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RESIDENTIAL PROPERTY DISCLOSURE STATEMENT
                                NOTICE TO SELLER AND PURCHASER

The Virginia Residential Property Disclosure Act (則 55-517 et seq. of the Code of Virginia) requires the
owner of certain residential real property, whenever the property is to be sold or leased with an option
to buy, to furnish this form to the purchaser and to refer the purchaser to a Virginia Real Estate Board
website for additional information.

Certain transfers of residential property are excluded from this requirement (see 則 55-518).


Property Address/
Legal Description: ________________________________________________________________


The owner makes no representations with respect to the matters set forth and described at the
RESIDENTIAL PROPERTY DISCLOSURES web page. The purchaser is advised to consult the website
(http://www.dpor.virginia.gov/dporweb/reb_consumer.cfm) for important information about the real
property.

The undersigned owner(s) represents that there are no pending enforcement actions pursuant to the
Uniform Statewide Building Code (則 36-97 et seq.) that affect the safe, decent, and sanitary living
conditions of the real property described above of which the owner has been notified in writing by the
locality, nor any pending violation of the local zoning ordinance which the violator has not abated or
remedied under the zoning ordinance, within a time period set out in the written notice of violation
from the locality or established by a court of competent jurisdiction, except as disclosed on this
statement.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

The owner(s) acknowledge having carefully examined this statement and further acknowledge that they
have been informed of rights and obligations under the Virginia Residential Property Disclosure Act.

______________________ _________                         ______________________ ________
       Owner               Date                                Owner               Date

The purchaser(s) acknowledge receipt of a copy of this disclosure statement and further acknowledge
that they have been informed of their rights and obligations under the Virginia Residential Property
Disclosure Act.

______________________ _________                         ______________________ ________
       Purchaser           Date                                Purchaser            Date
                                                                                               DPOR 7/11

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2011 Virginia Disclosure Statement

  • 1. RESIDENTIAL PROPERTY DISCLOSURE STATEMENT NOTICE TO SELLER AND PURCHASER The Virginia Residential Property Disclosure Act (則 55-517 et seq. of the Code of Virginia) requires the owner of certain residential real property, whenever the property is to be sold or leased with an option to buy, to furnish this form to the purchaser and to refer the purchaser to a Virginia Real Estate Board website for additional information. Certain transfers of residential property are excluded from this requirement (see 則 55-518). Property Address/ Legal Description: ________________________________________________________________ The owner makes no representations with respect to the matters set forth and described at the RESIDENTIAL PROPERTY DISCLOSURES web page. The purchaser is advised to consult the website (http://www.dpor.virginia.gov/dporweb/reb_consumer.cfm) for important information about the real property. The undersigned owner(s) represents that there are no pending enforcement actions pursuant to the Uniform Statewide Building Code (則 36-97 et seq.) that affect the safe, decent, and sanitary living conditions of the real property described above of which the owner has been notified in writing by the locality, nor any pending violation of the local zoning ordinance which the violator has not abated or remedied under the zoning ordinance, within a time period set out in the written notice of violation from the locality or established by a court of competent jurisdiction, except as disclosed on this statement. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The owner(s) acknowledge having carefully examined this statement and further acknowledge that they have been informed of rights and obligations under the Virginia Residential Property Disclosure Act. ______________________ _________ ______________________ ________ Owner Date Owner Date The purchaser(s) acknowledge receipt of a copy of this disclosure statement and further acknowledge that they have been informed of their rights and obligations under the Virginia Residential Property Disclosure Act. ______________________ _________ ______________________ ________ Purchaser Date Purchaser Date DPOR 7/11