• Maryland Residential Disclosure Form

  • Format: (000) 000-0000.

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

  • Water Supply*
  • Sewage Disposal*
  • What type of Septic System?
  • Garbage Disposal*
  • Dishwasher*
  • Heating*
  • Air Conditioning*
  • Hot Water*

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

  • Foundation: Any settlement or other problems?*
  • Basement: Does your house have a basement or a crawl space?*
  • Basement: Is there any water damage, leaks or evidence of moisture?*
  • Basement: Does the basement or crawl space have a sump pump?*
  • If yes, is the sump pump operational?*
  • 3. Roof: Any leaks or evidence of moisture?*
  • Roof: Is there any existing fire retardant treated plywood?*
  • Other Structural Systems, including walls and floors: Any defects (structural or otherwise)?*
  • Plumbing System: Is the system in operating condition?*
  • Heating Systems: Is heat supplied to all finished rooms?*
  • Is the heating system in operating conditon?*
  • Air Conditioning: Is there an air conditioning system?*
  • Air Conditioning: if yes, select as applicable*
  • Air Conditioning System: Is cooling supplied to all finished rooms?*
  • Air Conditioning: Is the system in operating condition?*
  • Electric systems: Are there any problems with electrical fuses, circuit breakers, outlets or wiring?*
  • Does the property have a Sprinkler System?*
  • Smoke alarms: Do smoke alarms comply with all requirements for smoke alarms as set forth in Title 9 of the Public Safety article, including with respect to their number, location, arrangement, type, power source, and any other requirement? (see sections 9-101-109 of the Public Safety article.)*
  • Will the smoke alarms provide an alarm in the event of a power outage?*
  • Are the smoke alarms over 10 years old?*
  • Are all battery-operated smoke alarms sealed, tamper resistant units incorporating a silence/hush button and using long-life batteries*
  • Sewer/Septic Systems: What type of sewer/septic system?*
  • If septic, what type?*
  • Septic Systems: Is the septic system functioning properly?*
  • 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?*
  • Wood-Destroying Insects (WDI): Any infestation and/or prior damage?*
  • Any WDI treatments or repairs?*
  • Any WDI warranties?*
  • 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?*
  • If you or a contractor have made improvements to the property, were the required permits issued by the local county or local permitting office, and did the improvements pass all required inspections?*
  • 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?*
  • 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?*
  • Is the property located in a flood zone, conservation area, wetland area, Chesapeake Bay critical area or Designated Historic District?*
  • Is the property subject to any restriction imposed by a Home Owners Association or any other type of community association?*
  • Is the property subject to any restrictions imposed by a covenant?*
  • Has the property ever had flooding or a fire?*
  • Are there any other material defects, including latent defects, affecting the physical condition of the property?*
  • Should be Empty: