs Made?
    YESNO

    Please explain Yes answer to ST5, Describe the location, extent, date, and name of person/company who did work.

    Who Did Repairs?

    Date Repaired:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    ST6) Any water leakage or dampness in the crawl space or basement?
    YESNONTMKNA

    Please explain ST6 "YES" answer

    Repairs Made?
    YESNO

    Please explain Yes answer to ST6, Describe the location, extent, date, and name of person/company who did the work.

    Who Did Repairs?

    Date Repaired:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

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    SECTION 4 - PEST/DRY ROT

    5a) In the last 4 years, was a pest, dry rot, structural or "Whole House" inspection done?
    YESNONTMK

    What Tests were done?

    Who did Tests?

    Date Inspected:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    5b) Has the property had a problem with pest control, infestations, or vermin?
    YESNONTMK

    Please explain "YES" answer to 5b

    Who did Treatment or Inspection?

    Date of Treatment or Inspection:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

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    5c) Has the property had a problem with pest control, infestations, or vermin or Are you aware of Any termites, wood destroying insects or pests on or affecting the property in the last 4 years?
    YESNONTMK

    Who did Treatment/Inspection?

    Date Inspected:

    Do you have any receipts to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    5d) Current warranty or other coverage by a licensed pest control company on the property?
    YESNONTMK

    Pest Contol Warranty Company

    Please explain warranty

    Do you have Warranty to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

    5e) Have you made a Homeowner’s Insurance claim(s) regarding the property in the last 4 years?
    YESNONTMK

    Please Explain "YES" Answer to question 5e)

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    SECTION 5 - SYSTEMS AND FIXTURES

    5a) What type of wiring comprises the electrical system?
    CopperAluminumNTMKNA

    5b) What type of pipes comprises the Plumbing system?
    ABSPEXPVCCOPPERCast IronGalvanziedNA

    5c) Hot Water Heater:
    ElectricNatural GasPropaneOtherNA

    Hot Water Heater Age:

    Please explain Hot Water Heater "Other"

    6d) Oven/stove:
    ElectricNatural GasPropaneOtherNA

    Stove/Oven Age:

    Please explain Oven/Stove "Other"

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    SECTION 6. Homeowners Association

    Is There a Home Owners Association?
    YESNO

    SECTION 6: Home Owners Association:

    Project Name:
    Association Name:
    Management Firm Phone Number:

    H1) Is membership mandatory?
    YESNONTMKNA

    H2) HOA fee(s) and payment frequency:
    Fees:
    Frequency: MonthlyQuarterlyBi-AnnualYearlyOther

    Please Explain Question HOA Fees "Other" Frequency

    H3) What is included in the fees and payments?

    CableCommon Area MaintenanceInternetElectricityInsuranceLandscape MaintenancePest controlPoolsProperty ManagementReserve FundsRoad MaintenanceRoofsSewerSubstructureTrashWaterOther

    Please explain "Other"

    H4) If you are aware of future maintenance fee increases, special assessments, association loans or pending litigation for or against the Association
    YESNONTMK

    Please Explain Yes Answer to Question H4

    H5) Are there any "common area" facilities co-owned in undivided interest with others?
    YESNONTMKNA

    Please Explain Yes Answer to Question H5

    H6) Are there any restrictions/prohibitions imposed upon pet ownership?
    YESNONTMKNA

    Please Explain Yes Answer to Question H6

    H7) Does this unit include parking?
    YESNONTMKNA

    How Many Parking spots?
    Stall Number(s):

    â–ş AssignedUnassigned
    â–ş CoveredPartialUncoveredPrivate GarageCarport
    â–ş StandardCompactTandem

    H7a) Is Parking deeded with the unit?
    YESNONTMK

    H7a) Are there any issues or special arrangements with the parking stall(s)?
    YESNONTMK

    Please explain "YES" answer to H7b

    H9) Does the unit include any storage unit(s), boat dock(s), or anything additional?
    YESNONTMK

    Please explain "YES" answer to H9

    H9a) If the unit includes any of the above, is it deeded with the unit?
    YESNONTMK

    H10) Has there been any damage to the unit due to leakage or water intrusion from above or adjacent to the unit, or damage caused by leakage or water intrusion from the unit to areas or space below the unit?
    YESNONTMK

    Please explain "YES" answer to H10

    H11) Are you aware of any defects to the common or limited common elements affecting the unit?
    YESNONTMK

    Please explain "YES" answer to H11

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    SECTION 7: DEFECTS, REPAIRS OR REPLACEMENTS (Past or present):

    Check items listed below if you are aware of any past or present defects, repairs or replacements.
    Air conditioning (Wall)Air conditioning (Window)Air conditioning (Central)Air Cleaner/PurifierAttic FanAppliancesBathtubs/ShowersCabinetsCeilingsCeiling Fan(s)Central Vacuum System(s)Convection OvenCountersDecking/Railings/LanaiDishwasherDoors (all types)DoorbellsDoors (all types)Driveway(s)Electrical Systems Switches, etc.Electronic Controls/RemotesExhaust Fans (bathroom)Fences/Perimeter WallsFire Sprinkler SystemFireplace/ChimneyFloors/Floor CoveringsFoundations/SlabsGas GrillGarage Door OpenerHeating SystemsHot Water HeaterHumidifierIncineratorIntercomLighting FixturesPlumbing -InteriorPlumbing -ExteriorRoofs/Eaves/SkylightsYard LightsGas Log(s)Rain GuttersSecurity System(s)Sinks/FaucetsSmoke Detector(s) (Battery)Smoke Detector(s) (Hard Wired)Solar Water System(s)Solar/PhotovoltaicSystemsSpa/Hot Tub/SaunaSwimming PoolSump PumpToiletsVentilation SystemsWalkwaysWalls Exterior/TrimWalls Interior/Baseboards/TrimWater FeaturesWater HeaterWindow Coverings/AwningsWindows/ScreensWood Burning StoveOther

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    SECTION 8. GENERAL:

    8A). Is there any settling, soil, standing water, or drainage problems on the property?
    YESNONTMK

    Please Explain "YES" Answer to Question 8A)

    8B) Does the property contain fill material?
    YESNONTMK

    Please Explain "YES" Answer to Question 8B)

    8C) Is there any material damage to the property or any of the structure from fire, wind, floods, beach movements, earthquake, expansive soils, or landslides?
    YESNONTMK

    Please Explain "YES" Answer to Question 8C)

    8D) Is the property in a designated flood plain?
    YESNONTMK

    Please Explain "YES" Answer to Question 8D)

    8E) Are there any substances, materials, or products that may be an environmental hazard such as, but not limited to, asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical storage tanks and contaminated soil or water on the subject property?
    YESNONTMK

    Please Explain "YES" Answer to Question 8E)

    8F) Are there any tanks or underground storage tanks (e.g., chemical, fuel, etc.) on the property?
    YESNONTMK

    Please Explain "YES" Answer to Question 8F) and give approx. position

    8G) Has the property ever been used as an illegal drug-manufacturing site?
    YESNONTMK

    Please Explain "YES" Answer to Question 8G)

    8H) If the property contains a wood-burning stove or fireplace, when was/were the chimney(ies) last cleaned?
    YESNONTMK

    Please Explain "YES" Answer to Question 8H)

    Date last cleaned

    8I) Are you aware of any of the following regarding the property?
    Existing or threatened legal actionViolation of any law or regulationGeneral stains or pet stains to carpet or floorTransferable warrantiesAny locks without keysUnrecorded interests affecting the propertyFire Damage at any timeAppraiser or Mechanic’s LienLandfills or underground problemsNone

    Please Explain "YES" Answer to Existing or threatened legal action

    Please Explain "YES" Answer to Violation of any law or regulation

    Please Explain "YES" Answer to General stains or pet stains to carpet or floor

    Please Explain "YES" Answer to Transferable warranties

    Please Explain "YES" Answer to Any locks without keys

    Please Explain "YES" Answer to Unrecorded interests affecting the property

    Please Explain "YES" Answer to Fire Damage at any time

    Please Explain "YES" Answer to Appraiser or Mechanic’s Lien

    Please Explain "YES" Answer to Landfills or underground problems

    8J) If any tests to detect radon gas have been done on the property, provide documentation. If radon gas has been detected on the property, explain when, where, by whom, and all other details:
    YESNONTMK

    Please Explain Answer to Question 8J

    By Whom (Company)

    Date:

    Do you have these files to Upload?
    YESNO

    Please located these Files, they will be needed to complete Escrow and Closing

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    HAWAII SPECIFIC QUESTIONS

    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.

    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.


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    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.

    The Disclosure Statement and the disclosures made by Seller are provided exclusively to Buyers involved in this transaction only, and do not apply to any subsequent sales not involving this Seller.


    SECTION A: GENERAL Question 2 of 34

    2) Is the property currently used for transient accommodations?

    YESNONTMKNA

    Please Explain Yes Answer to Question 2

    2a) Does the property have a license for transient accommodations?

    YESNONTMKNA

    Please Explain Yes Answer to Question 2a

    Do you have Transient License Documents Ready to Upload

    YESNO

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


    2b) If yes, are there any periodic re-licensing requirements?

    YESNONTMKNA

    Please Explain Yes Answer to Question 2b


    2c) Are you aware of any violations past or present of the license or regulations?

    YESNONTMKNA

    Please Explain Yes Answer to Question 2c


    2d) Has the property previously been used for transient accommodations?

    YESNONTMKNA

    Please Explain Yes Answer to Question 2d



    4) Is the Property located in a Special Management Area?

    YESNONTMKNA

    Please Explain Yes Answer to Question 4

    4a) If Oceanfront Property, are there any past and existing State Shoreline Certifications?

    YESNONTMKNA

    Do you have a State Shoreline Certification to Upload?

    Please Upload Shoreline Certification
    Please Locate your State Shoreline Certification as it will be required by Buyer, and to close escrow


    5) Is the Property located in a tsunami evacuation zone?

    YESNONTMKNA

    Please Explain Yes Answer to Question 5

    6) Is the Property located in volcanic hazard Zone 1 or 2?

    YESNONTMKNA

    Please Explain Yes Answer to Question 6
    Lava Zone 1Lava Zone 2



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

    YESNONTMKNA

    Please Explain Yes Answer to Question 8




    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

    Please Explain Yes Answer to Question 10




    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

    Please Explain Yes Answer to Question 11




    12) Is the Property located in a Special Flood Hazard Area based on FEMA's Flood Insurance Rate Maps?

    YESNONTMKNA

    Please Explain Yes Answer to Question 12

    12a) Does the Property have a Pre-FIRM structure?

    YESNONTMKNA

    Please Explain Yes Answer to Question 12a


    12b) Is there an Elevation Certificate?

    YESNONTMKNA

    Do you have a copy to upload.

    YESNO

    Please Upload Elevation Certificate
    Please Locate your Elevation Certification as it will be needed by Buyer, and to close escrow

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

    YESNONTMKNA

    Please Explain Yes Answer to Question 20




    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

    Please Explain Yes Answer to Question 23




    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

    Please Explain Yes Answer to Question 24




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

    JudicialNon-JudicialNA

    Please Explain Yes Answer to Question 34




    Is the Property subject to Special Subdivision Project Provision (SSPP) connection fees?

    YESNO

    SSSP Amount Due: $

    Hawaii law requires Sellers who pay their electricity bills directly to make a good faith declaration of electricity costs based upon the most recent three-month period that the property was occupied. In this context, please answer the following:
    Do you pay your electrical utility bill directly?

    YESNO

    If yes, please state the amount you paid for electricity for the most recent three-month period that the property was occupied.
    Mon/Day/Year: Amount: $
    Mon/Day/Year: Amount: $
    Mon/Day/Year: Amount: $

    Buyer's actual electricity costs may vary substantially based on usage or consumption. If Seller's usage is significantly lower or higher than normal usage?

    Has Usage been significantly lower or higher than normal usage?

    YESNONTMKNA

    Please Explain Yes Answer to Question about significantly lower or higher than normal usage


    SECTION 9. VERIFICATION:

    The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the property.

    Your Signature