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Property Condition Disclosure Statement www.dos.state.ny

NYS Department of State Division of Licensing Services Box 22001. Albany, NY 12201-2001. Property Condition Disclosure Statement (518) 474-4429. Name of Seller or Sellers: Property Address: General Instructions: The Property Condition Disclosure Act requires the seller of residential real Property to cause this Disclosure Statement or a copy thereof to be delivered to a buyer or buyer's agent prior to the signing by the buyer of a binding contract of sale. Purpose of Statement : This is a Statement of certain conditions and information concerning the Property known to the seller. This Disclosure Statement is not a warranty of any kind by the seller or by any agent representing the seller in this transaction. It is not a substitute for any inspections or tests and the buyer is encouraged to obtain his or her own independent professional inspections and environmental tests and also is encouraged to check public records pertaining to the Property .

Property Condition Disclosure Statement DOS-1614 (Rev. 8/06) PAGE 6 OF 6 Seller’s Certification: Seller certifies that the information in this Property Condition Disclosure Statement is true and complete to the seller’s actu al

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