• Maryland Residential Disclosure Form

  • Format: (000) 000-0000.

  • Property System: Water, Sewage, Heating & Air Conditioning (Answer ALL the apply)

  • Water Supply*
  • Sewage Disposal*
  • Garbage Disposal*
  • Dishwasher*
  • Heating*
  • Air Conditioning*
  • Hot Water*

  • Please indicate your actual knowledge with respect to the following:

  • 1. Foundation: Any settlement or other problems?*
  • 2. Basement: Any leaks or evidence of moisture?*
  • 3. Roof: Any leaks or evidence of moisture?*
  • Roof: Is there any existing fire retardant treated plywood?*
  • 4. Other Structural Systems, including exterior walls and floors: Any defects (structural or otherwise)?*
  • 5. Plumbing System: Is the system in operating condition?*
  • 6. Heating Systems: Is heat supplied to all finished rooms?*
  • Is the heating system in operating conditon?
  • 7. Air Conditioning System: Is cooling supplied to all finished rooms?*
  • Is the Air Conditioning system in operating condition?*
  • 8. Electric systems: Are there any problems with electrical fuses, circuit breakers, outlets or wiring?
  • 8a. Will the smoke alarms provide an alarm in the event of a power outage?*
  • Are the smoke alarms over 10 years old?*
  • If the smoke alarms are battery operated, are they sealed, tamper resistant units incorporating a silence/hush button, which use long-life batteries as required in all Maryland homes by 2018?*
  • 9. Septic Systems: Is the septic system functioning properly?*
  • 10. Water Supply: Any problem with water supply?*
  • Home water treatment system:*
  • Fire sprinkler system:*
  • Are the water systems in operating condition?*
  • 11. Insulation in exterior walls?*
  • 11. Insulation in ceiling/attic?*
  • 11. Insulation in any other areas?*
  • 12. Exterior Drainage: Does water stand on the property for more than 24 hours after a heavy rain?*
  • Are gutters and downspouts in good repair?*
  • 13. Wood-Destroying Insects (WDI): Any infestation and/or prior damage?*
  • Any WDI treatments or repairs?*
  • Any WDI warranties?*
  • 14. Are there any hazardous or regulated materials (including, but not limited to, licensed landfills, asbestos, radon gas, lead-based paint, underground storage tanks, or other contamination) on the property?*
  • 15. If property relies on the combustion of fossil fuel for heat, ventilation, hot water, or clothes dryer operation, is a carbon monoxide alarm installed in the property?*
  • 16. Are there any zoning violations, nonconforming uses, violation of building restrictions or setback requirements or any recorded or unrecorded easement, except for utilities, o or affecting the property?*
  • 16A. If you or a contractor have made improvements to the property were the required permits pulled from the county or local permitting office?*
  • 17. Is the property located in a flood zone, conservation area, wetland area, Chesapeake Bay critical area or Designated Historic District?*
  • 18. Is the property subject to any restriction imposed by a Home Owners Association or any other type of community association?*
  • 19. Are there any other material defects, including latent defects, affecting the physical condition of the property?*
  • Should be Empty: