dotloop signature verification: dtlp.us/VJ2t-h5zd-ypKx Eugene Kelly 5 Green Acre Drive, Salem, NH 03079 2004 EK 06/15/21 3:17 PM EDT dotloop verified dotloop signature verification: dtlp.us/VJ2t-h5zd-ypKx PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire Association of REALTORS® Standard Form TO BE COMPLETED BY SELLER PROPERTY LOCATION: 5 Green Acre Drive, Salem, NH 03079 e. IS SYSTEM LOCATED ON "DEVELOPED WATERFRONT" as described in RSA 485-A? Yes No Unknown IF YES, has a site assessment been done? Yes No Unknown Source of Information: ----------------------------------- Comments: --------------------------------------- FOR ADDITIONAL INFORMATION THE BUYER IS ENCOURAGED TO CONTACT THE NH DEPARTMENT OF ENVIRONMENTAL SERVICES SUBSURFACE SYSTEMS BUREAU 7. INSULATION LOCATION Unknown If YES. Type Amount Unknown Attic or Cap Crawl Space Exterior Walls Floors 8. HAZARDOUS MATERIAL a. UNDERGROUND STORAGE TANKS - Current or previously existing: Are you aware of any past or present underground storage tanks on your property? Yes No Unknown IF YES: Are tanks currently in use? Yes No IF NO: How long have tank(s) been out of service? _________________________ What materials are, or were, stored in the tank(s)? Age of tank(s): ________ Size of tank(s): _____________________ Location: Are you aware of any past or present problems such as leakage, etc? Yes No Comments: --------- If tanks are no longer in use, have the tanks been removed? Yes No Unknown b. ASBESTOS - Current or previously existing: As insulation on the heating system pipes or ducts? Yes No Unknown In the siding? Yes No Unknown In the roofing shingles? Yes No Unknown In flooring tiles? _ Yes _ No Unknown Other __________ Yes No Unknown If YES, Source of information: ------------------------------- Comments: --------------------------------------- c. RADON/AIR - Current or previously existing: Has the property been tested? Yes No Unknown If YES: Date: ------------ By: ___________________ Results:___________ If applicable, what remedial steps were taken? ____________ Has the property been tested since remedial steps? Yes No Are test results available? Yes No Comments: ---------------------- d. RADON/WATER - Current or previously existing: Has the property been tested? Yes No Unknown If YES: Date: ------------ By: ___________________ Results:___________ If applicable, what remedial steps were taken? ____________ Has the property been tested since remedial steps? Yes No Are test results available? Yes No Comments: ---------------------- e. LEAD-BASED PAINT - Current or previously existing: Are you aware of lead-based paint on this property? Yes No If YES: Source of information: -------------------------------- Are you aware of any cracking, peeling, or flaking lead-based paint? Yes No Comments: --------------------------------------- SELLER(S) INITIALS _______ 06/15/21 _ EK BUYER(S) INITIALS------'----- 3:17 PM EDT © 2014 NEW HAMPSHIRE ASSOCIATION dotloop verifiedOF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 07.2018 dotloop signature verification: dtlp.us/VJ2t-h5zd-ypKx PROPERTY DISCLOSURE - RESIDENTIAL ONLY New Hampshire Association of REALTORS® Standard Form TO BE COMPLETED BY SELLER PROPERTY LOCATION: 5 Green Acre Drive, Salem, NH 03079 f. Are you aware of any other hazardous materials? Yes No If YES: Source of information: Comments: ---------------------------------------- 9. GENERAL INFORMATION a. Is this property subject to liens, encroachments, easements, rights-of-way, leases, restrictive covenants, attachments, life estates, or right of first refusal? Yes No Unknown If YES, Explain: _________________________ What is your source of information? -------------------------------- b. Is this property subject to special assessments, betterment fees, association fees, or any other transferable fees? Yes No Unknown If YES, Explain:__________________________ What is your source of information? -------------------------------- c. Are you aware of any onsite landfills or any other factors, such as soil, flooding, drainage, etc? Yes No If YES, Explain: ______________________________ d. Are you aware of any problems with other buildings on the property? _Yes _ No If YES, Explain: _______ e. Are you receiving a tax exemption or reduction for this property for any reason including but not limited to current use, land conservation, etc.? YES NO UNKNOWN If YES, Explain: _________ f. Is any part of this property in Current Use? _Yes _ No _ Unknown If YES, Explain: ___________ g. Is this property located in a Federally Designated Flood Zone? Yes No Unknown h. Has the property been surveyed? _Yes _ No _ Unknown If YES, By:_______________ If YES, is survey available? Yes No Unknown i. How is the property zoned?----------------------------------- j. Heating System Age:2010 ____ Type:FHW _________ Fuel:____ oil _ Tank/Location: ________ Owner of Tank: ------------------------------------- Annual Fuel Consumption: ________ Price: ________ Gallons:______________ Date system was last serviced and by whom?____________________________ Solar Panels: _ Leased _ Owned If leased, explain terms of agreement:_________________ Comments: ---------------------------------------- k. Roof Age:10-11 ___ years Type of Roof Covering:Asphalt __________________________ Moisture or leakage:No ------------------------------------ Comments: ---------------------------------------- I. Foundation/Basement: Full Partial Other:Concrete slab _ Type: Moisture or leakage: Comments: m. Chimney(s) How Many? Lined? Last Cleaned: Problems? n. Plumbing Type: Age: Comments: o. Domestic Hot Water: Age: Type: Gallons: p. Electrical System Amps: Circuit Breakers Fuses Comments: q. Modifications:Are you aware of any modifications or repairs made without the necessary permits? Yes No If Yes, please explain: ------------------------------------- r. Pest Infestation: Are you aware of any past or present pest infestations? _Yes_ No Type:__________ Comments: ---------------------------------------- s. Methamphetamine Production: Do you have knowledge of methamphetamine production ever occurring on the property? (Per RSA 477:4-g) Yes No If YES, please explain: _____________________ t. Other (e.g. Alarm System, Irrigation System, etc.) EK SELLER(S) INITIALS ________ 06/15/21 _ BUYER(S) INITIALS -----'----- 3:17 PM EDT © 2014 NEW HAMPSHIRE ASSOCIATION dotloop verifiedOF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED 07.2018 Page 3 of 4 dotloop signature verification: dtlp.us/VJ2t-h5zd-ypKx 5 Green Acre Drive, Salem, NH 03079 *Cracked window in 2nd bedroom KNOWN Eugene Kelly dotloop verified 06/15/21 3:17 PM EDT CTG7-YAUH-FQKO-UAY5 dotloop signature verification: dtlp.us/DRS3-Xqs5-roOq DISCLOSURE OF INFORMATION ON LEAD-BASED PAINT AND/OR LEAD-BASED HAZARDS FOR HOUSING SALES This Disclosure Form is from the National Lead Information Center under the United States Environmental Protection Agency. This is not a New Hampshire Association of REALTORS® form. Property Address: 5 Green Acre Drive, Salem, NH 03079 Lead Warning Statement Every purchaser of any interest in residential property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the seller’s possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. Seller’s Disclosure (a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): (i) Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). _________________________________________________________________________________ (ii) Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the seller (check (i) or (ii) below): (i) Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below). _________________________________________________________________________________ (ii) Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Purchaser’s Acknowledgement (initial) (c) _____ Purchaser has received copies of all information listed above. (d) _____ Purchaser has received the pamphlet Protect Your Family from Lead in Your Home. (e) Purchaser has (check (i) or (ii) below): (i) received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards; or (ii) waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. Agent’s Acknowledgement (initial) MS (f) _____ 06/15/21 Agent has informed the seller of the seller’s obligations under 42 U.S.C. 4852d and is aware of his/her 3:11 PM EDT responsibility to ensure compliance. dotloop verified Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. dotloop verified Eugene Kelly 06/15/21 3:15 PM EDT ________________________________________ HAUS-MKQ9-KDLR-SMCA _______________________________________ Seller Date Seller Date ________________________________________ _______________________________________ Purchaser Date Purchaser Date dotloop verified Mary Scimemi ________________________________________ 06/15/21 3:11 PM EDT D8E8-QPC6-CLH9-3MFC _______________________________________ Agent Date Agent Date © 2009 NEW HAMPSHIRE ASSOCIATION OF REALTORS®, INC. ALL RIGHTS RESERVED. FOR USE BY NHAR REALTOR® MEMBERS ONLY. ALL OTHER USE PROHIBITED. 01.2009 dotloop signature verification: dtlp.us/gfJf-KsNf-aUBx Inclusion/Exclusion Sheet for: __________________________________ 5 Green Acre Drive, Salem, NH 03079 ADDRESS ITEM Incl. Excl. Clarification if Necessary N/A REFRIGERATOR(S) MICROWAVE PORTABLE DISHWASHER COMPACTOR PORTABLE AIR CONDITIONER(S) WASHER DRYER DINING ROOM LIGHT OTHER LIGHT FIXTURES DRAPES|CURTAINS|WNDW TREATMENTS HARDWARE FOR WINDOW TREATMENTS FIREPLACE SCREEN & EQUIPMENT SWINGSET | PLAY STRUCTURE SHED PLANTS | WINDOW BOXES MOUNTED STEREO SPEAKERS CENTRAL VAC ATTACHMENTS POOL EQUIPMENT TELEVISION(S) TELEVISION MOUNTS BASEMENT WORKBENCH BASEMENT SHELVING WALL MOUNTED FLOATING SHELVES BATHROOM MIRROR BATHROOM HANGING CABINET BATHROOM FREESTANDING CABINET KITCHEN FREESTANDING ISLAND EXCESS MATCHING PAINT EXCESS MATCHING ROOF TILES EXCESS MATCHING FLOOR TILES ORIGINAL DOORS THAT ARE NOT HUNG OTHER Hot Tub OTHER dotloop verified Eugene Kelly SELLER ________________________________________________________________________DATE 06/15/21 3:16 PM EDT GOTF-DF2H-HXUX-OOJE __________________ SELLER ________________________________________________________________________DATE __________________ BUYER _________________________________________________________________________DATE ___________________ BUYER _________________________________________________________________________DATE ___________________ Note: Real Estate law stipulates that any items that are attached to the house must remain with the property, unless excluded. ©Leading Edge Real Estate 2021 dotloop signature verification: dtlp.us/X4TP-euKf-d8fq LEADING EDGE REAL ESTATE CONSUMER PROTECTION PLAN Address ________________________________________________________________________________ 5 Green Acre Drive, Salem, NH 03079 It is Leading Edge’s policy not to release the executed Purchase and Sale if listing agent is not in possession of fully executed lead paint disclosure (if built before 1978), fully executed Seller’s NH Property Disclosure (if provided by seller), condo rider (if applicable) and satisfactory bank letter or verification of funds, if cash. This Leading Edge Real Estate Consumer Protection Plan shall be incorporated into the Purchase and Sale Agreement referred to herein. Time is of the essence. FINANCING Initial One: _____ The following shall be deemed added to the end of the paragraph contained in the Contract to Purchase regarding financing: The buyer acknowledges and agrees that Buyer’s obligation to purchase the premises is not, in any way, contingent upon the sale of any of Buyer’s assets. In the event that Buyer receives a mortgage commitment conditioned upon the sale of any of Buyer’s assets or is denied financing because of Buyer’s inability or failure to sell any assets, it is agreed that such conditional commitment or denial of financing, shall not, in any way, be deemed just cause for termination of this Contract and/or any subsequent Purchase and Sale Agreement and shall not entitle Buyer to a return of Buyer’s deposit. OR ____ This offer is contingent on the sale of Buyer’s assets (Real Property or other) The Buyer is urged to conduct independent investigations through his/her attorney, through town officials, such as tax assessors, zoning and building departments, and the Board of Health or through a home inspector, etc. to verify any such information, including but not limited to the age of the home or its components, square footage and borders of the house lot; square footage of the home, zoning type; condition and age of mechanical and electrical systems, annual taxes, condition of home, idiosyncrasies of the neighborhood abutting the home; past and present structural problems of the home including problems with the roof or basement; the title to the property, etc. Buyer understands that information provided by Broker is based on information supplied by others and Brokers do not have personal knowledge of the matters relayed. © Leading Edge Real Estate - All Rights Reserved. This form may not be copied or reproduced in whole or in part in any manner whatsoever without the prior express written consent of Leading Edge Real Estate. February 2018 dotloop signature verification: dtlp.us/X4TP-euKf-d8fq Parties agree to the following: • The purchase and sale agreement will stipulate how oil will be adjusted by the parties, either by buyer reimbursing seller for remaining oil or seller gifting it to buyer at closing. • All parties agree to deliver all requested information to lender no later than 10 business days prior to scheduled closing, unless another date will comply with lending and closing attorney policies which will be noted in the Purchase and Sale. (Utilities such as final municipal water, sewer, electrical and gas; rents, security deposit, 6D last month’s rent; commission statement etc, if applicable). • Complete if applicable: the condo or HOA fee is $_____ per month and/or $_______ per year. • Complete if applicable: a portion of the Buyer’s Agent fee is being paid directly to the Buyer’s Agent’s Firm by the Buyer in the form of a closing cost credit at closing in the amount of $______________. • No claim, counterclaim or cause of action for any loss or damage resulting from an extension required by Buyer’s Lender pursuant to TRID regulations, shall be initiated or maintained by SELLER against BUYER or by BUYER against SELLER, unless caused by breach of the terms of this Leading Edge Real Estate Protection Plan. __________________________________________ __________________________________________ BUYER DATE BUYER DATE Eugene Kelly dotloop verified Eugene Kelly dotloop verified 06/15/21 3:15 PM EDT 06/15/21 3:15 PM EDT M8ME-FQCR-SUX7-1XJL EJQJ-NZD1-DVYT-9AJ0 __________________________________________ __________________________________________ SELLER DATE SELLER DATE The firms involved are: Selling Firm: Leading Edge Real Estate, 2 Mount Vernon Street, Winchester MA 01890 NH License #072144 Mary Scimemi Agent Name:______________________________ Agent Email:_____________________________________ maryscimemi@comcast.net Agent Phone:______________________________ 781-983-9234 Agent RE License #:_______________________________ 075036 Buying Firm: _______________________________________________________________________________ Real Estate Firm Address RE License # Agent Name:______________________________ Agent Email:_____________________________________ Agent Phone:______________________________ Agent RE License #:_______________________________ © Leading Edge Real Estate - All Rights Reserved. This form may not be copied or reproduced in whole or in part in any manner whatsoever without the prior express written consent of Leading Edge Real Estate. July 2020 dotloop signature verification: dtlp.us/X4TP-euKf-d8fq (To Be Used When Leading Edge Real Estate Represents Both Seller and Buyer in the Transaction) NOTICE OF AGENCY – check one _____________ DESIGNATED AGENCY: Broker previously gave notice of the potential for a designated agency relationship with both Buyer and Seller in connection with your real estate transaction. It was disclosed that a designated agent is a licensee who has been appointed by a the Broker, to represent a buyer or seller, and with consent of that client, another licensee associated with the same broker is authorized to represent the other party in the same transaction. That disclosure was contained in the Exclusive Listing Agreement (for Seller) or in the Exclusive Buyer Representation Agreement (for Buyer). Broker now gives notice that designated agency has occurred and that licensees affiliated with Broker represent both Buyer and Seller in connection with the above named property. _____________ DUAL AGENCY: Broker previously gave notice of the potential for dual agency relationship to occur in connection with your real estate transaction. That disclosure was contained either in the Exclusive Listing Agreement (for Seller) or in the Exclusive Buyer Representation Agreement (for Buyer). You previously gave your consent to that relationship. Broker now gives notice that a dual agency has occurred and that Broker and affiliated licensee represents both Buyer and Seller in connection with the above named property. A dual agent is authorized to assist the Buyer and Seller in a transaction, but shall be neutral with regard to any conflicting interest of the Buyer and Seller. Consequently, a dual agent will not have the ability to satisfy fully the duties of loyalty, full disclosure, reasonable care and obedience to lawful instructions, but shall still owe the duty of confidentiality of material information and the duty to account for funds. Mary Scimemi dotloop verified 06/08/21 5:00 PM EDT EBAN-IQDL-PBOF-XLEY Mary Scimemi ______________________________________ __________________________________ ____________ Signature (Seller’s Agent) Print Name Date ______________________________________ __________________________________ ____________ Signature (Buyer’s Agent) Print Name Date __________________________________________ __________________________________________ BUYER DATE BUYER DATE dotloop verified Eugene Kelly 06/15/21 3:15 PM EDT QIWC-IINS-Z1FH-F25I __________________________________________ __________________________________________ SELLER DATE SELLER DATE © Leading Edge Real Estate - All Rights Reserved. This form may not be copied or reproduced in whole or in part in any manner whatsoever without the prior express written consent of Leading Edge Real Estate. July 2020
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