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Don't <br />Yes No Know <br />4. Plumbing <br />(a) What is your drinking water source?` public ❑ private ❑ well ❑ other <br />(b) Have you ever had a problem with th quality, supply, or flow of potable water? ❑ ❑ <br />(c) Do you have a water treatment system? �f I, �C% rC5�2�> 13 El' <br />If yes, is it ❑ o ned 171 leased? Pv-e 1 l <br />(d) Do you have a sewer or ❑ septic system? If septic system, describe the location <br />of each system: <br />(e) Are any septic tanks, drain fields, or wells that are not currently being used located <br />on the Property? ❑ ❑ <br />(f) Are there or have there been any defects to the water system, septic system, drain <br />fields or wells? ❑ ❑ <br />(g) Have there been any plumbing leaks since you have owned the Property? ❑ ❑ <br />(h) Are any polybutylene pipes on the Property? .❑ ❑ <br />(i) If any answer to q estions 4(b), 4(c), an , 4(e) - 4(h) is yes, please explain: <br />to <br />I:Lo of l( <br />5. Roof and Roof -Related Items <br />(a) To your knowledge, is the roof structurally sound and free of leaks? ❑ ❑ <br />(b) The age of the roof is years OR date installed -,S? Q( <br />(c) Has the roof ever leaked during your ownership? ❑ ❑ <br />(d) To your knowledge, has there been any repair, restoration, replacement <br />(indicate full or partial) or other work undertaken on the roof? ❑ ❑T <br />If yes, please explain: <br />(e) Are you aware of any defects to the roof, fascia, soffits, flashings or any other <br />component of the roof system? ❑ ❑ <br />If yes, please explain: <br />6. Pools; Hot Tubs; Spas <br />Note: Florida law requires swimming pools, hot tubs, and spas that received a <br />certificate of completion on or after October 1, 2000, to have at least one safety <br />feature as specified by Section 515.27, Florida Statutes. <br />(a) If the Property has a swimming pool, hot tub, or spa that received a certificate of <br />completion on or after October 1, 2000, indicate the existing safety feature(s): <br />❑ enclosure that meets the pool barrier requirements ❑ approved safety pool cover <br />❑ required door and window exit alarms ❑ required door locks ❑ none <br />(b) Has an in -ground pool on the Property been demolished and/or filled? ❑ ❑ jT`1( <br />7. Sinkholes <br />Note: When an insurance claim for sinkhole damage has been made by the Seller <br />and paid by the insurer, Section 627.7073(2)(c), Florida Statutes, requires the Seller <br />to disclose to the Buyer that a claim was paid and whether or not the full amount paid <br />was used to repair the sinkhole damage. <br />(a) Does past or present settling, soil movement, or sinkhole(s) affect the Property or <br />adjacent properties? ❑ ❑ <br />(b) Has any insurance claim for sinkhole damage been made? ❑ ❑ <br />If yes, was the claim paid? ❑ yes ❑ no If the claim was paid, were all the <br />proceeds used to repair the damage? ❑ yes ❑ no <br />(c) If any answer to questions 7(a) - 7(b) is yes, please explain: <br />Seller (� ( )and Buyer ( )acknowledge receipt of a copy of this page, which is Page 2 of 4. <br />SPQR -3 Rev 2120 ©2020 Florida Realtors- <br />__ __ <br />Serial#: 016447.400172.0029727 ,Form <br />(Simplicity <br />