OHIO RESIDENTIAL PROPERTY DISCLOSURE STATEMENT

Property Address:
[[Property Full Street Address]]
[[City]], Ohio [[ZIP Code]]

County: [[County Name]]
Parcel ID / Legal Description: [[Tax Parcel ID or Full Legal Description]]

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

Date of this Disclosure: [[Disclosure Date]]
Seller Ownership Period: [[Number of Years Seller Has Owned Property]] years

This Property Disclosure Form is provided pursuant to Ohio Revised Code § 5302.30. It is a statement of certain conditions and information concerning the property actually known by the Seller. Unless the Buyer is otherwise advised in writing, the Seller possesses no greater knowledge than could be obtained by a careful inspection of the property by a potential buyer. This statement is not a warranty of any kind by the Seller or any agent of the Seller. It is not a substitute for inspections. The Buyer is encouraged to obtain the Buyer's own professional inspections.

Seller must deliver this completed form to the prospective Buyer or Buyer's agent as soon as practicable before the Buyer signs a purchase contract. The Buyer has the right to rescind any purchase agreement within three (3) business days after receipt of this disclosure form.

1. Water Supply

The source of water supply to the property is: [[Public / Private well / Cistern / Spring / Other, specify [[Water Source Details]]]]

Known problems with water supply, quality, pressure, contamination, treatment equipment, or well/septic permits:
[[Detailed description of any known water supply issues or "None known to Seller"]]

2. Sewer System

The property is served by: [[Public sanitary sewer / Private septic tank and leach field / Aeration system / Other, specify [[Sewer System Type]]]]

Known defects, backups, overflows, malfunctions, repairs, or lack of permits for the sewer system:
[[Detailed description of any known sewer or septic issues or "None known to Seller"]]

3. Roof

Age of roof covering and type of material: [[Roof Age in Years and Material e.g. 12 years asphalt shingles]]

Known leaks, damage, repairs, replacements, or structural issues with roof, flashing, gutters, downspouts, or attic ventilation:
[[Detailed roof history or "No known leaks or defects"]]

4. Foundation, Basement, and Structural Components

Condition of foundation, slab, walls, floors, ceilings, and other structural components:
[[Description of known foundation settling, cracks, water intrusion, bowing walls, or "No known structural defects"]]

Any history of water intrusion, seepage, or flooding in basement or crawl space:
[[Basement Water or Flood History Details or "None known"]]

Any repairs, reinforcements, or waterproofing performed:
[[Structural or Foundation Repair History or "None"]]

5. Exterior Walls, Windows, and Doors

Known defects in exterior siding, brick, stucco, windows, doors, or weatherproofing:
[[Exterior Wall and Opening Issues or "None known to Seller"]]

6. Plumbing System

Condition of interior plumbing, fixtures, water heater, pipes, and drainage:
[[Plumbing System Description or Known Defects or "No known defects"]]

Age of water heater and any known issues: [[Water Heater Age and Condition or "Unknown"]]

7. Electrical System

Condition of electrical service, wiring, panels, outlets, and fixtures:
[[Electrical System Description or Known Defects or "No known defects"]]

Any known use of aluminum wiring, knob-and-tube, or unpermitted electrical work:
[[Electrical Wiring Notes or "None known"]]

8. Heating, Ventilation, Air Conditioning, and Other Systems

Type, age, and condition of heating and cooling systems:
[[HVAC System Type, Age, and Condition e.g. Gas forced air furnace and central A/C, 8 years old]]

Known defects or required repairs to HVAC, ductwork, or other major systems:
[[HVAC or System Defects or "None known"]]

9. Built-in Appliances and Fixtures

List any built-in appliances or fixtures with known defects that will transfer with the property:
[[List of Defective Appliances or "All known to be in working order"]]

10. Hazardous Materials and Substances

Seller discloses the following known information:

1. Lead-based paint and/or lead-based paint hazards (required for pre-1978 housing by federal law):
[[Known presence or "Seller has no knowledge of lead-based paint or hazards"]]. Seller has provided the EPA pamphlet if applicable.

2. Asbestos:
[[Known asbestos-containing materials or "None known to Seller"]]

3. Radon gas:
[[Known test results, mitigation systems, or "No known radon issues or testing"]]

4. Mold or water damage history that may indicate mold:
[[Mold or Moisture History or "None known"]]

5. Urea-formaldehyde foam insulation:
[[Known presence or "None known to Seller"]]

6. Other hazardous materials, chemicals, or underground storage tanks:
[[Other Hazardous Materials Disclosure or "None known"]]

11. Environmental and Site Conditions

Known flooding, poor drainage, soil issues, fill material, or sinkholes:
[[Environmental or Site Condition Details or "None known"]]

Property located in a flood hazard area or special flood zone: [[Yes / No / Unknown, [[Flood Zone Status]]]]

12. Code Violations, Permits, and Governmental Matters

Any known violations of building, zoning, or other codes, or notices from government authorities:
[[Code Violation or Notice Details or "None known"]]

Any unpermitted additions, alterations, or improvements:
[[Unpermitted Work Description or "None known"]]

13. Homeowners Association or Common Interest Community

Is the property part of an HOA, condominium, or planned unit development? [[Yes / No]]

If yes:
- Association name: [[HOA or Condo Association Name or "N/A"]]
- Known monthly or special assessments: [[HOA Dues or Assessments or "N/A"]]
- Any known defects or litigation involving common elements: [[HOA Issues or "None known"]]

14. Other Known Material Defects or Facts

Seller is aware of any other material physical defects or facts affecting the property that are not disclosed above:
[[Other Material Defects or Facts or "None"]]

15. Seller Certification

I/We, the undersigned Seller(s), certify that the information in this Property Disclosure Statement is true and complete to the best of my/our actual knowledge as of the date signed below. I/We understand that this disclosure is made to prospective transferees exclusively and is not a warranty.

Seller Signature(s):

_______________________________ Date: [[Seller Signature Date]]
[[Seller Full Legal Name(s)]]

_______________________________ Date: [[Seller Signature Date 2 if applicable]]
[[Co-Seller Full Legal Name if any]]

16. Buyer Acknowledgment of Receipt

Buyer acknowledges receipt of a signed copy of this Property Disclosure Statement. Buyer understands that this is a disclosure of the Seller's actual knowledge only and is not a warranty or substitute for professional inspections. Buyer has the right to rescind the purchase agreement within three (3) business days after receipt of this form.

Buyer Signature(s):

_______________________________ Date: [[Buyer Receipt Date]]
[[Buyer Full Legal Name(s)]]

17. Agent Acknowledgment (if applicable)

The undersigned agent(s) confirm they have delivered this form and have no personal knowledge of material facts inconsistent with the disclosures herein except as noted below:
[[Agent Additional Knowledge or "None"]]

Listing / Seller's Agent:

______________________________ Date: _________
[[Listing Agent Name, License Number]]

Buyer's Agent:

______________________________ Date: _________
[[Buyer's Agent Name, License Number]], -

*This is a template based on the Ohio Residential Property Disclosure Form prescribed under Ohio Revised Code § 5302.30 (as of 2026-06) and related federal requirements (42 U.S.C. § 4852d for lead-based paint). Sellers must complete based on actual knowledge. This document is not legal advice. All parties should verify current requirements with the Ohio Department of Commerce, a licensed Ohio real estate professional, and obtain independent inspections and legal counsel before use. Complete all [[tokens]] with actual information.*