Has seller provided conservation documents?   Yes    No  

• Total percentage or amount owed to brokerage of forfeited deposit $ or %.

Co-op Compensation

• Buyer Agent: % or $.
• Sub-Buyer Agent: % or $.

MARYLAND RESIDENTIAL PROPERTY DISCLOSURE AND DISCLAIMER STATEMENT

Seller is Disclosing:   Yes   No  
*If seller is disclosing agent will need to send to client for their completion, by either email or e-sign, Glass transactions will not send for seller completion.* 

Seller is Disclaimer:    Yes   No

• Are there any latent defeats?   Yes   No 
• *If there are latent defeat(s), Glass Transactions will place text box for seller to use their own wording for describing defeat. * 

Disclosure Information on Lead-Based Paint

• Seller has knowledge of lead-based paint hazards:   Yes   No      
• Records and Records available :      Yes   No   

MLS Disclosure

• Will property listed as Coming Soon in MLS?   Yes   No    
  • If so: What Date   Date        
• What Date will the property be Active?        Date      

Maryland Lead Prevention Program Disclosure

• Property is registered in MD program:   Yes   No    
• If registered seller disclosures an event has occurred (ie; elevated bloods levels, notice of existence of lead paint) :   Yes   No   
• If such event occurred Seller will NOT performed required treatment prior to settlement:   Yes   No   

Additional Inclusions:   ie; pool table, shelving, etc.    
Additional Exclusions:   ie; ring door bell system, etc.   

Leased Items:   Fuel Tanks   Solar Panels   Alarm System   Water Treatment System   Other   

Utilities:
Water Supply:   Public   Well      
Sewage Disposal:   Public   Septic   Other      
Heating:   Gas   Electric   Oil   Heat Pump   Other   
Hot Water:   Gas   Electric   Oil   Other   
Air Conditioning:   Gas   Electric   Other   

HOA/ Condo Addendums

HOA Name:   HOA Name   
HOA Fees:   Amount   and   frequency   if any,   capital contribution fee   
HOA Management Contact information:   management name, address, email, phone number   

Condo Name:   Condo Name   
Condo Fees:   Amount   and   frequency   if any,   capital contribution fee   
Condo Management Contact information:   management name, address, email, phone number   

Notice of Deferred Water/Sewer
Company payment is made to:   Company Name   
Email/address Phone Number
Payment Amount:   Amount per payment   
When does payment end?   Month and Year   

When will potential buyers learn about the property?   Date   

How will your broker use Bright:
A. Use Bright to share my home's information with the open market (Internet: Yes)   B. Use Bright to share my home's information with real estate professionals in Bright’s MLS only, and do not publicly market my home on the Internet    C. My home is ready for marketing, but will be ready for showings beginning on          Date   D. I do not want my home on the open market: Restrict marketing only to my broker's network