North Dakota Property Disclosure Statement

Property Address: [[Property Full Street Address]], [[City]], North Dakota [[ZIP Code]]

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

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

Date of Disclosure: [[Disclosure Date]]

Year Built: [[Year Built or Approximate]]

Type of Property: [[Single Family / Duplex / Condo / Townhouse / Manufactured / Other]]

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

Seller's Period of Ownership: [[Number of Years/Months Seller Has Owned the Property]]

North Dakota requires sellers to provide a written property disclosure statement under NDCC § 47-10-02.1 for most residential real property transactions involving dwellings with no more than four units. The disclosure must include all material facts of which the seller has actual knowledge that could adversely and significantly affect an ordinary buyer's use and enjoyment of the property or any intended use of the property.

This form satisfies the statutory requirement. It is not a substitute for the buyer's independent inspection and due diligence. The buyer is strongly encouraged to obtain professional inspections of all systems and structures.

All variable information is represented as `[[Token Name]]` placeholders.

1. Statutory Requirement and Seller's Duty (NDCC § 47-10-02.1)

Unless an exemption applies (such as transfers by foreclosure, between certain family members, or of new construction sold by the builder with applicable warranties), the seller must prepare a written disclosure form and make it available to the prospective buyer before the parties sign the final acceptance of the purchase agreement.

The written disclosure must include all material facts the seller is aware of that could adversely and significantly affect an ordinary buyer's use and enjoyment of the property or any intended use of the property.

"Material fact" means a fact that a reasonable person would recognize as important in deciding whether to buy the property or in establishing the price or terms.

Seller acknowledges:

1. I have actual knowledge of the conditions disclosed below.

2. The information is provided in good faith and to the best of my knowledge.

3. I have not knowingly concealed or misrepresented any material defect.

4. This disclosure is based on my personal knowledge and does not include information obtained solely from third parties or reports unless I have verified it.

Seller Initials: ___________ Date: [[Disclosure Date]]

2. Structural and Foundation Conditions

Foundation and Basement / Crawlspace / Slab

• Type of foundation: [[Basement / Crawlspace / Slab on Grade / Other, specify]]

• Any known cracks, settling, shifting, heaving, or movement in foundation, walls, or floors: [[Yes, describe / No / Unknown]]

Details and location: [[Foundation / Structural Issue Description or "None known"]]

• Any past foundation repairs, reinforcements, or engineering evaluations: [[Yes, date, scope, contractor, reports attached / No]]

• Any known water intrusion, seepage, or dampness in basement, crawlspace, or under slab: [[Yes, describe frequency, location, cause if known / No]]

Details: [[Water Intrusion Description]]

Roof and Attic

• Approximate age of roof: [[Roof Age in Years]] years

• Roof covering type: [[Asphalt Shingle / Metal / Tile / Wood / Rubber / Other]]

• Known leaks, missing or damaged shingles, flashing issues, or ice dam problems: [[Yes, describe / No / Unknown]]

Details and repairs: [[Roof Leak / Damage Description or "None"]]

• Any roof repairs, replacements, or warranties in the last 10 years: [[Yes, dates and scope / No]]

• Attic insulation and ventilation condition: [[Adequate / Needs improvement / Unknown]]

Exterior Walls, Windows, Doors, Siding

• Known defects in exterior walls, siding, stucco, brick, or trim: [[Yes / No / Unknown]]

Details: [[Exterior Defect Description]]

• Known problems with windows or doors (sealing, operation, condensation, rot): [[Yes, describe / No]]

3. Mechanical, Electrical, Plumbing, and HVAC Systems

Electrical System

• Type of service: [[Amps, e.g., 100 / 150 / 200 amp]]

• Known electrical defects, outdated wiring (knob-and-tube, aluminum), or panel issues: [[Yes, describe / No / Unknown]]

Details: [[Electrical Issues Description]]

• Any electrical repairs, upgrades, or permits in last 10 years: [[Yes, describe / No]]

• GFCI outlets present in required locations (kitchen, bath, garage, exterior): [[Yes / No / Partial / Unknown]]

Plumbing System

• Type of supply piping: [[Copper / PEX / Galvanized / PVC / Other / Mixed]]

• Type of drain/waste piping: [[Cast Iron / PVC / ABS / Other]]

• Known plumbing leaks, clogs, low pressure, or sewer line issues: [[Yes, describe / No / Unknown]]

Details and locations: [[Plumbing Problem Description]]

• Any plumbing repairs or replacements in last 10 years: [[Yes, dates/scope / No]]

• Water heater age and type: [[Age in Years]] years; [[Gas / Electric / Tankless / Other]]

• Septic system or sewer: [[Municipal Sewer / Private Septic / Other]]

If septic: Last pumped [[Date]]; Any known issues: [[Yes / No]]

Heating, Ventilation, and Air Conditioning (HVAC)

• Primary heating system: [[Forced Air Gas / Electric / Heat Pump / Boiler / Radiant / Other]]

• Age of heating system: [[Age in Years]]

• Cooling system: [[Central AC / Window Units / Heat Pump / None]]

Age: [[Age in Years]]

• Known HVAC problems (failure to heat/cool, noisy, high bills, frequent repairs): [[Yes, describe / No / Unknown]]

• Any HVAC repairs, replacements, or maintenance contracts in last 5 years: [[Yes, describe / No]]

• Fireplace or wood stove: [[Yes / No]]; Known issues or chimney condition: [[Describe or "None"]]

4. Environmental and Hazardous Materials

Lead-Based Paint (Federal Requirement, 42 U.S.C. § 4852d)

• Was the dwelling built before 1978? [[Yes / No / Unknown]]

• If yes, seller must provide the federal lead-based paint disclosure pamphlet and any known lead-based paint or hazards.

• Known lead-based paint or hazards present: [[Yes, describe locations and reports / No / Unknown / Not tested]]

Radon

• Known radon test results or mitigation system: [[Tested, results [[pCi/L]] / Mitigation installed / Not tested / Unknown]]

• Any radon mitigation system present: [[Yes, describe / No]]

Mold, Moisture, and Indoor Air Quality

• Known visible mold, musty odors, or water damage history: [[Yes, locations and remediation / No / Unknown]]

Details: [[Mold / Moisture Description]]

• Any prior mold testing or remediation: [[Yes, attach reports / No]]

Asbestos, Urea-Formaldehyde, or Other Hazardous Materials

• Known asbestos-containing materials (insulation, flooring, siding, etc.): [[Yes, describe / No / Unknown]]

• Any other known environmental hazards (PCB, underground storage tanks, contaminated soil, meth lab history, etc.): [[Yes, describe / No / Unknown]]

Pests and Wood-Destroying Insects

• Known current or past infestation of termites, carpenter ants, rodents, or other pests: [[Yes, describe treatment and locations / No / Unknown]]

• Any wood-destroying insect inspection or treatment reports: [[Yes, attach / No]]

5. Water, Sewer, Drainage, and Flooding

• Any known drainage problems, standing water, or flooding on the property: [[Yes, describe / No]]

Details: [[Flooding / Drainage Description]]

• Is the property in a designated flood hazard zone? [[Yes / No / Unknown]] (check FEMA maps)

• Any past flood insurance claims or water damage claims: [[Yes, dates and amounts / No]]

• Private well: [[Yes / No]]; If yes, known issues or testing: [[Describe]]

• Septic system permits, capacity, or failures: [[Describe or "N/A"]]

6. Appliances, Fixtures, and Personal Property Included

List all appliances, fixtures, and items included in the sale and their condition:

Any appliances or fixtures known to be inoperable or in need of repair: [[Yes, list / No]]

7. Homeowners Association, Condominium, or Shared Facilities

• Is the property subject to an HOA, condominium association, or similar? [[Yes / No]]

• If yes, HOA name: [[HOA Name]]

• Monthly or annual dues: $[[HOA Dues Amount]] [[per month / per year]]

• Any special assessments pending or planned: [[Yes, amount and purpose / No]]

• Known HOA violations, disputes, or restrictions affecting use: [[Yes, describe / No]]

• Copies of governing documents, bylaws, and recent financials will be provided: [[Yes / No]]

8. Insurance, Claims, Repairs, and Legal Matters

• Any insurance claims filed in the last 5 years for property damage (fire, wind, hail, water, liability): [[Yes, dates, type, amounts, repairs / No]]

• Any pending or past lawsuits, liens, boundary disputes, or easements affecting the property: [[Yes, describe / No]]

• Any known violations of building codes, zoning, or permits: [[Yes, describe / No]]

• Any work done without required permits: [[Yes, describe / No]]

9. Neighborhood and External Factors

• Known nuisances (noise, odors, traffic, neighboring property conditions) that could affect use or value: [[Yes, describe / No]]

• Any planned or known public or private projects (road widening, development, utilities) that may affect the property: [[Yes, describe / No]]

10. Seller's Additional Disclosures and Explanations

Use this space for any other material facts not covered above that a reasonable buyer would want to know:

[[Provide detailed narrative of any additional known conditions, defects, repairs, environmental issues, legal matters, or other material facts. Attach additional pages or reports as needed. If none, state "No additional material facts known."]]

11. Attachments and Reports

The following documents are attached or available upon request (check all that apply and list):

• [ ] Prior inspection reports

• [ ] Repair invoices and contractor statements

• [ ] Warranties (roof, appliances, systems)

• [ ] Radon, mold, or environmental test results

• [ ] Lead-based paint records or disclosures

• [ ] HOA documents and financial statements

• [ ] Survey or plat

• [ ] Title commitment or abstract

• [ ] Other: [[List]]

12. Buyer Acknowledgment and Inspection Recommendation

Buyer acknowledges receipt of this disclosure statement prior to signing any purchase agreement.

Buyer understands that:

1. This disclosure is based solely on the seller's actual knowledge and is not a warranty or guarantee of condition.

2. The buyer should have the property inspected by qualified professionals of the buyer's choice.

3. The buyer has the right and is encouraged to conduct independent due diligence, including but not limited to structural, mechanical, environmental, and pest inspections.

4. Any representation or warranty desired by the buyer must be set forth in a separate written agreement.

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

Printed Name: [[Buyer Full Legal Name(s)]]

13. Seller Certification

I/we certify that the information provided in this North Dakota Property Disclosure Statement is true and complete to the best of my/our actual knowledge as of the date signed. I/we understand that this disclosure is required by NDCC § 47-10-02.1 and that material misrepresentations or omissions may give rise to legal remedies for the buyer.

Seller Signature(s): _______________________________________________ Date: [[Disclosure Date]]

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

Seller Signature(s): _______________________________________________ Date: [[Disclosure Date]]

Printed Name: [[Seller Full Legal Name(s)]], -

End of North Dakota Property Disclosure Statement

Governing Statute: N.D.C.C. § 47-10-02.1 (Property disclosure, Requirements, Exceptions). Also refer to N.D.C.C. § 47-10-02.2 for related provisions. Federal lead-based paint disclosure requirements apply to pre-1978 housing (42 U.S.C. § 4852d). This is a template form. Consult the current statutes, any official North Dakota real estate commission forms, and a licensed North Dakota attorney or real estate professional. Not legal advice. Current as of June 2026.

> ⚠️ Template example, not professional (legal/financial/medical) advice. Figures and clauses must be verified for the applicable jurisdiction and kept current. All variable values use [[Token Name]] placeholders.