2790.9. Existing Subdivision Interest Disclosure Form.

2790.9. Existing Subdivision Interest Disclosure Form.
The form approved by the Commissioner for the disclosure of Existing Subdivision Interest information is as follows:
EXISTING SUBDIVISION INTEREST DISCLOSURE STATEMENT

THIS EXISTING SUBDIVISION INTEREST DISCLOSURE STATEMENT (THIS “DISCLOSURE
STATEMENT”) CONCERNS THE REAL PROPERTY SITUATED IN THE CITY OF , COUNTY
OF , STATE OF CALIFORNIA, DESCRIBED AS (THE “EXISTING
SUBDIVISION INTEREST”). THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE
EXISTING SUBDIVISION INTEREST AS OF (date) , 20__, WITHIN THE SELLER’S ACTUAL
KNOWLEDGE. IT IS NOT A REPRESENTATION OR WARRANTY OF ANY KIND BY THE SELLER(S) OR



ANY AGENT(S) REPRESENTING ANY PRINCIPAL(S) IN THIS TRANSACTION, AND IS NOT A SUBSTITUTE
FOR ANY INSPECTIONS OR WARRANTIES THE BUYER(S) MAY WISH TO OBTAIN.
I. COORDINATION WITH OTHER DISCLOSURE FORMS
AND EXISTING REPORTS

All parties acknowledge that the real property being purchased is a lot, condominium unit or other interest in the Existing
Subdivision Interest (the “Property”) and the Seller hereby discloses to the Buyer in this transaction that the following
inspection reports, if any, regarding the Property were completed and are or have been in the possession of the Seller:
Description/type Vendor (by) Date on Report
1.
2.
3.
4.
5.
6.
7.
8.

Buyer may request a copy of any of the reports listed above in writing within 5 days after receipt of this Disclosure
Statement.

The following disclosures and other disclosures required by law, applicable to the condition of the Property, have or
will be made in connection with this real estate transfer, and shall satisfy the disclosure obligations on this form, where
the subject matter is the same.
Inspection reports completed pursuant to the contract of sale or receipt for deposit.

Additional inspection reports or disclosures:
_________________________________________________________________________________
_________________________________________________________________________________

The disclosures and reports identified in this Section are collectively called the “Existing Disclosures.”


II. SELLER’S INFORMATION

The Seller discloses the following information with the knowledge that this is not a representation or warranty. Seller
hereby authorizes any agent(s) representing any principal(s) in this transaction to provide a copy of this statement to
any person or entity in connection with any actual or anticipated sale of the Property.
The information disclosed in this Disclosure Statement is limited to information which Seller actually knows, based on
reasonable efforts to obtain such information. The phrases “Seller’s knowledge” and “Seller’s awareness” when used
herein, are limited accordingly.

THE FOLLOWING ARE DISCLOSURES MADE BY THE SELLER AND ARE NOT THE DISCLOSURES OF THE
AGENT(S), IF ANY. THIS INFORMATION IS A DISCLOSURE AND IS NOT PART OF ANY CONTRACT
BETWEEN THE BUYER AND SELLER.
Seller or Seller’s tenant is is not occupying the Property.

A. The Property has the items checked below (read across):
Range Oven Microwave
Dishwasher Trash Compactor Garbage Disposal
Washer/Dryer Hookups Rain Gutters Burglar Alarms
Smoke Detector(s) Fire Alarm TV Antenna



Satellite Dish Intercom Central Heating
Central Air Cndtng. Evaporator Cooler(s) Wall/Window Air
Cndtng.
Sprinklers Public Sewer System Septic Tank
Sump Pump Water Softener Patio/Decking
Built-in Barbecue Gazebo Sauna
Hot Tub Locking Pool Child Resistant Spa Locking Safety
Safety Cover* Barrier* Cover*
Security Gate(s) Automatic Garage Door Number Remote Controls
Opener(s)
Garage: Attached Not Attached Carport
Pool/Spa
Heater: Gas Solar Electric
Water Heater: Gas Water Heater: Anchored, Private Utility or Other
Braced, or Strapped*
Water Supply: City Well
Gas Supple: Utility Bottled
Window Screen Window Security Bars Quick Release
Mechanism on Bedroom
Windows*
Exhaust Fans(s) in
220 Volt Wiring in
Fireplace(s) in
Gas Starter Roof(s): Type:
Age: (approx.)
Other

To Seller’s actual knowledge, are any of the above not in operating condition?


Yes No. If yes, then describe.

(Attach additional sheets if necessary):




B. To Seller’s actual knowledge, are there any significant defects/malfunctions in any of the following?

Yes No. If yes, check appropriate space(s) below.

Interior Walls Ceilings Floors
Exterior Walls Insulation Roofs(s)
Windows Doors Foundation

Slab(s) Driveways Sidewalks
Walls/Fences Electrical Systems Plumbings/Sewers/
Septics
Other Structural components



(Describe:






If any of the above is checked, explain (attach additional sheets if necessary):







* The garage door opener or child resistant pool barrier may not be in compliance with the safety standards relating
to automatic reversing devices as set forth in Chapter 12.5 (commencing with Section 19890) of Part 3 of Division 13
of, or with the pool safety standards of Article 2.5 (commencing with Section 115920) of Chapter 5 of Part 10 of
Division 104 of, the Health and Safety Code. The water heater may not be anchored, braced, or strapped in accordance
with Section 19211 of the Health and Safety Code. Window security bars may not have quick-release mechanisms in
compliance with the 1995 edition of the California Building Standards Code.
C. Does Seller have actual knowledge of any of the following:

1. Substances, materials or products which may be an environmental hazard such as, but
not limited to, asbestos, formaldehyde, radon gas, lead-based paint, mold, fuel or Yes No
chemical storage tanks, and contaminated soil or water on the subject property
2. Features of the property shared in common with adjoining landowners, such as walls,
fences, and driveways, whose use or responsibility for maintenance may have an effect Yes No
on the subject property .........................................
3. Any encroachments, easements or similar matters that may affect your interest in the Yes No
subject property ....................................................
4. Room additions, structural modifications, or other alterations or repairs made without Yes No
necessary permits .................................................
5. Room additions, structural modifications, or other alterations or repairs not in Yes No
compliance with building codes ...........................
6. Fill (compacted or otherwise) on the property or any portion thereof Yes No
7. Any settling from any cause, or slippage, sliding, or other soil problems Yes No
8. Flooding, drainage or grading problems .............. Yes No
9. Major damage to the property or any of the structures from fire, earthquake, floods, or Yes No
landslides..............................................................
10. Any zoning violations, nonconforming uses, violations of “setback” requirements Yes No
11. Neighborhood noise problems or other nuisances Yes No
12. CC&Rs or other deed restrictions or obligations . Yes No
13. Homeowners’ Association which has any authority over the subject property Yes No
14. Any “common area” (facilities such as pools, tennis courts, walkways, or other areas Yes No
co-owned in undivided interest with others)
15. Any notices of abatement or citations against the property Yes No
16. Any lawsuits by or against the Seller threatening to or affecting this real property,
including any lawsuits alleging a defect or deficiency in this real property or “common Yes No
areas” (facilities such as pools, tennis courts, walkways, or other areas co-owned in
undivided interest with others) .............................
If the answer to any of these is yes and they are not included in the preliminary title report, explain. (Attach additional
sheets if necessary.)
______________________________________________________________________________________________
______________________________________________________________________________________________



______________________________________________________________________________________________
__________________________________________
The information herein is true and correct to the Seller’s actual knowledge, as of the date signed by the Seller or Seller’s
representative.
Seller ___________________________________________________________________________
Date ___________________________________________
BUYER(S) MAY WISH TO OBTAIN PROFESSIONAL ADVICE AND/OR INSPECTIONS OF THE PROPERTY
AND TO PROVIDE FOR APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN BUYER(S) AND
SELLER(S) WITH RESPECT TO ANY ADVICE/INSPECTION/DEFECTS.
I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS STATEMENT.


BUYER ______________________________________ DATE ___________________

BUYER ______________________________________ DATE ___________________