New Hampshire Property Disclosure Statement

Date of Disclosure: [[Disclosure Date]]

Property Address: [[Full Property Street Address]], [[City]], New Hampshire [[ZIP Code]]

Parcel ID / Tax Map: [[Parcel or Tax Map Number]]

Seller(s): [[Seller Full Legal Name(s)]]

Buyer(s): [[Buyer Full Legal Name(s)]], -

Introduction and Legal Basis

Pursuant to New Hampshire RSA 477:4-g and related provisions including RSA 477:4-d and RSA 477:4-a, the seller of residential real property must disclose in writing all known material defects in the property. This statement is provided to assist the buyer in evaluating the property. It is not a warranty and does not replace the buyer's obligation to conduct independent inspections and due diligence.

Material defects are those that would significantly affect the value, desirability, or safety of the property or that a reasonable buyer would consider important in deciding whether to purchase.

Failure by the seller to disclose known material defects may result in civil liability. The buyer has five (5) business days after receipt of this disclosure to rescind the purchase agreement., -

Section 1, Seller's Knowledge Statement

The seller states that the information in this disclosure is true and complete to the seller's actual knowledge as of the date signed. The seller has not willfully concealed or misrepresented any material fact. The seller's knowledge is based on personal observation, professional inspections previously obtained, and information from prior owners or contractors, as applicable.

This disclosure is limited to conditions the seller actually knows about. The seller does not warrant or guarantee the condition of the property or any systems. The buyer is strongly encouraged to obtain professional home inspections, surveys, and tests., -

Section 2, Structural Components

1. Foundation, basement, or crawl space: [[No known defects / Describe known issues including cracks, settling, water intrusion, structural movement]]

2. Floors, walls, ceilings, and framing: [[No known defects / Describe sagging, cracks, rot, pest damage, or prior repairs]]

3. Roof and attic: [[No known defects / Age of roof [[Roof Age]], leaks, missing shingles, ice dam damage, ventilation problems, [[Describe]]]]

4. Chimney, fireplace, or wood stove: [[No known defects / Describe condition, cleaning history, creosote, liner, or known issues]]

5. Exterior siding, trim, windows, and doors: [[No known defects / Describe rot, water damage, seal failures, or prior replacements]], -

Section 3, Systems and Mechanicals

Section 4, Environmental Hazards and Conditions

1. Lead-based paint: If the dwelling was built before 1978, federal law requires disclosure. The property [[Was / Was not]] built before 1978. Seller [[Has / Has not]] actual knowledge of lead-based paint or hazards. [[Attach lead disclosure addendum if pre-1978]].

2. Radon: Seller [[Has / Has not]] knowledge of radon testing or elevated levels. [[Test results and mitigation status if known]].

3. Mold, moisture, or water intrusion: [[None known / Describe visible mold, musty odors, water stains, prior flooding or leaks in basement, attic, or walls]].

4. Asbestos: [[None known / Describe known asbestos-containing materials and location]].

5. Underground storage tanks (oil, propane, or other): [[None known / Describe location, age, status, and any leaks or removals]].

6. Hazardous materials or contamination: [[None known / Describe known spills, chemical storage, meth production, or other contamination]].

7. Flood hazard zone or flood history: The property [[Is / Is not]] located in a federally designated flood hazard zone per current FEMA maps. Seller [[Has / Has not]] knowledge of prior flooding, flood insurance claims, or water entering the structure. [[Details]].

8. Other environmental: [[None known / Describe wetlands, protected species, easements affecting use, or other]]., -

Section 5, Title, Legal, and Use Issues

1. Current ownership and title: Seller holds title as [[Sole / Joint Tenants / Tenants in Common / Trust / LLC]]. Title is [[Marketable / Subject to the following encumbrances or clouds: [[Describe liens, judgments, easements, restrictions, or disputes]] ]].

2. HOA / Condo / Common interest community: [[Not applicable / Name: [[HOA Name]], Fees: $[[Monthly/Annual Amount]], Special assessments: [[None pending / Describe]] , Governing documents attached or available upon request]].

3. Zoning, permits, and code compliance: [[Property is in compliance with current zoning / Describe known violations, unpermitted work, or open permits]].

4. Boundary or survey issues: [[No known disputes / Describe encroachments, fence disagreements, or survey discrepancies]].

5. Private restrictions, covenants, or easements: [[None known beyond standard utility easements / List recorded restrictions that materially affect use or value]].

6. Litigation or claims affecting the property: [[None known / Describe pending or threatened legal actions, insurance claims, or neighbor disputes]]., -

Section 6, Additional Known Conditions

1. Pest infestation or damage (termites, carpenter ants, rodents, etc.): [[None known / Describe current or past infestation and treatment]].

2. Insulation: [[Type and location if known / Unknown]].

3. Smoke and carbon monoxide detectors: [[Installed and operational / Describe status]].

4. Any other material defects or conditions not listed above that affect health, safety, or value: [[None / Describe in detail]]., -

Section 7, Buyer Rights and Rescission

The buyer acknowledges that:

• The buyer has received this disclosure statement.

• The buyer has five (5) business days after receipt of this disclosure to rescind any purchase agreement by providing written notice to the seller or the seller's agent.

• The buyer is advised to obtain a professional home inspection, radon test, well/septic inspection, and any other evaluations the buyer deems appropriate.

• This disclosure does not limit the buyer's right to negotiate repairs, credits, or other remedies., -

Section 8, Seller Signature and Certification

I/We, the undersigned seller(s), certify that the statements made in this Property Disclosure Statement are true and complete to the best of my/our actual knowledge. I/We have not knowingly withheld any material information.

Seller Signature: _______________________________ Date: [[Date]]

Printed Name: [[Seller Full Name]]

Seller Signature: _______________________________ Date: [[Date]]

Printed Name: [[Co-Seller Full Name]], -

Section 9, Buyer Acknowledgment of Receipt

I/We, the undersigned buyer(s), acknowledge that I/we have received a copy of this Property Disclosure Statement on [[Receipt Date]] and have had the opportunity to review it and ask questions.

Buyer Signature: _______________________________ Date: [[Receipt Date]]

Printed Name: [[Buyer Full Name]]

Buyer Signature: _______________________________ Date: [[Receipt Date]]

Printed Name: [[Co-Buyer Full Name]], -

*Sample template for New Hampshire, not legal advice. Disclosure obligations are governed by RSA 477:4-g, RSA 477:4-d, RSA 477:4-a and related statutes as of 2026-06. The buyer has five business days to rescind after receipt. Verify all information against current New Hampshire law and obtain independent professional inspections before closing.*