MICHIGAN SELLER'S DISCLOSURE STATEMENT

Property Address: [[Property Full Street Address, City, Michigan ZIP]]

Seller(s): [[Seller Full Name(s)]]
Date of Statement: [[Date of This Disclosure]], -

IMPORTANT NOTICE TO BUYER AND SELLER

This disclosure statement is provided pursuant to the Michigan Seller Disclosure Act, MCL 565.951 through 565.965.

A seller of residential real property (1-4 units) must deliver this completed statement to the buyer before an offer is accepted. The buyer has the right to rescind the purchase agreement within 72 hours after delivery of this statement (or 120 hours if delivered by mail), unless the buyer waives the right in writing or the transaction closes.

This statement is a disclosure of the seller's actual knowledge of the property's condition as of the date signed. It is not a warranty, guarantee, or substitute for inspections. "As is" sales or "buyer takes subject to" language do not exempt the seller from the duty to disclose known material defects.

The seller must answer each question or mark "unknown." Attach additional pages if needed. Federal lead-based paint disclosure is also required for housing built before 1978.

1. Seller Information and Property Description

Seller has owned the property since: [[Year or Date Seller Acquired Property]]

Property type: [[Single Family / Duplex / Condo / Other, describe]]

Approximate year built: [[Year Built]]

Legal Description or Tax Parcel ID: [[Legal Description or Parcel Number]]

2. Structural Items

Are you aware of any of the following? Answer Yes, No, or Unknown. Explain any Yes answers.

3. Mechanical Systems

4. Water, Sewer, and Utilities

Municipal water? [[Yes / No]] Municipal sewer? [[Yes / No]]

Are you aware of any:

• Water quality issues, contamination, or treatment systems? [[Yes/No/Unknown, Details]]

• Sewer backups, slow drains, or private system failures? [[Yes/No/Unknown, Details]]

• Shared well, septic, or utility agreements? [[Yes/No/Unknown, Details]]

Utility providers: Electric [[Provider]], Gas [[Provider]], Other [[Details]]

5. Environmental Hazards and Conditions

Are you aware of the presence or prior presence of any of the following on the property?

6. Roof, Attic, Insulation, and Ventilation

Roof covering type and approximate age: [[Details]]

Last roof repair or replacement: [[Date or Description]]

Attic insulation type and amount: [[Details]]

Known roof, attic, or ventilation problems (leaks, ice dams, poor ventilation): [[Yes/No, Details]]

7. Basement, Crawlspace, and Foundation

Type: [[Full Basement / Partial / Crawlspace / Slab]]

Any history of water intrusion, seepage, or dampness? [[Yes/No/Unknown, Details]]

Any sump pump, French drains, or waterproofing? [[Details]]

Any cracks, bowing walls, or structural concerns? [[Details]]

8. Known Material Defects or Repairs

List any known material defects, needed repairs, or significant repairs completed in the last 5 years:

[[Detailed list of known defects, repairs with dates, contractors if known, warranties remaining]]

Has the property ever been damaged by fire, flood, wind, or other casualty? [[Yes/No, Details and repairs]]

9. Homeowners / Condominium / Association Matters (if applicable)

Is the property subject to a homeowners association, condominium association, or similar? [[Yes/No]]

If yes:

• Association name and contact: [[Details]]

• Current monthly/annual dues or assessments: [[Amount]]

• Special assessments pending or proposed? [[Yes/No, Details]]

• Known association violations, litigation, or reserve issues? [[Details]]

• HOA/Condo documents provided to buyer? [[Yes/No]]

10. Title, Survey, Encroachments, and Easements

Are you aware of any:

• Encroachments, boundary disputes, or unrecorded easements? [[Yes/No/Unknown, Details]]

• Pending or threatened litigation affecting the property? [[Details]]

• Violations of building codes, zoning, or permits? [[Details]]

• Shared driveways, wells, or other agreements? [[Details]]

• Any surveys available? [[Yes/No, Date of most recent]]

11. Appliances, Fixtures, and Personal Property

List major appliances and systems included in the sale and their condition:

[[Stove, Refrigerator, Dishwasher, Washer/Dryer, Water Heater, Furnace, AC, Garage Door Opener, etc., note working order or defects]]

Any leased equipment (e.g., water softener, security system)? [[Details]]

12. Other Disclosures

Are you aware of any other conditions or facts that a reasonable buyer would consider material when deciding to purchase? [[Yes/No, Full description]]

Has the property ever been used for commercial, industrial, or non-residential purposes? [[Details]]

Any known nuisances, noise, odors, or neighboring property issues affecting the property? [[Details]]

13. Lead-Based Paint Disclosure (Required for Pre-1978 Housing)

Housing built before 1978: [[Yes / No / Unknown]]

If yes, federal law (42 U.S.C. § 4852d and 24 C.F.R. Part 35) requires disclosure of known lead-based paint and/or lead-based paint hazards, provision of the EPA pamphlet "Protect Your Family From Lead in Your Home," and a 10-day (or mutually agreed) inspection opportunity for the buyer.

Seller's knowledge of lead-based paint and/or hazards: [[Known lead-based paint and/or hazards are present / No known lead-based paint and/or hazards / Seller has no knowledge]]

Records and reports available to seller (attach copies): [[List or "None known"]]

Buyer acknowledges receipt of the required lead disclosure and pamphlet.

14. Seller's Certification

I/We, the undersigned Seller(s), certify that the information provided in this Seller's Disclosure Statement is true and correct to the best of my/our actual knowledge as of the date signed below. I/We authorize the disclosure of this information to prospective buyers and their agents.

I/We understand that this disclosure is not a warranty and that a buyer is encouraged to obtain professional inspections.

Seller 1 Signature: _______________________________ Date: [[Date]]

Print Name: [[Seller Full Name]]

Seller 2 Signature (if any): _______________________________ Date: [[Date]]

Print Name: [[Seller Full Name]]

15. Buyer's Acknowledgment and Rescission Notice

Buyer acknowledges receipt of this completed Seller's Disclosure Statement on [[Date Received]].

Buyer has had the opportunity to review the information and to have the property inspected.

BUYER'S RIGHT TO RESCIND: Under the Michigan Seller Disclosure Act, the buyer may rescind the purchase agreement in writing within 72 hours after delivery of this statement (or 120 hours if delivered by U.S. mail). The rescission must be delivered to the seller or the seller's agent. If the buyer does not rescind within the period, the right is waived.

Buyer 1 Signature: _______________________________ Date: [[Date]]

Print Name: [[Buyer Full Name]]

Buyer 2 Signature (if any): _______________________________ Date: [[Date]]

Print Name: [[Buyer Full Name]]

Rescission (if exercised): I/We hereby rescind the purchase agreement.

Buyer Signature(s): _______________________________ Date: [[Date]]

16. Attachments and Additional Pages

• Lead-Based Paint Disclosure and EPA Pamphlet (required if pre-1978)

• Any known reports, test results, repair invoices, or surveys referenced above: [[List or "None attached"]]

• Additional disclosure pages: [[Number of attached pages]], -

*Michigan Seller's Disclosure Statement. Required by the Michigan Seller Disclosure Act (MCL 565.951, 965). Seller must complete and deliver before an offer is accepted. Buyer has 72-hour (or 120-hour if mailed) right to rescind. Covers structural/mechanical systems, water/sewer, environmental hazards, roof, basement, known material defects. Federal lead-based paint disclosure required for pre-1978 homes. "As is" language does not exempt the seller from disclosure obligations. All [[tokens]] represent user-supplied information. This is a sample form, not legal advice. Verify current statutory requirements and consult legal counsel as needed. References current as of 2026-06.*