state of Alaska Residential Real Property Transfer ... Property Disclosure.pdfOTV Antenna • Satellite Dish H-Window Screens til Security System • Smoke Detector(s) # of • CO

state of Alaska Residential Real Property Transfer Disclosure Statement

Prepared m compliance with Mastta Statu :̂ (AS) 34.70.010 - 34 70 200

General Information

is 34 70 010 requires that before the Transferee/Buyer areaft^: re rred to as Buyer) of an interest in residential ifsal property makes a written offer the Transferor'Selle; -.efeatt r < arred to as Seller) must deliver a completed Written disclosure form. This disclosure statement is m coi : plianct mi AS 34.70.010. It concerns the residential rear property" located in the Anchorgge Record ig istrict, Third Judicial District, State of Alaska

Legal Description: Lots 63C & 63D Shell Lake Ai... ka Resub (with Cabin)

l^roperty Address/City/Other; Sh.ih.»ve. Alaska

* Residential real property means any single family dwelling c: t single family dwelling units under one roof, or any indr^idual unit in a multi-unit structure or common inieresi •.•v.'i-fship community whose primary purpose is to provide housing AS 34.70.200(2) and (3).

AS 34.70.020 provides that if a disclosure statement or material amendment is delivered to the transferee j after the transferee has made a written offer, the transferee may terminate the offer by delivering a written \ notice of termination to the transferor or the transferor's / /censee within three days after the disclosure ; statement or amendment is delivered in person or within sa- days after the disclosure statement or \ amendment is delivered by deposit in the mail. ] AS 34.70.040(b) provides that if an item that must be completed ii the disclosure statement is unknown or is \ unavailable to the Seller, and if the Seller or Seller's agent has made a reasonable effort to ascertain the \ iaformation, the Seller may make an approximation based on thi best information available to the Seller or •

; Seller's agent. It must be reasonable, clearly labeled as an <.-yproximation, and not used to avoid the \ disciosure requirements of AS 34.70.010-AS 34.70.200. \

f4\s made in this statement are required to be made in cjooo aith (AS 34.70.060). The Seller is required to disclose defects or other conditions in the real property or the re?;' p' >perty interest being transferred. To comply disclosure need not include a search of the public records, nor do: i it require a professional inspection of the property.

If the information supplied in this disclosure statement becomes inaccu^Tite as a result of an act or agreement after the disclosure statement is delivered to the Buyer, the Seller is require : to deliver an amendment to the disclosure statement to the Buyer. An addendum/amendment form for that urpose may be attached to this disclosure statement. Upon delivery to a buyer, any inspection/reports generated by a pure j s e agreement of this property automatically becomes an addendum/amendment to the property disclosure.

Exempt ion for First Sale: Under AS 34.70.120, the first iransfer of ..'n interest in residential real property that has riever been occupied is exempt from the requirement for Ihe Seller to complete the Disclosure Statement.

Waiver by Agreement : Under AS 34 70 110, compte 'on of mis lisclosure statement may be waived when V ansferring an interest in residential real property if the Seller and Buyt-^ agree in writing. Signing this waiver does not affect other obligations for disclosure.

Violat ion or Fai lure to Comply : A person who negligently -c tes or fails to perform a duty required by -3 ,i4.70.010 - AS 34.70 200 is liable to the Buyer for sctual d es suffered by the Buyer as a result ot the vioiaticR or failure If the person willfully violates or fads to perfonr- a ity required by AS 34.70.010-AS 34 70.200. the Seller is liable to the Buyer for up to three times the actual danuigt In addition to the damages, a court may also award the Buyer costs and attorney fees to the extent allowed ui iJet ie rules of court.

Lots 63C & 63P Shell Lake A'aska Rcsui with Cabin) Iniiate Date" Fioperty --.dOress ' Buyer s IniDais Date

/229(Rfiv 7/08) -1-

te l ler 's Information Regarding Property

Property Type (check one):

SS^ Single Family O Zero Lot Ltne/Town House O Duplex (Including Single Family with an Apartment) D Other {please specify)

• Condor'-ini'---! • Townhome/PUD

Ipo you currently occupy the property? • Yes No If Yes. he. ic

;'!o» 3 current occupant, have you ever occupied the property • O > -

H'opefty Built- J^O^'' I H property was built prior to 1978. or t b • f • - iiiele Disclosure of Information and Acknowieagm'i •* of I'-iid-: |:. • -i with Section 1018 of the Residential Lead-Based '- '^'it Ha- 'fri

bMve? wnh the Protect Ycur Family From Lead in You! - jme ; •.vw'V« epagoi/deadrleadprothtm.

: .•-.•riiclion Overview • Wood Frame ^ Manutact-jrec • Mc •r i lat icn O Masonry Block O Pojrea Ccncrete O •' :o >;,jrnG or cnginal builder (if known): CJUI^/JA ^

•.3 No If so when-?

ser has any knowledge of lead-based paint, Seller '--gd Paint anc.'or Lead-based Paint Hazards in eduction Act of 1S92 (also known as Title X) and <?t The pamphlet can be found on the internet at

'1 Other ..cedWood % • Other

Property Features:

Check ail items that are built-in and will remain with the p. icerty • .is^ Circle those checked items that have known defects or niorunctioi-^ f o . .. Describe the defect or malfunction on the Addendum..Amei ctmeni. •• >• ne Disclosure Slate.ment

i- Cooktop I Oven(s) # of i Rods & Blinds I Microwave(s) # of

Dishwasher Trash Compactor Garbage Disposal !n-3tam Hot Water Dispenser <.;entra! Vacuum Installed iitercom Paddie Fan(5) # of

fiS I'Vood Stovers^ # of • Jetted Tub • Hot Tub DCove? • Steam Shower Room • Water Softener • Water Filtering Systen • Greenhouse • Attached O Det-^chs

• Ventilating System • Heating System

^ S t o r a g e Shedfs) # of • Built-in Barbecue

O T V Antenna • Satellite Dish H-Window Screens t i l Security System • Smoke Detector(s) # of • CO Detectors # of • FireAlamis D Auto Garage Door Opener(a)

# of Opener! s)_ JSlBuilt-in Refngerator • other

Structura l Components: Check oniy those items that have known detects tnaliur^ctu::! •-,

#of D riftH>iace(ai

#ol • Gas Starter

D Pliit'iijiii^ Sysi"

Q Hoolinc) Sy.sk-.

D Solar Par^Si

a tiave jidi .jurr.».-.

a feucfeS'-Oaie^ • • Driveways Exterior Walls

• Private Vi/alkways • Interior V;/al)s

• Retairang WaMs • Huors

• Foundation • Ceilings

• Crav»t Space • Doors

• Roof • Wil-rtlOVUB

• PstiwDecKing • Skylights

• • Vent II

•sajor repairs perfotmeO wittttn the last five years. :^entis) TO The Disciosure Statement

:1S

L f.ecisii.jj rr-ratenvi • t'ic;ioriic. Aif Cle«!;er

c : Sewage Systems • Heat Recovery n •Nmei .Supply • •yencilaloi SYslein c 5arag(? •

Garage Floor €n&in • .-Sv/trnming Pool

U Garage Floor €n&in • .-Sv/trnming Pool

— • Mechanical ( • 1—. Carpoil •

• \ '̂a8her-Oryef Hook-ups • Filtiaiion

• Huntidifter • Pool Covef

G Alt t^oridittoner • Hot Water Healer

• • • T : ' ! : ; •»;>' coveret l above ' ' ,

Lots 63C 8. 63D Shell Lake ̂ rt'SS

vith Cabin) Dale

documentation: Check the ciocuments for the sucier.;; i:;.:o- ' 9 l y tr̂ -• \<r. -eller has avaiiabie for review

Written ^,gf5srv5ent5 w : Adjacent Property Ovv

Energy Rating Certifies; - o 'UR-101 Resale Certificate Water Rights Certificate Subdivision CovenantS/'Res-* • xtions

Party Wail Agreement Lease/Rental Agreement Soils Test Weil Log and Water Tests Hazardous Matenals Testfs) Other

O Engineer/Property/Home Inspection Report(s) Title Information As-Built Survey Certificate of Occupancy or PUR-102 Deed Restrictions Other

Additional Information: Supply infonnation for the following items:

To the best of your knowledge, has the property been inspected by an engir er/home inspector in the last 5years'> •

Drainage: * Are you aware of ever having any «\'ater in the r-r-r.',,-.

If Yes how has the problem been resolves • SumpPump(s) • Curtain D^ain • Rain L m ' j -When was problem resolved"? Location of each sump pump ^

w To where does the water dram afteTTiea .'^s l ' v . . . , If gutiers where do downspouts discliarge"

> Is there a floor drain m the structure including gara^K If Yes, where is it located and where does it dram to"' _ _

Roof or Other Leakage: Type: O Asphalt/Composition Shingle O Cedar Shake

•; or lOA-er ieveP

• Other

Age: years. Location of attic access? _ • BUIK ...t EJrvieta! • Other.

* Are you aware of any ice damming on the roof> If Yes. provide location.

• Are you aware of any water leaking into the home? i e , windows ir.nts, fireplace, etc. If Yes, provide tocation.

Fireplace and/or Woodstove: Date chimneyis} last cleaned? tiddAH: Who cleaned''

Heating System(s): I I Hot Water Baseboard SWood Stove Last Cleaned

Mark all types that apply:

Age-Source ClKatural Gas

• Oil with Ace of Tank"?

• Forced Ail • • Other

Radiant Heat • Electrical Heat

• Electric O Propane Tank iej-sed or -_ gallon storage which is O Bur-ed • --tiC _ years

;t Inspected: ^ • Wood • Coal Ground • Other

Hot Water Heater: Age years Capacity .gallons Tyt)e O • Electnc • Other

Water Supply; T/pe: O Public OPrivate •Community O CisternrvV iter Tar

O other

feet. Flow Rate

-1 'Stern/Water Tank

oer minute. Date Tested: If Private: WeK Depth Have you had any problems with your water supply? . . Has the water supply been tested m the past 12 montri;. •> If Yes, attach all documentation from all tests Are you aware of any contaminants in your water suppiy. to inciude . j t not limited to E-co'i, nitrates, heavy metals, arsenic or other contaminants? Has the well failed while you have owned the property? Have you ever had a well pump problem or failure? Do you supply water to or receive water from others" If Yes, is there a recorded agreement? Do you have a water nghts certificate for this property?

Data Lois 630 & 63D Shell Lake Alaska Re.̂ ufc ^ith Cabin)

Property Address Buyer s Initials 7;03i -3-

•

o

•

Size

.o

o o

. •

. •

•

Date

I^dditionai infonnation (Continued):

Sewer System: Type: D Public • Private O Community D Ottier • Does your sewer system have a lift station/lift pump'

If Private • Septic Tank • Holding Tank D Other Drainfield System: • Bed • Trench • Mound • Pit L . Cnb O Other Innovative Sewer System • Intermittent Sand Filter • lnoc,

O Secondary sewer treatment c :int

Yes

. 0 • ie O Recirculating Upflow Filter

• Other

Has the sewer system failed wniits yOu ov.netj '.he y !opt ; ;{y' If Yes. explain-Age ot sewer system . l.',jc?tio-!

• • Have you had any work maintenance or inspectit' If Yes, explain Approvai/Certification source {anci date if Know'-i Are you aware of any abandoned sewer yystc-.-r.s

Freeze-ups: • Have you had any frozen water lines, sewer lines cran-s, nf-

If yes, please explain. • Are there any heat tapes heat iamps or other freeze p event:

system dunna your ownership? Q •

or i^ie Dfot.:ert • • .stems'?

•es'

D

O

O

o Location, and explain use

Average Annual Utility Costs:

Gas $ Electnc S Oil S /Gallons: Propane S Wood S Coal S Water S •Sfc-.ver S «.efjse S Ot=iei S

Company/Source Company/Source Company/Source __. Company/Source Company/Source' Company/Source Company/Source Company-Source Company, Sourc--Compan-i.''Sourc

Tu the best of your knowledge, are you a-.vare of any of tire foliowing cones-.jn; ;ith respect to the subject property" if answer is • Yas " tndcate the relevant itmi number and explain the conditior, on the Jdd -tunVAmendnrontfs) to the Disclosure Statement

r Title: IS§ MS 1 Do you know of any existing, pending, or potential lega; actionu ; erning the property? Q fiSC 2. Do you know of any street or utility improvements planned that -n̂ t the property? O O 3 Road maintenance provided by? 4. Is the property currently rented or leased"* . • K3

If Yes. expiration date: '_____/ 5. Is there a homeowners association (HOA) for the property?.. • o

If Yes, HOA name: HO* Telephone: O IVIandatory O Voluntary O Inactive Monthly Dues Amo—:t S per Are there any levied or pending assessments? o o Who is responsible for issuing the resale certificate? Name: Telephone:

> Setbacks/Restrictions:

6 Have you been notified of any proposed zoning changes for the pre: -rty ? D D ' Are you aware of features of the property shared in conimon w:tr: a' 'ning property owners, such as

•/.alls, fences, and driveways whose use or responsibility for maintf- ance may affect the property? O 0 ' Aie there subdivision conditions, covenants, cr restrictions?... O O

•: Are you aware of any violations of building codes, zoning, setb ? .jirements, subdivision covenants. bcrcugh or city restrictions cn this property? D O

^ C Are you aware of any nonconfomiing uses of this propetly?.. D iS

'^dAr—~ / 2 V if^ Lots 63C & 63D Shell LaKe A aska RIJ^U;. .vith Cabin) ^

ic :5/s i#liai4 M t e " ^ ^ Piypwi, .-...otess Buye-3 imDsis Date

I

Additional information (Continued):

11 Are you aware of any deed or otfier private restnetioi's on the • : 12 Are you aware of any variances being applied for. or gi ;;nted c

13. Are you aware of any easements on the property?

I- Encroaci iments:

14 Does anything on your property encroach (extend) onto your neign-15 Does anything on your neighbor s property encroach or.to youi IJJOI.

Environmental Concerns:

Yes 'fie property"? D ..-roperty? D •

s property?

16 Are you aware of any substances, materials, or prooucts that may b asbestos, fonnaidehyde. radon gas. lead-based paint, fuel or chem; water or by-products from the production of metnamphetaminei; on

1 '"a .Are you aware of any mildew or moid issues affecting this properry , ' . Ais you aware of any tinderground storage tanks on this proper .• c er than previously referenced fuel

or septic tanits"? Number of tanks . . . ' Are you aware if the propeny is in an avalanche zoneAii-jdslidr s ' Lv Are you aware if the properry has fioO':ied?

Fiooa zone designation: ^ . 2\J Are you awane of any erosion-'erosion zone or acc-etio? aTfectr v 2 i Are you aware of any damage to the property er any u* trie stri . •

high winds fire, earthquake or other natuiai causes? 22 Have you ever filed an insurance claim for any environmental c vii! 23. Are you aware of a waste disposal site or a gravel pit within a O' e-;

^ Soil Stability: 24. Are you aware of any debris burial or filling on any portion of the , J t i . . 25. Are yoii aware of any permafrost or other soil problems which h.ave •

or heaving that affect the improvements of the property^ 26. Are you aware of any drainage, or grading problems that affect VMS L

o ty? M J t J i M ^ A ^ ^ O

an environmental hazard such as .1 storage tanks, contaminated soil, e subject property? O

o

• • •

:;roperty? D lorri flood, lanosiide. avalanche.

o to the property? D

a radius of the property? Q

-rty" O used settling, slippage, sliding, • 3perty? O

No

m

•

D D

O

O •

If Construction, Improvements/Remodel: i H a v e you remodeled, made any room additksns, structural modi cs:

it Yes, please descnbe. Was the work performed with necessary pe codes'^ Was a final inspection perfoimed, if applicable"?

.::3 Has a fire ever occurred m the structure''

' Pest Control or Wood Destroying Organisms: 2h: Aie you aware of any termites ants insects squ;

3 If Yes. what type? b. IfYes. where"?

30 Has there been damage in the past resulting from term tes. an-: structure? a b. c. d.

Other:

If Yes. when? If Yes, what type?, If Yes, where? If Yes, describe what was done to resolve tfie problem:

ns, or improvements'? iits in compliance with building

i . etc in the ssructure"?.

32. Are you aware of any human burial sites on the property'? .

Stt^^initialiT r>ate tots 63C & 63D Shell Lake Alaska Be.sub with Cabin)

Pfopfifty Address Buyer s initials

o

D O

;ts squirrels, rodents etc. m the •

31 Are you aware of any murder or suicide having occurred on the pro; l y within the preceding 3 years? O

•

'Oi ie'

• o

• ^

p

s r

Ikddit ionat Information (Continued): No

33 Noise a. Are you aware of any noise souices that may affeci tne pr. ->t , icluding airplanes, trains, dogs,

« traffic race tracks, neighbors, etc? D B b. If Yes. explain;

34 Pets a Have there been any pets/animals in the house? b If Yes, what kind?

I / V^B have completed this disclosure statement according to AS i 4 ; 010 - AS 34 70.200 and these instructions, |ancl the statements are made in good faith and are true anci correct s the best of my/our knowledge as of the date feigned. i/VVe authorize any licensees involved or participating in t ; t̂ isaction to provide a copy of this statement to (•any person or entity in connection wtih any actual oi antiGipateo r<n er of the property or interest in the property

e; srswp t3y William Pl-ia* .J'

B u y e r ' s Notice a n d R e c ?({ of C o p y

Transferee (Buyer) Awarenf^ss Not ice: Unuei AS M :< 0 050, <' ".v. lee (Buyer) is independently responsible for determining wftether a person who has been convicted of a sex : e i r resides in the vicinity of the property that is the subject of the Transferee's (Buyer s) potential real estate transactir . This information is available at the following locations: Alaska State Trooper Posts. Municipal Police Departiner . and on the State of Alaska. Department of Public Safety Internet site: www.dps.state.ak.us.

Transferee (Buyer) Awareness Not ice: Under AS 34.70.050.1 .-ani^ eree (Buyer) is independently responsible for determining whether, in the vicinity of the property that is the suLs^ict of the transferee's potential real estate transaction there is an agricultural facility or agricultural operatioti i ,t might produce odor, fumes, dust, blowing snow, smoke, burning, vibrations, noise, insects, rodents, the opetah.tn of machinery including aircraft, and other ir:conveniences or discomforts as a result of lawful agncuitural opera- 3ns.

^ -e Buyer is uiged to inspect the property carefully and to h,i h - property inspected by an expert. Buyer understands that there are aspects of the property of vi/nich ti i er may not have knowledge and that this disciosure statement does not encompass those asper.ts. Biiv .> acknowledges that he/she has read and received a signed copy of this statement from the Seller c any lie c i ; ; > involved or participating in this transaction.

Buyer:

Buyer: D-.'e:

Date Lots 6 X & 63D Shell take Alaska Resub with Cabin]

Property Ai-dress Buyer s initials Date •/OS)