Seller's disclosure of known or suspected mold conditions, prior remediation history, moisture intrusion, and related environmental conditions, with buyer acknowledgment. Suitable for residential sale transactions.
The Mold Disclosure Statement is a ready-to-use real estate template you can send for signature in minutes. It is written for 2 signers (seller and buyer) and, by default, expires 30 days after it is sent if left unsigned. It covers mold, environmental hazard, disclosure, real estate, residential, seller disclosure. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Mold Disclosure Statement **Property Address:** ___________ **City, State, ZIP:** ___________ **Assessor's Parcel Number (APN):** ___________ **Seller Name(s):** ___________ **Date of Disclosure:** ___________ --- ## Instructions to Seller Answer each question to the best of your actual knowledge as of the date signed. This statement is a disclosure of known conditions, not a warranty. If a condition is unknown, select "Unknown." If a condition has been professionally remediated and you have records, note that in the applicable explanation field. **Answer Key:** Yes · No · Unknown --- ## Part I — Mold and Moisture Conditions ### A. Active Mold Growth **1. Is there currently any visible mold growth anywhere in or on the property (interior or exterior)?** ___________ **Location(s) and description (if Yes):** ___________ **2. Are you aware of any musty or mold-related odors anywhere in or on the property?** ___________ **Location(s) (if Yes):** ___________ **3. Have any occupants, tenants, or buyers previously complained about mold, mildew, or related health effects in the property?**