Property Condition Report 1. Customer details The completed PDF will be emailed to josciva@gmail.com and copied to this customer email address. Customer full name * Person completing this form Customer email for PDF copy * Customer phone 2. Property details This condition report concerns the immovable property situated at: Property address/location * Sectional title unit number Sectional title scheme known as Full title portion Erf number Suburb/Township Farm portion Farm known as Agricultural holding portion Holding Registered in Deeds Office situated in 3. Seller details One seller is provided by default. Use the button to add more sellers where applicable. Seller 1 Seller name * ID / registration number Email Phone Authorised representative details Seller signature * Clear signature + Add another seller Seller Remove Seller name ID / registration number Email Phone Authorised representative details Seller signature Clear signature 4. Buyer details One prospective purchaser is provided by default. Use the button to add more buyers where applicable. Prospective purchaser 1 Prospective purchaser name * ID / registration number Email Phone Prospective purchaser signature * Clear signature + Add another prospective purchaser Prospective purchaser Remove Prospective purchaser name ID / registration number Email Phone Prospective purchaser signature Clear signature 5. Third-party declaration Complete this section if the seller cannot disclose defects and a nominee, tenant, occupant, executor or fiduciary completes the report. Third-party / nominee name Capacity 6. Disclosure notes Disclaimer: This report does not constitute a guarantee and/or warranty of any kind by the owner of the property or by the property practitioners representing that owner in any transaction. It should not be regarded as a substitute for inspections or warranties that prospective purchasers may wish to obtain before concluding an agreement of sale. Definitions: “I am aware” means having notice or knowledge. “Defect” means any latent or patent condition that could significantly and adversely affect the value, health, safety or expected normal lifespan of the property. Disclosure of information: The owner discloses the information below in the knowledge that prospective purchasers may rely on it when deciding whether, and on what terms, to purchase the property. 7. Defect disclosure checklist For each statement, select Yes, No or N/A. Any “Yes” answer should be explained in the additional information field. Statement Yes No N/A I am aware of defects in the roof. Yes No N/A I am aware of defects in the electrical systems. Yes No N/A I am aware of defects in any part of the plumbing systems, including any defects pertaining to the swimming pool, if any. Yes No N/A I am aware of defects in the heating and/or air conditioning systems, including air filters and humidifiers. Yes No N/A I am aware of defects in the septic system or other sanitary disposal systems. Yes No N/A I am aware of any defects to the property and/or in the basement or foundations of the property, including cracks, seepage and bulges. Other such defects include, but are not limited to, flooding, dampness or wet walls and unsafe concentrations of mold or defects in drain tiling or sump pumps. Yes No N/A I am aware of any structural defects in the property. Yes No N/A I am aware of boundary line disputes, encroachments or encumbrances including a joint driveway. Yes No N/A I am aware that remodeling or refurbishment has affected the structure of the property. Yes No N/A I am aware that any additions and/or improvements made to and/or any erections made on the property have been done or were made only after the required consents, permissions and permits to do so were properly obtained. Yes No N/A I am aware that a structure on the property has been designated as a historic building. Yes No N/A Additional information 8. Occupation and transfer information I have resided on the property for Purchased on Transfer registered on 9. Certification and buyer acknowledgement Owner’s certification: The owner certifies that the information provided in this report is, to the best of the owner’s knowledge and belief, true and correct as at the date the owner signs this report. Certification by person supplying information: If a person other than the owner supplies the required information, that person certifies that he/she is duly authorised by the owner to supply the information and that it is true and correct to the best of that person’s knowledge and belief. Buyer’s acknowledgement: The prospective buyer acknowledges being informed that professional expertise and/or technical skill and knowledge may be required to detect defects and non-compliance aspects, and acknowledges receipt of a copy of this statement. Signed at Day Month Year Property practitioner printed name Property practitioner signature Clear signature 10. Submission I certify that the information supplied is accurate to the best of my knowledge and confirm the buyer acknowledgement and disclosure statement. Submit, generate PDF and email report
