3550 Genessee

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

SELLER’S DISCLOSURE AND F333
CONDITION OF PROPERTY ADDENDUM

(Residential)

1 SELLER: K_a_t_h_a_ri_n_e_G_a_r_r_is_o_n_a_n_d__R_o_b_er_t_G_a_r_r_is_o_n________________________________________________________

2 PROPERTY: 3_5_5_0_G_e_n_e_s_s_ee__S_tr_e_e_t,_K_a_n_s_a_s _C_it_y_, M__O__64_1_1_1__________________________________________________
3
4 1. NOTICE TO SELLER.
5 Be as complete and accurate as possible when answering the questions in this disclosure. Attach additional sheets if
6 space is insufficient for all applicable comments. SELLER understands that the law requires disclosure of any material
7 defects, known to SELLER, in the Property to prospective Buyer(s) and that failure to do so may result in civil liability
8 for damages. Non-occupant SELLERS are not relieved of this obligation. This disclosure statement is designed to
9 assist SELLER in making these disclosures. Licensee(s), prospective buyers and buyers will rely on this information.
10
11 2. NOTICE TO BUYER.
12 This is a disclosure of SELLER’S knowledge of the Property as of the date signed by SELLER and is not a substitute
13 for any inspections or warranties that BUYER may wish to obtain. It is not a warranty of any kind by SELLER or a
14 warranty or representation by the Broker(s) or their licensees.
15
16 3. OCCUPANCY.
17 Approximate age of Property? 1_9_0_0________________ How long have you owned? 8__ye_a_r_s___________
18 Does SELLER currently occupy the Property? ............................................................................................ Yes No
19 If “No”, how long has it been since SELLER occupied the Property? n_/_a___________ years/months
20
21 4. LAND (SOILS, DRAINAGE AND BOUNDARIES). (IF RURAL OR VACANT LAND, ATTACH SELLER’S LAND
22 DISCLOSURE ALSO.) ARE YOU AWARE OF:
23 a. Any fill or expansive soil on the Property? ...................................................................................... Yes No
24 b. Any sliding, settling, earth movement, upheaval or earth stability problems
25 on the Property? ............................................................................................................................. Yes No
26 c. The Property or any portion thereof being located in a flood zone, wetlands
27 area or proposed to be located in such as designated by FEMA which
28 requires flood insurance? ............................................................................................................... Yes No
29 d. Any drainage or flood problems on the Property or adjacent properties? ...................................... Yes No
30 e. Any flood insurance premiums that you pay? ................................................................................. Yes No
31 f. Any need for flood insurance on the Property? .............................................................................. Yes No
32 g. Any boundaries of the Property being marked in any way? ........................................................... Yes No
33 h. The Property having had a stake survey? ..................................................................................... Yes No
34 i. Any encroachments, boundary line disputes, or non-utility easements
35 affecting the Property? ................................................................................................................... Yes No
36 j. Any fencing on the Property? ......................................................................................................... Yes No
37 If “Yes”, does fencing belong to the Property? ...................................................................... N/A Yes No
38 k. Any diseased, dead, or damaged trees or shrubs on the Property? .............................................. Yes No
39 l. Any gas/oil wells, lines or storage facilities on Property or adjacent property? ............................... Yes No
40 m. Any oil/gas leases, mineral, or water rights tied to the Property? ................................................... Yes No
41
42 If any of the answers in this section are “Yes”, explain in detail or attach all warranty information and
43 other documentation: ________________________________________________________________________
44 ___________________________________________________________________________________________
45 ___________________________________________________________________________________________

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Sellers Disclosure and Condition of Property Addendum – Residential
Page 1 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

46 5. ROOF.

47 a. Approximate Age:11______years Unknown Type: c_o_m_p_o_s_i_ti_o_n____________________

48 b. Have there been any problems with the roof, flashing or rain gutters? ....................................... Yes No
49 If “Yes”, what was the date of the occurrence? ______________________

50 c. Have there been any repairs to the roof, flashing or rain gutters? .............................................. Yes No

51 Date of and company performing such repairs___________/__________________________

52 d. Has there been any roof replacement? ........................................................................................ Yes No
53 If “Yes”, was it: Complete or Partial

54 e. What is the number of layers currently in place?1_________layers or Unknown.

55
56 If any of the answers in this section are “Yes”, explain in detail or attach all warranty information and

57 other documentation: ________________________________________________________________________

58 ___________________________________________________________________________________________

59 ___________________________________________________________________________________________

60

61 6. INFESTATION. ARE YOU AWARE OF:

62 a. Any termites, wood destroying insects, or other pests on the Property? .................................... Yes No

63 b. Any damage to the Property by termites, wood destroying insects or other

64 pests? .......................................................................................................................................... Yes No

65 c. Any termite, wood destroying insects or other pest control treatments on the

66 Property in the last five (5) years? ............................................................................................... Yes No
67 If “Yes”, list company, when and where treated ______________________

68 d. Any current warranty, bait stations or other treatment coverage by a licensed

69 pest control company on the Property? ....................................................................................... Yes No
70 If “Yes”, the annual cost of service renewal is $___________ and the time

71 remaining on the service contract is _________________.

72 (Check one) The treatment system stays with the Property or the treatment system is

73 subject to removal by the treatment company if annual service fee is not paid.

74
75 If any of the answers in this section are “Yes”, explain in detail or attach all warranty information and

76 other documentation: ________________________________________________________________________

77 ___________________________________________________________________________________________

78 ___________________________________________________________________________________________

79

80 7. STRUCTURAL, BASEMENT/CRAWL SPACE, FIREPLACE AND EXTERIOR ITEMS.

81 ARE YOU AWARE OF:

82 a. Any movement, shifting, deterioration, or other problems with walls, foundations,

83 crawl space or slab? .................................................................................................................... Yes No

84 b. Any cracks or flaws in the walls, ceilings, foundations, concrete slab,

85 crawl space, basement floor or garage? ..................................................................................... Yes No

86 c. Any corrective action taken including, but not limited to piering or bracing? ............................... Yes No

87 d. Any water leakage or dampness in the house, crawl space or basement? ................................ Yes No

88 e. Any dry rot, wood rot or similar conditions on the wood of the Property? .................................... Yes No

89 f. Any problems with driveways, patios, decks, fences or retaining walls on the Property? ........... Yes No

90 g. Any problems with fireplace including, but not limited to firebox, chimney,

91 chimney cap and/or gas line? ...................................................................................................... Yes No

92 Date of any repairs, inspection(s) or cleaning? ______________________________________

93 Date of last use? ___________________________________

94 h. Does the Property have a sump pump? ...................................................................................... Yes No
95 If “Yes”, location: ______________________________________________________________

96 i. Any repairs or other attempts to control the cause or effect of any problem described above? .. Yes No
97 If any of the answers in this section are “Yes”, explain in detail or attach all warranty information and

98 other documentation: _______________________________________________________________________

99 ___________________________________________________________________________________________

100 ___________________________________________________________________________________________

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 2 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

101 8. ADDITIONS AND/OR REMODELING.

102 a. Are you aware of any additions, structural changes, or other material alterations to

103 the Property? .................................................................................................................................. Yes No
104 If “Yes”, explain in detail: E_x_i_st_in__g_st_r_u_c_tu_r_e_w__as__re_m__o_d_el_e_d_t_o_a_d_d_a__h_a_lf_b_a_th__/la_u_n_d_r_y___________

105 ____________________________________________________________________________
106 b. If “Yes”, were all necessary permits and approvals obtained, and was all work in

107 compliance with building codes? ...........................................................................................N/A Yes No
108 If “No”, explain in detail:N_o__p_e_rm__it_s_n_e_e_d_e_d_, b_u_i_lt_t_o_c_o_d_e__________________________________

109 _____________________________________________________________________________

110

111 9. PLUMBING RELATED ITEMS.

112 a. What is the drinking water source? Public Private Well Cistern

113 If well water, state type __________________ depth_____________

114 diameter ___________ age_________

115 b. If the drinking water source is a well, when was the water last checked for

116 safety and what was the result of the test?_______________________________

117 c. Is there a water softener on the Property? ..................................................................................... Yes No
118 If “Yes”, is it: Leased Owned?

119 d. Is there a water purifier system? ..................................................................................................... Yes No
120 If “Yes”, is it: Leased Owned?

121 e. What type of sewage system serves the Property? Public Sewer Private Sewer

122 Septic System Cesspool Lagoon Other ______________________

123 f. The location of the sewer line clean out trap is: b_a_s_e_m_e_n_t____________________

124 g. Is there a sewage pump on the septic system?.....................................................................N/A Yes No

125 h. Is there a grinder pump system? .................................................................................................... Yes No

126 i. If there is a privately owned system, when was the septic tank, cesspool, or sewage

127 system last serviced?_________ By whom? ___________________________

128 j. Is there a sprinkler system? ............................................................................................................ Yes No

129 Does sprinkler system cover full yard and landscaped areas? ............................................N/A Yes No
130 If “No”, explain in detail: __________________________________________

131 k. Are you aware of any leaks, backups, or other problems relating to any of the,

132 plumbing, water, and sewage related systems? ............................................................................. Yes No

133 l. Type of plumbing material currently used in the Property:

134 Copper Galvanized Other P_V_C__________________________________________

135 The location of the main water shut-off is:E_a_s_t _si_d_e_o_f_b_a_s_em__e_n_t________________________

136 m. Is there a back flow prevention device on the lawn sprinkling system,

137 sewer or pool? ......................................................................................................................N/A Yes No

138
139 If your answer to (k) in this section is “Yes”, explain in detail or attach available

140 documentation:______________________________________________________________________________

141 ____________________________________________________________________________________________

142 ____________________________________________________________________________________________

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 3 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

143 10. HEATING AND AIR CONDITIONING.

144 a. Does the Property have air conditioning? ....................................................................................... Yes No

145 Central Electric Central Gas Heat Pump Window Unit(s)

146 Unit Age of Unit Leased Owned Location Last Date Serviced/By Whom?

147 1.A_C______1_______________n_o________ye_s________s_o_u_t_h_s_id_e__of_h_o_m__e_______S_m__it_h_C_o_o_li_n_g______

148 2._____________________________________________________________________________

149 b. Does the Property have heating systems? ..................................................................................... Yes No

150 Electric Fuel Oil Natural Gas Heat Pump Propane

151 Fuel Tank Other_______________

152 Unit Age of Unit Leased Owned Location Last Date Serviced/By Whom?

153 1.__________1_2__________n_o_________y_e_s________b_a_s_e_m_e_n_t_________L_a_r_ry_,_S_e_rv_i_c_e_S_p_e_ci_a_li_s_t _20_13

154 2._____________________________________________________________________________

155 c. Are there rooms without heat or air conditioning? .......................................................................... Yes No

156 .........................................................................................................................................................
157 If “Yes”, which room(s)? ______________________________________________________

158 d. Does the Property have a water heater? ........................................................................................ Yes No

159 Electric Gas Solar Tankless

160 Unit Age of Unit Leased Owned Location Capacity Last Date Serviced/By Whom?

161 1._________1_7__________n_o___________y_e_s_____b_a_se_m__e_n_t ____________________n_/_a___________

162 2._______________________________________________________________________________

163 e. Are you aware of any problems regarding these items? ................................................................ Yes No
164 If “Yes”, explain in detail: ________________________________________________________

165 ______________________________________________________________________________

166 ______________________________________________________________________________

167

168 11. ELECTRICAL SYSTEM.

169 a. Type of material used: Copper Aluminum Unknown

170 b. Type of electrical panel(s): Breaker Fuse

171 Location of electrical panel(s):b_a_s_e_m_e_n_t,_u_p_g_r_a_d_e_d_i_n_2_0_1_0_, p_e_r_m_i_t_n_u_m_b_e_r_2_0_1_1_1_8_2_4_7_______

172 Size of electrical panel (total amps), if known:2_0_0_a_m__p_______________________________

173 c. Are you aware of any problem with the electrical system? ............................................................. Yes No
174 If “Yes”, explain in detail: ______________________________________________________

175 __________________________________________________________________________

176 __________________________________________________________________________

177

178 12. HAZARDOUS CONDITIONS. ARE YOU AWARE OF:

179 a. Any underground tanks on the Property? ....................................................................................... Yes No

180 b. Any landfill on the Property? ........................................................................................................... Yes No

181 c. Any toxic substances on the Property, (e.g. tires, batteries, etc.)? ................................................. Yes No

182 d. Any testing for any of the above-listed items on the Property? ....................................................... Yes No

183 e. Any professional testing/mitigation for radon on the Property? ...................................................... Yes No

184 f. Any professional testing/mitigation for mold on the Property? ........................................................ Yes No

185 g. Any other environmental issues? .................................................................................................... Yes No

186 h. Any methamphetamine or controlled substances ever being

187 used or manufactured on the Property? ......................................................................................... Yes No

188 (In Missouri, a separate disclosure is required if methamphetamine or

189 other controlled substances have been present on or in the Property.)

190
191 If any of the answers in this section are “Yes”, explain in detail or attach test results and other

192 documentation: _____________________________________________________________________________

193 ____________________________________________________________________________________________

194 ____________________________________________________________________________________________

195 ____________________________________________________________________________________________

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 4 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

196 13. NEIGHBORHOOD INFORMATION & HOMEOWNER’S ASSOCIATION. ARE YOU AWARE OF: F333

197 a. Any current/pending bonds, assessments, or special taxes that

198 apply to Property? ........................................................................................................................... Yes No
199 If “Yes”, what is the amount? $______________________

200 b. Any condition or proposed change in your neighborhood or surrounding

201 area or having received any notice of such? .................................................................................. Yes No

202 c. Any defect, damage, proposed change or problem with any

203 common elements or common areas? ........................................................................................... Yes No

204 d. Any condition or claim which may result in any change to assessments or fees? .......................... Yes No

205 e. Any streets that are privately owned? ............................................................................................. Yes No

206 f. The Property being in a historic, conservation or special review district that

207 requires any alterations or improvements to the Property be approved by a

208 board or commission? .................................................................................................................... Yes No

209 g. The Property being subject to tax abatement? ................................................................................ Yes No

210 h. The Property being subject to a right of first refusal? ...................................................................... Yes No
211 If “Yes”, number of days required for notice: ___________

212 i. The Property being subject to covenants, conditions, and restrictions of a
213 Homeowner’s Association or subdivision restrictions? ................................................................... Yes No

214 j. Any violations of such covenants and restrictions? .............................................................N/A Yes No
215 k. The Homeowner’s Association imposing its own transfer fee and/or

216 initiation fee when the Property is sold? ...............................................................................N/A Yes No
217 If “Yes”, what is the amount? $____________________

218
219 Homeowner’s Association dues are paid in full until ______________________ in the amount of $______________

220 payable yearly semi-annually monthly quarterly, sent to _______________________________and such

221 includes:_____________________________________________________________________________________
222 Homeowner’s Association/Management Company contact name, phone number, website, or email address:

223 ____________________________________________________________________________________________

224 ____________________________________________________________________________________________
225
226 If any of the answers in this section are “Yes” (except h and k), explain in detail or attach other

227 documentation: ____________________________________________________________________________________

228 ____________________________________________________________________________________________
229 ____________________________________________________________________________________________________
230

231 14. PREVIOUS INSPECTION REPORTS.
232 Has Property been inspected in the last twelve (12) months? …................... ................................ Yes No
233 If “Yes”, a copy of inspection report(s) are available upon request.

234

235 15. OTHER MATTERS. ARE YOU AWARE OF:

236 a. Any of the following?

237 Party walls Common areas Easement Driveways.............................................................. Yes No

238 b. Any fire damage to the Property? ................................................................................................... Yes No

239 c. Any liens, other than mortgage(s)/deeds of trust currently on the Property? ................................. Yes No

240 d. Any violations of laws or regulations affecting the Property?........................................................... Yes No

241 e. Any other conditions that may materially affect the value

242 or desirability of the Property? ........................................................................................................ Yes No

243 f. Any other condition, including but not limited to financial, that may prevent

244 you from completing the sale of the Property? ............................................................................... Yes No

245 g. Any general stains or pet stains to the carpet, the flooring or sub-flooring? ................................... Yes No

246 h. Missing keys for any exterior doors, including garage doors to the Property? ............................... Yes No

247 List locks without keys __________________________________________

248 i. Any violations of zoning, setbacks or restrictions, or non-conforming uses? ................................. Yes No

249 j. Any unrecorded interests affecting the Property? ........................................................................... Yes No

250 k. Anything that would interfere with giving clear title to the BUYER? ............................................... Yes No

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 5 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

251 l. Any existing or threatened legal action pertaining to the Property? ................................................ Yes No

252 m. Any litigation or settlement pertaining to the Property? .................................................................. Yes No

253 n. Any added insulation since you have owned the Property? Yes No

254 o. Having replaced any appliances that remain with the Property in the

255 past five (5) years? ......................................................................................................................... Yes No

256 p. Any transferable warranties on the Property or any of it

257 components? ................................................................................................................................... Yes No

258 q. Having made any insurance or other claims pertaining to the Property

259 in the past five (5) years? ................................................................................................................ Yes No
260 If “Yes”, were repairs from claim(s) completed?....................................................................N/A Yes No

261 r. Any use of synthetic stucco on the Property? ................................................................................. Yes No

262
263 If any of the answers in this section are “Yes”, explain in detail: _____________________________________

264 A_d_d_e_d__in_s_u_la_t_io_n__in__a_tt_ic_,_a_ir_c_o_n_d_i_ti_o_n_er__h_as__w_a_r_ra_n_t_y___________________________________________________

265 ____________________________________________________________________________________________

266

267 16. UTILITIES. Identify the name and phone number for utilities listed below.

268 Electric Company Name: K_C_P_L__________________________ Phone #______________________

269 Gas Company Name: Mi_s_so_u_r_i_G_a_s_E_n_e_r_g_y________________ Phone #______________________

270 Water Company Name: K_a_n_a_s_C_i_ty__W_a_t_e_r_S_e_rv_i_c_es___________ Phone #______________________

271

272 17. FIXTURES, EQUIPMENT AND APPLIANCES (FILL IN ALL BLANKS).
273 The Residential Real Estate Sale Contract, including this paragraph of the residential Seller’s Disclosure and
274 Condition of Property Addendum (“Seller’s Disclosure”), not the MLS, or other promotional material, provides for
275 what is included in the sale of the Property. Items listed in the “Additional Inclusions” or “Exclusions” in
276 Subparagraphs 1a and 1b of the Contract supersede the Seller’s Disclosure and the pre-printed list in Paragraph 1
277 of the Contract. If there are no “Additional Inclusions” or “Exclusions” listed, the Seller’s Disclosure and the pre-
278 printed list govern what is or is not included in this sale. If there are differences between the Seller’s Disclosure and
279 the Paragraph 1 list, the Seller’s Disclosure governs. Unless modified by the Seller’s Disclosure and/or the
280 “Additional Inclusions” and/or the “Exclusions” in Paragraph 1a and/or 1b, all existing improvements on the Property

281 (if any) and appurtenances, fixtures and equipment (which seller agrees to own free and clear), whether buried,

282 nailed, bolted, screwed, glued or otherwise permanently attached to Property are expected to remain with Property,

283 including, but not limited to:

284

285 Bathroom mirrors Lighting and light fixtures Shelving, racks and towel bars

286 Fences Mounted entertainment brackets (if attached)

287 Fireplace grates, screens and/or Other mirrors (if attached) Storm windows, doors & screens

288 glass doors (if attached) Plumbing equipment and fixtures Window blinds, curtains, coverings

289 Floor coverings (if attached) and mounting components

THIS SPACE INTENTIONALLY LEFT BLANK
Continued on next page

KG04/05/16 RG04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 6 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

290 Fill in all blanks using one of the abbreviations listed below.
291 “OS” = Operating and Staying with the Property (any item that is performing its intended function).
292 “EX” = Staying with the Property but Excluded from Mechanical Repairs; cannot be an Unacceptable

293 Condition.
294 “NA” = Not applicable (any item not present).
295 “NS” = Not staying with the Property (item should be identified as “NS” below.)

296

297

298 N_A__Air Conditioning Window Units, #___ N_S__Laundry - Washer

299 O_S__Air Conditioning Central System N_S__Laundry - Dryer

300 N_A__Attic Fan ___Elec. ___Gas

301 O_S__Ceiling Fan(s), #_3__ MOUNTED ENTERTAINMENT EQUIPMENT

302 N_A__Central Vac and Attachments N_A__ Item #1 ________________

303 O_S__Doorbell Location________________

304 N_A__Electric Air Cleaner or Purifier ___ Item #2 ________________
305 O_S__Exhaust Fan(s) – Baths
306 N_A__Fences – Invisible & Controls Location________________

___ Item #3 ________________

307 Fireplace(s), #1________ Location________________

308 Location #1 E_X__________ Location #2___________ ___ Item #4 ________________

309 N_A__ Chimney ___ Chimney Location________________

310 N_A__ Gas Logs ___ Gas Logs N_A__Outside Cooking Unit

311 N_A__ Gas Starter ___ Gas Starter N_A__Propane Tank

312 N_A__ Heat Re-circulator ___ Heat Re-circulator ___Owned __Leased

313 N_A__ Insert ___ Insert N_A__Security System

314 N_A__ Wood Burning Stove ___ Wood Burning Stove ___Owned __Leased

315 ___ Other ___ Other O_S__Smoke/Fire Detector(s), #1___

316 N_A__Fountain(s) N_A__Spa/Hot Tub

317 O_S__Furnace/Heat Pump/Other Htg System N_A__Spa/Sauna

318 N_A__Garage Door Keyless Entry N_A__Spa Equipment

319 O_S__Garage Door Opener(s), #2___ N_A__Sprinkler System Auto Timer

320 N_A__Garage Door Transmitter(s), #___ N_A__Sprinkler System Back Flow Valve

321 N_A__Gas Yard Light N_A__Sprinkler System (Components & Controls)

322 N_A__Humidifier N_A__Statuary/Yard Art

323 N_A__Intercom N_A__Sump Pump

324 N_A__Jetted Tub N_A__Swimming Pool

325 KITCHEN APPLIANCES N_A__Swimming Pool Heater

326 Cooking Unit N_A__Swimming Pool Equipment

327 N_A__Cooktop ___Elec. ___Gas N_A__ TV Antenna/Receiver/Satellite Dish

328 O_S__Microwave Oven __Owned __Leased

329 O_S__Oven N_A__Water Softener and/or Purifier

330 X___Elec. ___Gas ___Convection __Owned __Leased

331 O_S__Stove/Range ___Other ________________________

332 X___Elec. ___Gas ___Convection ___Other ________________________

333 O_S__Dishwasher ___Other ________________________

334 O_S__Disposal ___Other ________________________

335 N_A__Freezer ___Other ________________________

336 Location K_I_T_C_H_EN________ ___Other ________________________

337 O_S__Icemaker ___Other________________________

338 O_S__Refrigerator (#1) ___Other ________________________

339 LocationK_I_T_C_H_E_N________ ___Other ________________________

340 N_A__Refrigerator (#2) ___Other ________________________

341 Location _____________ ___Other ________________________

342 N_A__Trash Compactor ___Other ________________________

KG RG

04/05/16 04/06/16

9:56PM CDT 5:52AM CDT

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 7 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684008-5-1135

F333

343 Disclose any material information and describe any significant repairs, improvements or alterations to the Property not

344 fully revealed above. If applicable, state who did the work. Attach to this disclosure any repair estimates, reports,

345 invoices, notices or other documents describing or referring to the matters revealed herein:

346 R_e_c_o_n_fi_g_u_r_ed__e_n_cl_o_s_ed__p_o_r_ch__to__b_e_1_/2__ba_t_h_,_la_u_n_d_r_y_a_n_d__m_u_d_r_o_o_m_._D_o_n_e_b_y__U_le__F_am__il_y_R_e_m__o_d_el_in_g_._8_1_6_-8_8_5_-9_9_5_5________

347 ______________________________________________________________________________________________

348 ______________________________________________________________________________________________

349

350 The undersigned SELLER represents, to the best of their knowledge, the information set forth in the foregoing

351 Disclosure Statement is accurate and complete. SELLER does not intend this Disclosure Statement to be a warranty or

352 guarantee of any kind. SELLER hereby authorizes the Licensee assisting SELLER to provide this information to

353 prospective BUYER of the Property and to real estate brokers and salespeople. SELLER will promptly notify

354 Licensee assisting the SELLER, in writing, if any information in this disclosure changes prior to Closing, and

355 Licensee assisting the SELLER will promptly notify Licensee assisting the BUYER, in writing, of such changes.

356 (SELLER and BUYER initial and date any changes and/or attach a list of additional changes. If attached, #_____

357 of pages).

358

359 CAREFULLY READ THE TERMS HEREOF BEFORE SIGNING. WHEN SIGNED BY ALL PARTIES, THIS

360 DOCUMENT BECOMES PART OF A LEGALLY BINDING CONTRACT.

361 IF NOT UNDERSTOOD, CONSULT AN ATTORNEY BEFORE SIGNING.

362

363

364

365 Katharine Garrison dotloop verified Robert Garrison dotloop verified
366 04/05/16 9:56PM CDT 04/06/16 5:52AM CDT

____________________________________K_2R_2-_MN_O_D-_9D_R5_-3_RP_0 _____________________________________RK_B8_-E_W_KY_-FK_H_C-9_FV_Y

367 SELLER DATE SELLER DATE

368

369 BUYER ACKNOWLEDGEMENT AND AGREEMENT

370

371 1. I understand and agree the information in this form is limited to information of which SELLER has actual knowledge

372 and SELLER need only make an honest effort at fully revealing the information requested.

373 2. This Property is being sold to me without warranties or guaranties of any kind by SELLER, Broker(s) or agents

374 concerning the condition or value of the Property.

375 3. I agree to verify any of the above information, and any other important information provided by SELLER or Broker

376 (including any information obtained through the Multiple Listing Service) by an independent investigation of my own.

377 I have been specifically advised to have Property examined by professional inspectors.

378 4. I acknowledge neither SELLER nor Broker is an expert at detecting or repairing physical defects in Property.

379 5. I specifically represent there are no important representations concerning the condition or value of Property made by

380 SELLER or Broker on which I am relying except as may be fully set forth in writing and signed by them.

381

382

383

384 ______________________________________________ ______________________________________________

385 BUYER DATE BUYER DATE

Approved by Legal Counsel of the Kansas City Regional Association of REALTORS® for exclusive use by its REALTOR® members. No
warranty is made or implied as to the legal validity or adequacy of this Contract, or that it complies in every respect with the law or that its
use is appropriate for all situations. Local law, customs and practices, and differing circumstances in each transaction may dictate that
amendments to this Contract be made. Last revised 08/15. All previous versions of this document may no longer be valid. Copyright
January 2016.

Seller’s Disclosure and Condition of Property Addendum – Residential
Page 8 of 8

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

F321

LEAD BASED PAINT DISCLOSURE ADDENDUM

Disclosure of Information on Lead-Based Paint and/or
Lead-Based Paint Hazards

1 SELLER: K_a_t_h_a_ri_n_e_G_a_r_r_is_o_n_a_n_d__R_ob_e_r_t_G_a_r_r_is_o_n_____________________________________________

2

3 PROPERTY:3_5_5_0_G_e_n_e_s_se_e_S_t_r_ee_t_, _K_a_n_sa_s_C_i_ty_,_M__O_6_4_1_1_1_______________________________________

4

5 Lead Warning Statement:

6 Every purchaser of any interest in residential real property on which a residential dwelling was built

7 prior to 1978 is notified that such property may present exposure to lead from lead-based paint that

8 may place young children at risk of developing lead poisoning. Lead poisoning in young children

9 may produce permanent neurological damage, including learning disabilities, reduced intelligence

10 quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk

11 to pregnant women. The seller of any interest in residential real property is required to provide the

12 buyer with any information on lead-based paint hazards from risk assessments or inspections in the

13 seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment

14 or inspection for possible lead-based paint hazards is recommended prior to purchase.

15

16 Seller's Disclosure (Initial applicable lines)
17 a. ___04_/K0G5_/1_6__ ___04_/R0_5G/1_6__ PRESENCE OF LEAD-BASED PAINT AND/OR LEAD-BASED

18 9:57PM CDT 3:14PM CDT PAINT HAZARDS: (check one below)

19 Known lead-based paint and/or lead-based paint hazards are present in the housing (explain).

20 ___________________________________________________________________.

21 Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

22 b. ___04_/K0G5_/1_6__ ___04_/R0_5G/1_6__ RECORDS AND REPORTS AVAILABLE TO THE SELLER:
23 9:57PM CDT 3:14PM CDT

24 (check one below)

25 Seller has provided the Buyer with all available records and reports pertaining to lead-based

26 paint and/or lead-based paint hazards in the housing (list documents below).

27 ___________________________________________________________________,

28 Seller has no reports or records pertaining to lead-based paint and/or lead-based

29 paint hazards in the housing.

30
31 Buyer’s Acknowledgment (Initial applicable lines)

32 c. ________ ________ BUYER HAS RECEIVED COPIES OF ALL INFORMATION LISTED

33 ABOVE

34 d. ________ ________ BUYER HAS RECEIVED THE PAMPHLET

35 “Protect Your Family from Lead in Your Home”

36 e. ________ ________ BUYER HAS: (Check one below)

37 Received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment
38 or inspection for the presence of lead-based paint or lead-based paint hazards; or
39 Waived the opportunity to conduct a risk assessment or inspection for the presence of
40 lead-based paint and/or lead-based paint hazards.

Lead Based Paint Disclosure Addendum
Page 1 of 2

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

F321

41 Licensee's Acknowledgment: (initial)
42 f. ___04_/K0M5_/1_6__ Licensee has informed the Seller of the Seller's obligations under 42 U.S.C. 4852 and
43 is11a:5w0AMarCDeT of his/her responsibility to ensure compliance.

44 Certification of Accuracy

45 The following parties have reviewed the information above and certify, to the best of their knowledge, the

46 information they have provided is true and accurate.

47

48

49 CAREFULLY READ THE TERMS HEREOF BEFORE SIGNING. WHEN SIGNED BY ALL PARTIES,

50 THIS DOCUMENT BECOMES PART OF A LEGALLY BINDING CONTRACT.

51 IF NOT UNDERSTOOD, CONSULT AN ATTORNEY BEFORE SIGNING.

52

Katharine Garrison53 dotloop verified ______________________________________
04/05/16 9:57PM CDT
54 _______________________________4_M_ZC_-8R_M_L-_M0_N_X-Z_HVJ

55 SELLER DATE BUYER DATE

56

Robert Garrison57 dotloop verified
04/05/16 3:14PM CDT
58 ________________________________JM_ER_-A_XU_P-_06_B1_-IK_HQ
______________________________________

59 SELLER DATE BUYER DATE

60

Kathi Munson61 dotloop verified ______________________________________
04/05/16 11:50AM CDT
62 _______________________________V_P8_J-B_W_LE_-P_OC_O_-5K_VW

63 LICENSEE ASSISTING SELLER DATE LICENSEE ASSISTING BUYER DATE

Approved by Legal Counsel of the Kansas City Regional Association of REALTORS® for exclusive use by its REALTOR® members.
No warranty is made or implied as to the legal validity or adequacy of this Contract, or that it complies in every respect with the law or
that its use is appropriate for all situations. Local law, customs and practices, and differing circumstances in each transaction may
dictate that amendments to this Contract be made. Last revised 07/15. All previous versions of this document may no longer be valid.
Copyright January 2016.

Lead Based Paint Disclosure Addendum
Page 2 of 2

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

TITLE 42 - THE PUBLIC HEALTH AND WELFARE

CHAPTER 63A - RESIDENTIAL LEAD-BASED PAINT HAZARD REDUCTION

SUBCHAPTER I - LEAD-BASED PAINT HAZARD REDUCTION

Sec. 4852d. Disclosure of information concerning lead upon transfer of residential property

(a) Lead disclosure in purchase and sale or lease of target housing

(1) Lead-based paint hazards

Not later than 2 years after October 28, 1992, the Secretary and the Administrator of the
Environmental Protection Agency shall promulgate regulations under this section for the disclosure of
lead-based paint hazards in target housing which is offered for sale or lease. The regulations shall
require that, before the purchaser or lessee is obligated under any contract to purchase or lease the
housing, the seller or lessor shall -

(A) provide the purchaser or lessee with a lead hazard information pamphlet, as prescribed by
the Administrator of the Environmental Protection Agency under section 406 of the Toxic
Substances Control Act [15 U.S.C. 2686];

(B) disclose to the purchaser or lessee the presence of any known lead-based paint, or any
known lead-based paint hazards, in such housing and provide to the purchaser or lessee any
lead hazard evaluation report available to the seller or lessor; and

(C) permit the purchaser a 10-day period (unless the parties mutually agree upon a different
period of time) to conduct a risk assessment or inspection for the presence of lead-based
paint hazards.

(2) Contract for purchase and sale

Regulations promulgated under this section shall provide that every contract for the purchase and
sale of any interest in target housing shall contain a Lead Warning Statement and a statement signed
by the purchaser that the purchaser has -

(A) read the Lead Warning Statement and understands its contents;

(B) received a lead hazard information pamphlet; and

(C) had a 10-day opportunity (unless the parties mutually agreed upon a different period of time)
before becoming obligated under the contract to purchase the housing to conduct a risk
assessment or inspection for the presence of lead-based paint hazards.

(3) Contents of lead warning statement

The Lead Warning Statement shall contain the following text printed in large type on a separate sheet
of paper attached to the contract:

"Every purchaser of any interest in residential real property on which a residential dwelling
was built prior to 1978 is notified that such property may present exposure to lead from lead-
based paint that may place young children at risk of developing lead poisoning. Lead
poisoning in young children may produce permanent neurological damage, including learning
disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead

Last updated Jan. 16

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

poisoning also poses a particular risk to pregnant women. The seller of any interest in
residential real property is required to provide the buyer with any information on lead-based
paint hazards from risk assessments or inspections in the seller's possession and notify the
buyer of any known lead-based paint hazards. A risk assessment or inspection for possible
lead-based paint hazards is recommended prior to purchase.".

(4) Compliance assurance

Whenever a seller or lessor has entered into a contract with an agent for the purpose of selling or
leasing a unit of target housing, the regulations promulgated under this section shall require the
agent, on behalf of the seller or lessor, to ensure compliance with the requirements of this section.

(5) Promulgation

A suit may be brought against the Secretary of Housing and Urban Development and the
Administrator of the Environmental Protection Agency under section 20 of the Toxic Substances
Control Act [15 U.S.C. 2619] to compel promulgation of the regulations required under this section
and the Federal district court shall have jurisdiction to order such promulgation.

(b) Penalties for violations

(1) Monetary penalty

Any person who knowingly violates any provision of this section shall be subject to civil money
penalties in accordance with the provisions of section 3545 of this title.

(2) Action by Secretary

The Secretary is authorized to take such lawful action as may be necessary to enjoin any violation of
this section.

(3) Civil liability

Any person who knowingly violates the provisions of this section shall be jointly and severally liable to
the purchaser or lessee in an amount equal to 3 times the amount of damages incurred by such
individual.

(4) Costs

In any civil action brought for damages pursuant to paragraph (3), the appropriate court may award
court costs to the party commencing such action, together with reasonable attorney fees and any
expert witness fees, if that party prevails.

(5) Prohibited act

It shall be a prohibited act under section 409 of the Toxic Substances Control Act [15 U.S.C. 2689] for
any person to fail or refuse to comply with a provision of this section or with any rule or order issued
under this section. For purposes of enforcing this section under the Toxic Substances Control Act [15
U.S.C. 2601 et seq.], the penalty for each violation applicable under section 16 of that Act [15 U.S.C.
2615] shall not be more than $10,000.

(c) Validity of contracts and liens

Nothing in this section shall affect the validity or enforceability of any sale or contract for the purchase and

Last updated Jan. 16

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

(d) Effective date
The regulations under this section shall take effect 3 years after October 28, 1992.
SOURCE (Pub. L. 102-550, title X, Sec. 1018, Oct. 28, 1992, 106 Stat. 3910.)

Last updated Jan. 16

dotloop signature verification: www.dotloop.com/my/verification/DL-153684019-7-D1HK

HUD/EPA LEAD-BASED PAINT DISCLOSURE REQUIREMENTS

The Lead-Based Paint Disclosure regulated/enforced independently and jointly by HUD and EPA is required for
all residential housing offered for Sale or Lease for which a building permit was issued or construction began
prior to 1978. Regulations place the responsibility upon the Licensee to ensure compliance on behalf of the
Seller or Lessor. The required forms are specific for either Sale or Lease.

*******************

The Lead-Based Paint Disclosure is to be completed simultaneously with listing the property and scanned
together with the Seller’s Disclosure and Condition of Property for the MLS link. If FSBO, complete the Lead-
Based Paint Disclosure when Seller signs the Permission to Show and Commission Agreement.

Seller/Lessor Disclosure (Use applicable Sale or Lease form)
Line 19 a) Sellers are required to initial in the blank space and check the box indicating the Sellers have

knowledge/or no knowledge.
Line 27 b) Sellers are required to initial in the blank space and check the applicable box.

Unless the 2nd option under each is checked, the seller is required to provide the Buyer with any
records and reports and list those documents where indicated.

Licensee’s Acknowledgment
Line 48 f) Licensee is required to initial acknowledging that he/she has provided the Sellers with the Lead-

Based Paint Regulations. These are accessible with the Lead-Based Paint Disclosure in the R&N
online Forms Library.

Sellers/Lessors and “Licensee Assisting Seller”
Sign and date where indicated on page #2.
This includes FSBO Sellers and “Licensee Assisting FSBO Seller”.

Buyer’s/Lessee’s Acknowledgment
Line 37 c) Buyers initial only if Seller has checked boxes indicating presence of lead-based paint and provided

records and reports accordingly.
Line 39 d) Buyers are required to initial acknowledging that Licensee has provided the pamphlet as indicated

which is accessible with the Buyer’s Basic Forms in the R&N online Forms Library.
Line 41 e) Buyers are required to initial in the blank space and check the applicable box.

Unless the buyers elect to waive the opportunity for an inspection, the Contingency For Lead-
Based Paint Testing Addendum is required and accessible in the “Addendums” category in the
R&N online Forms Library.

Buyers and “Licensee Assisting Buyer”
Sign and date where indicated on page #2.
This includes Unrepresented Buyers and “Licensee Assisting Buyer”.

Upon completion as described above, the Licensee has fulfilled their responsibility, therefore, protected from
potential penalties which could include substantial fines and/or a jail sentence.