Referen ce

鞠Miss。uri田i。 REAL丁ORS’

Farm or Vacant Land or Lot Disclosure StatementT描e document has /egal consequences. /fyou cfo nof undersねnd小y cons研your affomey.

T剛owlng ’S a dISC-osu’e Statement made by Se’’e「 con∞m二鎧三豊

と易肋pみ脇ダーメ瀦違え　てみc幼めβP「OPerty (the ’`Propert

Streef Addhess Cfty Sねte Z佃Code Counfy

Secfion 7bwnshjP Range Parce/ No(斗　　　　Fa仰No(句　　　# ofAcres巾?Ore Or /es寸

7h庵DiscIosure Sねte肋ent may assist a Buyer /n ev∂/uaf;ng請e PropeI動but /t /s not a waITanty Of any

kind by Sel/er or any rea/ esぬte /icensee invoIved /n this fransacf;on, and ;s哩! a subs班ute for any

inspecfjon or wa〃anfy a Buyer may wish to obぬin. ReaI esねfe /icensees ;nvoIved jn t加s fransacf/on do

not ;nspecf fhe Property for defecfs or guarantee the accuracy of any /nfomafion provided herem,

SELLER: Pfease comp/ete the fo〃o面ng fo仰, inc/udhg past history and known prob/ems. Do r]Ot /eave anv sDaCeS

塑窒睦杵的e con耽ion is not app〃cab/e fo your PI℃perかゆr unknown), ma庇M〃 (Or “Unknom in the b/ank. 777e

fo〃owhg statements are made by Seller and NOT by any real estate /icensee. Comp/ete and fruth加/ discIosuIe Of

the history and cond柄on of the Property gives you the best protection against poten施I charges fhat you viofated a

/ega/ disc/osure ob佃ation fo a Buyer. Your answers佃r fhe answeIS yOu fa〃 to pIt)所de, e肋er way) may have /egaI

COnSequenCeS, eVen a#er c/osing a !ransacf/On・ 771is fom shou/d he佃yOu meet yOur disc/osure ob伯afrons, bu〃t

may not cover a// aspects of蛤e Prope句y /fyou know of or suspect some con伽ion which may negatively a胎ct

妨e vaIue of fhe Property or whpa信he heaIth or safefy of航ure occupants (e.g., enV所onmenねI haza/ds, physica/

OOndff/On Or mater/aI defects h肌e PropeIty Or淵e fheI℃to), fhen you shou/d deschbe that cond鮪on and a請ach

addiuonal pages /f more印ace is required.

BUYE層: S加ce的ese disc/osures are based on Se〃erきactua/ know/edge, yOu CannOt be sure mat theI℃ are, h

facf, rlO pIOb/ems with the PIOpe句y Simp小because Se〃er /s not aware of them. 777e StatementS made by Se〃er

are 〃mited fo fhe Property and are r)Ot Wamn歌es of/ts cond筋on. Ybu shou/d cond柄on your o胎r on a pIOfessiona/

inapection(S/ Of the Propehy or any o偉sife cond柄ons as you deem "eCeSSary. Con蹴ions of勅e PIOperty that you

Can See On a ′eaSOnab/e /nspecfron andbr that are disc/osed heIeh shou/d e肋er be faken hto account /n se請rog

的e purchase phce′ OryOu ShouId make co鵬ction ofthese cond砧ons by Se〃er a requirement of the sa/e contract.

作YOU S/GN A SALE CON7帽ACT 7-O PURCHASE 7HE PROPERTY; 71HAT CON7T孤C喜AND NO「 T〃IS

DISCLOSURE STATEMENJ; M[L PROVroEFOR WHAr/S TO BEWCLUDED W THE SALE.作YOu EXPECT

CERTAW /TどMS OR EQu仲MENT TO BE WCLuDED THEY MUST BE SPEC/用どD AS /NCLUDED /N 7HE

SALE CONmRAC「

1, SURVEY, EASEMENTS, FLOODING. To the best of

A"　When did you purchase the Property?

B・ Has the Property been surveyed?

Yea「 surveyed

C. What company o「 pe「son perfo「med the survey?

Name

D. 1fthis is platted iand, has a ceH浦cate ofsurvey been

lf {′Yes, ’’by whom?

E, Has the plat been 「ecorded in the land records?

/f `′Yes,” PIat Book ♯

A「e the「e any enc「oachments o「 bounda「y Iine disputes?

A「e there any easements other than u輔ty or drainage easementsう

Is the P「operty in a desig=ated ¶ood plain o「¶oodway of any kind?

Do you have a FIood Ce輔cate 「egarding the P「operty?

Has there ever been a ¶ood at the Property?

Have the「e eve「 been drainage problems affecting the

Have you ever pu「chased ¶ood

If any of questions l.F through l.L a「e answe「ed “yes,,, brie¶y desc「ibe the detaiIs.

□ (Check box /f addifronaI pages are a請ached)

□Yes町有□Yes圏内o

□Yes田村o

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「命乱し工に」肌

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2. USE RIGHTS AND OTHER RESTRICTiONS・ To the best ofyou「 k=OWledge‥

A"　Do anyofthefollowing exist 「ega「ding the Prope時

(1) Subdivision o「 other reco「ded indentures, COVenantS, COnditions or 「estrictions?.,…………○○□Yes圃fo

(2) A right offirst refusai to

(4) Have any mjne「ai rights been severed o「

□Yes田的○(3) Va「iances, SPeCiaI use pe「mits or other zoning 「estrictions specific to this Property?……….□Yes回tqo

□Yes回的0Have you eve「 received notice from any person or autho「ity of a breach of any of the above? □Yes回向も

A「e the「e any farming o「 c「op-Share agreement rights in the Property?……,…..……………‥,……. □Yes園やo

A「e there any animai feeding operations (“AFO”) 0「 COnCentrated animaI feeding ope「ations (“CAFO’一) at

藍誤盤器盤霊藍露盤霊繍嵩嵩窪嵩轟‥.菩‡惑。A「e there any IeasehoId interests o「 tenant 「ights in the P「operty?

If any of the above questions are answe「ed “Yes,,, brie¶y describe the details,

□ (Check box /f add柄ona/ pages are a請ached)

□Yes四両0

3"　CONDITION OF THE PROPERTY. To the best ofyour k=OWledge‥

A. Are the「e any structures言mp「ovements or pe「sonal property ava帽bIe for saie?

A「e the「e any p「oblems o「 defects with any ofthese

A「e the「e any ope「ating o「 abandoned oiI we=s o「 bu「ied sto「age tanks on the P「operty?..…….□Yes

is the「e any hazardous o「toxic substance in o「 on the Prope巾y?

(inciuding but no=imited to lead in theA「e the「e any Phase l o「 other envi「onmentai 「eports 「ega「ding the P「operty? ……………………‥□Yes

Is there a solid waste disposai site or demoiition land剛on the Property (Whethe「　　perm請ed or

unpe「mitted)?

岩島鵠認諾諾露語詫言露盤策謀誓書竺鵠謹言F"　Have anyso冊ests been perf。med?.......

G"　Doesthe P「opertyhaveany

H"　A「e the「e anyse軸ng o「 soiI movement p「oblems on this

l・ Is there any infestation, rOt O「djsease in the trees on the

四面s□Yes 鞘□Yes邸の□Yes圏的0

J・ Is any part ofthe P「operty Iocated in a “wetIands area" designated by the Natural Resources Conservation

Service (``NRCS’’) o「 Fa「m Service Autho「ity

K. 1f any ofthe above questio=S a「e anSWe「ed “yes," b「iefly desc「ibe the detaiIs.□Yes園の

ResuIts:

(3) Comection to p「ivate wate「

SyStem Off P「operty?…,… …‥ □Yes

(4) Connection to shared wate「? □Yes 酪

欝

Comection to shared sewe「?,…………○○.,…□Yes

…霊詳鵠‡罵・議欝A wate「

C・ Are any of the fdilowing existjng at the bou中ary of the Property?

(1) Pub!ic wate「 system access? □Yes

(2) Pubiic sewe「 system access? □Yes

(3) Shared wate「 system access □Yes

(4) Sha「ed sewer system access □Yes

D. Have any u冊y access cha「ges been paid?

if ``Yes,’’which charges have been paid?

DSC嶋020

(5) Eiectric Service Access?…….,……………….□Yes

(6) Natu「aI gas access?………………‥,………….□Yes

(7) TeIephone system access?…………………‥□Yes

(8) Othe「:

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Referen ce

5, FEDERALISTATE/LOCAL FARM PROGRAMS, To the best of your knowIedge:

A. ls Property en「o=ed in CRP (Conservation Reserve P「og「am)?

/f “Yes, ’’complete the fo〃ov面g:

total ac「es put in CRP last year of participation

Per aC「e bid in enroliment year

B, is P「operty en「o=ed in WRP (Wetiands Reserve P「ogram)?

amuai payment

轟s壷/f `′Yes, ” complete the fo〃owing:

totai ac「es put in WRP last yea「 of participation

Pe「 aCre bid in en「o=ment yea「　　　　　　annual payment

C. Othe「 Prog「ams /denf/fy any o的er federa/ State Or /oca/ fam /Oan, pr/ce supporf or subsidy programs /n

Which的e Property cuIren砂pah/c佃ates):

6, OTHER MATTERS, To the best ofyour knowledge:

告器言霊豊嵩霊霊嵩墨書鴇霊蓋器豊藍霊磐.誓竺雷急前作`γes," §441.236 RS朋o requi鳩s disc/osure fo po書en請a/ fessees and §442,606 RSMo requ庇蛤

disc/osure to purchasers of reaI es書a書e. MR Form DSC-5000 (`りiscIosure of /nfo朋af/On Regar[伽g

Methamphefamine/Control/ed Subsねnces’) may be nlIed ouf in co所uncfion wi請的ese ma#ers,

B" Is the「e anything eise that may materia=y and adve「sely affect the P「operty (e.g., Pending claims,冊gation,

notice from a govemmentaI autho「ity of violation of a Iaw o「 「eguIation, PrOPOSed zoning changes,

Changes, threat of condemnation, neighborhood noise o「 nuisance)? ○○…,……,.…○○…○○………....…□Yes

lf “Yes," brie¶y describe the detaiIs. □ (Check box /fadditiona/ pages are a#ached)

千鶴

SELLER’S ACKNOWLEDGMENT

Se=er represents that the information set forth in this DiscIosu「e Statement is accurate and compIete to the best of

Se=er’s knowIedge as of the date of SeIIe「’s signatu「e below. Se=e「 does not intend this DiscIosu「e Statement to

144　　BUYER,S ACKNOWしEDGEMENT

145　　1. l unde「stand and ag「ee that the information in this fom is =mited to information of which Seller has actuaI

146　　　　knowledge and that SelIer can only make an honest effort at fuliy reveaIing the information 「equested.

147　　　2. This Property is being soid to me withoutwarranties or guaranties ofany kind by Se=e「 or any reai estate

148　　　　　=censee conceming the P「operty.

149　　　3・ l unde「stand l have the right to independentiy investigate the Property l have been specifica=y advised to

150　　　　　have the P「OPerty and any othe「 conditions examined by professiona=nspectors as l deem fit.

151　　4・ l acknowIedge that neither Se=e「 nor any 「eai estate Iicensee is an expert at detecting or repairing physicaI

1 52　　　　　defects in the Property.

153　　　5. 1 acknowIedge that there are no 「ep「esentations conceming the Property made by Se=er or any real estate

154　　　　1icensee on which I am 「eiying except as may be fulIy setfo輔in writing and signed bythem.

156　Buyer Date Buyer

157　PrintedName: Printed Name:

App「oved by Iegai counseI fo「 use exclusively by membe「s ofthe Misso両REALTORS⑪, CoI=mbia, Missou「I. No warranty is made o「 impIied as to the

legai va=dity or adequacy of this document, Or that it comp=es in eve「γ 「eSPeCt with the iaw o「くhat its use is app「opriate for a= situaくions. Loca=aw.

CUStOmS and p「actice, and diffe血g ci「cumstances in each t「ansaction, may eaCh dictate that amendments to this document be made.

」ast Revi§ed 12/31/16.　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　⑥2016 Missouri REA」TORS⑪

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