Tennessee Property Disclosure Statement

This Tennessee Residential Property Condition Disclosure Statement is required under the Tennessee Residential Property Condition Disclosure Act, TCA § 66-5-201 et seq., for the sale of residential real property consisting of one to four dwelling units. The seller must complete and deliver this disclosure (or a substantially similar form) to the buyer before or at the time an offer to purchase is made. The buyer has the right to rescind the contract within three (3) days after receiving the disclosure.

Seller must disclose all known material defects. This form is not a warranty and does not replace the buyer's right and obligation to conduct independent inspections.

All variable fields use `[[Token Name]]`., -

1. Property and Transaction Information

Property Address: [[Full Street Address]], [[City]], Tennessee [[ZIP Code]]
County: [[County]]
Parcel / Tax ID: [[Parcel ID or "Unknown"]]

Seller(s) Full Name(s): [[Seller Full Legal Name(s)]]
Buyer(s) Full Name(s): [[Buyer Full Legal Name(s)]]
Date of Disclosure: [[Disclosure Date]]

Year Built: [[Year Built or "Unknown"]]
Approximate Square Footage: [[Sq Ft]]
Type of Property: [[Single-Family / Duplex / Triplex / Fourplex / Townhouse / Other]]

Listing Agent / Broker (if any): [[Agent or Broker Name and Company]], -

2. Seller's Disclosure of Known Conditions (TCA § 66-5-201 et seq.)

Seller discloses the following conditions of which Seller has actual knowledge. "Known" means personal knowledge, not what Seller "should have known." Check the appropriate box and provide details where indicated. If "Yes," describe the nature, extent, and any repairs or reports.

A. Structural and Foundation

- Any known structural defects, cracks in foundation, settling, or movement? [[Yes / No]]
Details: [[Description or "None"]]

- Any known roof defects, leaks, missing shingles, or past roof repairs/replacements? [[Yes / No]]
Age of roof (approx.): [[Years]] Details: [[Description]]

B. Systems (HVAC, Plumbing, Electrical, Water Heater)

- HVAC (heating, air conditioning, ductwork) known defects or failures? [[Yes / No]]
Details: [[Description]]

- Plumbing system (pipes, drains, fixtures, water heater, septic or sewer) known problems? [[Yes / No]]
Details: [[Description]]

- Electrical system (wiring, panels, outlets, GFCIs, known hazards) defects? [[Yes / No]]
Details: [[Description]]

- Any other major systems or appliances known to be defective? [[Yes / No]]
Details: [[Description]]

C. Water, Moisture, and Environmental

- Known water intrusion, leaks, flooding, or drainage problems? [[Yes / No]]
Details: [[Description]]

- Known mold, mildew, or moisture issues beyond ordinary bathroom surfaces? [[Yes / No]]
Details and remediation: [[Description]]

- Known asbestos, lead-based paint (pre-1978), radon, or other environmental hazards? [[Yes / No]]
Details: [[Description]]

- Property in flood zone or known history of flooding? [[Yes / No]]
Details: [[Description]]

D. Other Known Material Defects

- Any known defects in walls, ceilings, floors, windows, or doors? [[Yes / No]]
Details: [[Description]]

- Any known termite, pest, or wood-destroying insect infestation or damage? [[Yes / No]]
Details: [[Description]]

- Any known issues with driveways, sidewalks, decks, or outbuildings? [[Yes / No]]
Details: [[Description]]

- Any other material defects that would affect the value or use of the property? [[Yes / No]]
Details: [[Description or "None"]], -

3. Litigation, Assessments, and Legal Matters

- Is the property or any part of it the subject of any pending or threatened litigation, claim, or administrative action? [[Yes / No]]
Details: [[Description]]

- Are there any known violations of building codes, zoning, or HOA rules? [[Yes / No]]
Details: [[Description]]

- Any special assessments, HOA fees, or liens (other than mortgage) affecting the property? [[Yes / No]]
Details: [[Description]]

- Any easements, encroachments, or shared driveway/maintenance agreements? [[Yes / No]]
Details: [[Description]], -

4. Lead-Based Paint Disclosure (Federal, Required for Pre-1978 Housing)

If the dwelling was built before 1978:

Seller has actual knowledge of lead-based paint and/or lead-based paint hazards in the housing: [[Yes / No / Unknown / Not Pre-1978]]

Seller has provided the buyer with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards: [[Yes / No / N/A]]

Buyer acknowledges receipt of the federal lead-based paint disclosure pamphlet and any records provided.

*(Attach EPA pamphlet and any reports as required by 42 U.S.C. § 4852d.)*, -

5. Seller's Certification and Acknowledgment

I/We, the undersigned Seller(s), certify that the information provided in this disclosure is true and correct to the best of my/our knowledge as of the date signed. I/We understand that this disclosure is not a warranty and that the buyer will rely on inspections in addition to this statement.

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

Seller Signature (if joint): _______________________________ Date: [[Date]], -

6. Buyer's Acknowledgment and Right to Rescind

Buyer acknowledges receipt of this Property Disclosure Statement on [[Date Received]].

Buyer understands that:

• Seller is required to disclose known material defects.
• Buyer has the right to rescind the purchase contract within three (3) days after receipt of this disclosure (TCA § 66-5-201 et seq.), unless buyer waives the right in writing after receiving the disclosure.
• This form does not replace the buyer's responsibility to conduct due diligence, including professional inspections.

Buyer Signature: _______________________________ Date: [[Date]]
Printed Name: [[Buyer Full Legal Name(s)]], -

7. Attachments and Additional Disclosures

List any attachments provided with this statement:

• [[e.g., Lead-Based Paint Pamphlet and Records]]
• [[e.g., Prior Inspection Reports]]
• [[e.g., HOA Documents / Rules]]
• [[Other: [[Attachment Description]]]], -

*This is a sample Tennessee Residential Property Condition Disclosure Statement prepared in accordance with TCA § 66-5-201 et seq. (as of June 2026). It is not legal advice and does not constitute a warranty. Sellers must disclose all known material defects. Buyers should obtain independent inspections. Verify current requirements with the Tennessee Real Estate Commission or qualified counsel before use.*