Natural Hazard Disclosure Statement

# Natural Hazard Disclosure Statement **Property Address:** ___________ **City, State, ZIP:** ___________ **Assessor's Parcel Number (APN):** ___________ **Seller Name(s):** ___________ **Date of Disclosure:** ___________ --- ## About This Disclosure This statement discloses whether the property is located in any natural hazard zones or areas where the occurrence of natural hazards could affect its value, habitability, or insurability. Sellers are required by many state statutes (for example, California Civil Code § 1103 et seq.) to disclose known natural-hazard zone designations. This form is intended to supplement — not replace — a formal Natural Hazard Disclosure report from a professional disclosure company or licensed geologist where required by law. **Answer Key:** Yes · No · Unknown · Not Applicable --- ## Part I — Flood Hazards **1. Is the property located in a Special Flood Hazard Area (SFHA) as designated by FEMA on the applicable Flood Insurance Rate Map (FIRM)?** ___________ **FEMA Flood Zone designation (if known):** ___________ **2. Is the property currently subject to a mandatory flood insurance purchase requirement under the National Flood Insurance Program (NFIP)?** ___________ **3. Has a flood insurance policy been carried on the property?** ___________ **Current flood insurance carrier and annual premium (if applicable):** ___________