LAND Property Disclosure Form

Land Disclosure Form

Complete the Land Seller Disclosure!
𝗣𝗥𝗢𝗣𝗘𝗥𝗧𝗬 𝗟𝗢𝗖𝗔𝗧𝗘𝗗 𝗔𝗧:*
PROPERTY DISCLOSURE - LAND ONLY

Under Maine Law, certain information must be made available to buyers prior to or during preparation of an offer. This statement has been prepared to assist prospective buyers in evaluating this property. This disclosure is not a warranty of the condition of the property and is not part of any contract between Seller and any Buyer. Seller authorizes the disclosure of the information in this statement to real estate licensees and to prospective buyers of this property. The Seller agrees to provide prompt notice of any changes in the information and this form will be appropriately changed with an amendment date. Inspections are highly recommended.

DO NOT LEAVE ANY QUESTIONS BLANK. STRIKE, WRITE N/A OR UNKNOWN IF NEEDED.
𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈 - 𝗛𝗔𝗭𝗔𝗥𝗗𝗢𝗨𝗦 𝗠𝗔𝗧𝗘𝗥𝗜𝗔𝗟

A. UNDERGROUND STORAGE TANKS
Are tanks in current use?*

YesNoUnknown
Are there now, or have there ever been, any underground storage tanks on your property?*

YesNoUnknown
If no longer in use, how long have they been out of service?

What materials are, or were, stored in the tank(s):
Source of Information
Comments:
B. OTHER HAZARDOUS MATERIALS - Current or previously existing

* Complete the remainder of this section only if a tank currently exists or previously existed on the property.*

	Yes	No	Uknown
TOXIC MATERIAL:
LAND FILL:
RADIOACTIVE MATERIAL:
METHAMPHETAMINE:

Comments:
** 𝗕𝘂𝘆𝗲𝗿𝘀 𝗮𝗿𝗲 𝗲𝗻𝗰𝗼𝘂𝗿𝗮𝗴𝗲𝗱 𝘁𝗼 𝘀𝗲𝗲𝗸 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗳𝗿𝗼𝗺 𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹𝘀 𝗿𝗲𝗴𝗮𝗿𝗱𝗶𝗻𝗴 𝗮𝗻𝘆 𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰 𝗶𝘀𝘀𝘂𝗲 𝗼𝗿 𝗰𝗼𝗻𝗰𝗲𝗿𝗻.
𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝐈 - 𝐀𝐂𝐂𝐄𝐒𝐒 𝐓𝐎 𝐓𝐇𝐄 𝐏𝐑𝐎𝐏𝐄𝐑𝐓𝐘
Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life estates, private ways, trails, homeowner associations (including condominiums and PUD's) or

* Complete the remainder of this section only if a tank currently exists or previously existed on the property.*

	Yes	No	Uknown
Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life estates, private ways, trails, homeowner associations (including condominiums and PUD's) or restrictive covenants?

If Yes, please explain
Source of information

Is access by means of a way owned and maintained by the State, a county, or a municipality over which the publichas a right to pass?*

	Yes	No	Uknown
Is the property subject to or have the benefit of any encroachments, easements, rights-of-way, leases, rights of first refusal, life estates, private ways, trails, homeowner associations (including condominiums and PUD's) or restrictive covenants?

If No who is responsible for maintenance
Road Association Name if known
Source of information
𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝗜𝐈 - 𝗙𝗟𝗢𝗢𝗗 𝗛𝗔𝗭𝗔𝗥𝗗
For the purposes of this section, Maine law defines "flood" as follows:

(1) A general and temporary condition of partial or complete inundation of normally dry areas from:(a) The overflow of inland or tidal waters; or (b) The unusual and rapid accumulation or runoff of surface waters from any source; or

(2) The collapse or subsidence of land along the shore of a lake or other body of water as a result of erosion or undermining caused by waves or currents of water exceeding anticipated cyclical levels or suddenly caused by an unusually high water level in a natural body of water, accompanied by a severe storm or by an unanticipated force of nature, such as a flash flood or an abnormal tidal surge, or by some similarly unusual and unforeseeable event that results in flooding as described in subparagraph (1), division (a).

For purposes of this section, Maine law defines "area of special flood hazard" as land in a floodplain having 1% or greater chance of flooding in any given year, as identified in the effective federal flood insurance study and corresponding flood insurance rate maps. During the time the seller has owned the property: Have any flood events affected the property?

During the time the seller has owned the property:*

	Yes	No	Uknown
1. Have any flood events affected the property?
2. Have any flood events affected a structure on the property?
3. Has any flood-related damage to a structure occurred on the property?
4. Has there been any flood insurance claims filed for a structure on the property?
5. Has there been any past disaster-related aid provided related to the property or a structure on the property from federal, state or local sources for purposes of flood recovery?
6. Is the property currently located wholly or partially within an area of special flood hazard mapped on the effective flood insurance rate map issued by the Federal Emergency Management Agency on or after March 4, 2002?

If yes on question 1, please explain:
If yes on question 2, please explain:
If yes on question 3, please explain:?
If Yes, on question 4, indicate the dates of each claim:

MonthDayYear
Datre of Clain
If Yes, on question 4, indicate the dates of each claim:

MonthDayYear
Datre of Clain
If Yes, on question 5, indicate the date of each payment:

MonthDayYear
Datre of Clain
If Yes, on question 5, indicate the date of each payment:

MonthDayYear
Datre of Clain
If yes on question 6, what is the federally designated flood zone for the property indicated on that flood insurance rate map?
Panel Number and Year
(Attach a Copy of the Flood Map)

Cancelof
Comments:
** 𝗕𝘂𝘆𝗲𝗿𝘀 𝗮𝗿𝗲 𝗲𝗻𝗰𝗼𝘂𝗿𝗮𝗴𝗲𝗱 𝘁𝗼 𝘀𝗲𝗲𝗸 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗳𝗿𝗼𝗺 𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹𝘀 𝗿𝗲𝗴𝗮𝗿𝗱𝗶𝗻𝗴 𝗮𝗻𝘆 𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰 𝗶𝘀𝘀𝘂𝗲 𝗼𝗿 𝗰𝗼𝗻𝗰𝗲𝗿𝗻.
Source of Section III information
𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝗩 - 𝗚𝗘𝗡𝗘𝗥𝗔𝗟 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡

Property History and Status:*

	Yes	No	Uknown
1. Are there any shoreland zoning, resource protection or other overlay zone requirements on the property?
2. Is the property the result of a division within the last 5 years (i.e. subdivision)?
3. Are there any tax exemptions or reductions for this property for any reason including but not limited to: Tree Growth, Open Space and Farmland, Blind, Working Waterfront?
4. Is a Forest Management and Harvest Plan available?
5. Has all or a portion of the property been surveyed?
6. Has the property ever been soil tested?
7. Are mobile/manufactured homes allowed?
8. Are modular homes allowed?

Comments:
** 𝗕𝘂𝘆𝗲𝗿𝘀 𝗮𝗿𝗲 𝗲𝗻𝗰𝗼𝘂𝗿𝗮𝗴𝗲𝗱 𝘁𝗼 𝘀𝗲𝗲𝗸 𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻 𝗳𝗿𝗼𝗺 𝗽𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹𝘀 𝗿𝗲𝗴𝗮𝗿𝗱𝗶𝗻𝗴 𝗮𝗻𝘆 𝘀𝗽𝗲𝗰𝗶𝗳𝗶𝗰 𝗶𝘀𝘀𝘂𝗲 𝗼𝗿 𝗰𝗼𝗻𝗰𝗲𝗿𝗻.
𝗔𝗧𝗧𝗔𝗖𝗛𝗠𝗘𝗡𝗧𝗦 𝗖𝗢𝗡𝗧𝗔𝗜𝗡𝗜𝗡𝗚 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡

Seller shall be responsible and liable for any failure to provide known information about property defects to Buyer. As Seller, I/we have provided the above information and represent that all information is correct.
Seller Signature

Clear
Date:

MonthDayYear
Today's Date
Seller Signature

Clear
Date:

MonthDayYear
Today's Date
I/We have read and received a copy of this disclosure and understand that I/we should seek information from qualified professionals if I/we have questions or concerns.
Buyer Signature

Clear
Date:

MonthDayYear
Today's Date
Buyer Signature

Clear
Date:

MonthDayYear
Today's Date
Should be Empty:

	Yes	No	Uknown
1. If Yes: Are tanks in current use?
2. If tanks are no longer in use, have tanks been abandoned according to DEP?
3. Are tanks registered with DEP?
4. Have you experienced any problems such as leakage?

Land Disclosure Form

𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈 - 𝗛𝗔𝗭𝗔𝗥𝗗𝗢𝗨𝗦 𝗠𝗔𝗧𝗘𝗥𝗜𝗔𝗟

B. OTHER HAZARDOUS MATERIALS - Current or previously existing

𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝐈 - 𝐀𝐂𝐂𝐄𝐒𝐒 𝐓𝐎 𝐓𝐇𝐄 𝐏𝐑𝐎𝐏𝐄𝐑𝐓𝐘

𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝗜𝐈 - 𝗙𝗟𝗢𝗢𝗗 𝗛𝗔𝗭𝗔𝗥𝗗

𝐒𝐄𝐂𝐓𝐈𝐎𝐍 𝐈𝗩 - 𝗚𝗘𝗡𝗘𝗥𝗔𝗟 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡

𝗔𝗧𝗧𝗔𝗖𝗛𝗠𝗘𝗡𝗧𝗦 𝗖𝗢𝗡𝗧𝗔𝗜𝗡𝗜𝗡𝗚 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗜𝗡𝗙𝗢𝗥𝗠𝗔𝗧𝗜𝗢𝗡