(1) In a transaction for the sale of residential ((real)) property, the seller shall, unless the buyer has expressly waived the right to receive the disclosure statement, or unless the transfer is exempt under RCW 64.06.010, deliver to the buyer a completed ((real property transfer)) seller disclosure statement in the following format and that contains, at a minimum, the following information:

Please complete the following form. Do not leave any spaces blank. If the question clearly does not apply to the property write "NA". If the answer is "yes" to any * items, please explain on attached sheets. Please refer to the line number(s) of the question(s) when you provide your explanation(s). For your protection you must date and sign each page of this disclosure statement and each attachment. Delivery of the disclosure statement must occur not later than five business days, unless otherwise agreed, after mutual acceptance of a written contract to purchase between a buyer and a seller.

THE FOLLOWING DISCLOSURES ARE MADE BY ((THE SELLER(S), CONCERNING)) SELLER ABOUT THE CONDITION OF THE PROPERTY LOCATED AT

((DISCLOSURES CONTAINED IN THIS FORM ARE PROVIDED BY THE SELLER ON THE BASIS OF)) SELLER MAKES THE FOLLOWING DISCLOSURES OF EXISTING MATERIAL FACTS OR MATERIAL DEFECTS TO BUYER BASED ON SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME ((THIS DISCLOSURE FORM IS COMPLETED BY THE SELLER.)) SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS YOU AND SELLER OTHERWISE AGREE IN WRITING, YOU HAVE THREE BUSINESS DAYS((, UNLESS OTHERWISE AGREED, FROM THE SELLER'S DELIVERY OF THIS SELLER'S)) FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO YOU TO RESCIND ((YOUR)) THE AGREEMENT BY DELIVERING ((YOUR SEPARATE)) A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO ((THE SELLER, UNLESS YOU WAIVE THIS RIGHT AT OR)) SELLER OR SELLER'S AGENT. IF THE SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO ((ENTERING)) OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT.

THE FOLLOWING ARE DISCLOSURES MADE BY ((THE)) SELLER AND ARE NOT THE REPRESENTATIONS OF ANY REAL ESTATE LICENSEE OR OTHER PARTY. THIS INFORMATION IS FOR DISCLOSURE ONLY AND IS NOT INTENDED TO BE A PART OF ANY WRITTEN AGREEMENT BETWEEN ((THE)) BUYER AND ((THE)) SELLER.

FOR A MORE COMPREHENSIVE EXAMINATION OF THE SPECIFIC CONDITION OF THIS PROPERTY YOU ARE ADVISED TO OBTAIN AND PAY FOR THE SERVICES OF ((A QUALIFIED SPECIALIST TO INSPECT THE PROPERTY ON YOUR BEHALF, FOR EXAMPLE)) QUALIFIED EXPERTS TO INSPECT THE PROPERTY, WHICH MAY INCLUDE, WITHOUT LIMITATION, ARCHITECTS, ENGINEERS, LAND SURVEYORS, PLUMBERS, ELECTRICIANS, ROOFERS, BUILDING INSPECTORS, ON-SITE WASTEWATER TREATMENT INSPECTORS, OR STRUCTURAL PEST ((AND DRY ROT)) INSPECTORS. THE PROSPECTIVE BUYER AND ((THE OWNER)) SELLER MAY WISH TO OBTAIN PROFESSIONAL ADVICE OR INSPECTIONS OF THE PROPERTY ((AND)) OR TO PROVIDE ((FOR)) APPROPRIATE PROVISIONS IN A CONTRACT BETWEEN THEM WITH RESPECT TO ANY ADVICE, INSPECTION, DEFECTS OR WARRANTIES.

		I. SELLER'S DISCLOSURES:
If (("Yes" attach a copy or explain)) you answer "Yes" to a question with an asterisk (), please explain your answer and attach documents, if available and not otherwise publicly recorded. If necessary, use an attached sheet.
						1. TITLE
[ ] Yes		[ ] No		[ ] Don't know		A. Do you have legal authority to sell the property? If no, please explain.
[ ] Yes		[ ] No		[ ] Don't know		*B. Is title to the property subject to any of the following?
							(1) First right of refusal
							(2) Option
							(3) Lease or rental agreement
							(4) Life estate?
[ ] Yes		[ ] No		[ ] Don't know		*C. Are there any encroachments, boundary agreements, or boundary disputes?
[ ] Yes		[ ] No		[ ] Don't know		*D. Are there any rights of way, easements, or access limitations that may affect the ((owner's)) Buyer's use of the property?
[ ] Yes		[ ] No		[ ] Don't know		*E. Are there any written agreements for joint maintenance of an easement or right of way?
[ ] Yes		[ ] No		[ ] Don't know		*F. Is there any study, survey project, or notice that would adversely affect the property?
[ ] Yes		[ ] No		[ ] Don't know		*G. Are there any pending or existing assessments against the property?
[ ] Yes		[ ] No		[ ] Don't know		*H. Are there any zoning violations, nonconforming uses, or any unusual restrictions on the ((subject)) property that would affect future construction or remodeling?
[ ] Yes		[ ] No		[ ] Don't know		*I. Is there a boundary survey for the property?
[ ] Yes		[ ] No		[ ] Don't know		*J. Are there any covenants, conditions, or restrictions which affect the property?
						2. WATER
						A. Household Water
							(1) The source of ((the)) water for the property is: [ ] Private or publicly owned water system [ ] Private well serving only the subject property . . . . . . *[ ] Other water system
[ ] Yes		[ ] No		[ ] Don't know			*If shared, are there any written agreements?
							(([ ] Public [ ] Community [ ] Private [ ] Shared
							(2) Water source information:
[ ] Yes		[ ] No		[ ] Don't know				*a. Are there any written agreements for shared water source?))
[ ] Yes		[ ] No		[ ] Don't know				(( b.)) (2) Is there an easement (recorded or unrecorded) for access to and/or maintenance of the water source?
[ ] Yes		[ ] No		[ ] Don't know				(( c.)) (3) Are there any known problems or repairs needed?
[ ] Yes		[ ] No		[ ] Don't know				(( *d. Does)) (4) During your ownership, has the source ((provide)) provided an adequate year round supply of potable water? If no, please explain.
[ ] Yes		[ ] No		[ ] Don't know			(( (3))) (5) Are there any water treatment systems for the property? If yes, are they [ ]Leased [ ]Owned
						B. Irrigation
[ ] Yes		[ ] No		[ ] Don't know			(1) Are there any water rights for the property, such as a water right, permit, certificate, or claim?
[ ] Yes		[ ] No		[ ] Don't know			(( (2) If they exist, to your knowledge,)) (a) If yes, have the water rights been used during the last ((five-year period)) five years?
[ ] Yes		[ ] No		[ ] Don't know			(( (3))) (b) If so, is the certificate available?
						C. Outdoor Sprinkler System
[ ] Yes		[ ] No		[ ] Don't know			(1) Is there an outdoor sprinkler system for the property?
[ ] Yes		[ ] No		[ ] Don't know			(( *(2))) (2) If yes, are there any defects in the ((outdoor sprinkler)) system? . . . . . .
[ ] Yes		[ ] No		[ ] Don't know			*(3) If yes, is the sprinkler system connected to irrigation water?
						3. SEWER/((SEPTIC)) ON-SITE SEWAGE SYSTEM
						A. The property is served by: [ ] Public sewer ((main)) system, [ ] ((Septic tank)) On-site sewage system (including pipes, tanks, drainfields, and all other component parts) [ ] Other disposal system (((describe))) Please describe:
						. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		B. If ((the property is served by a public or community sewer main, is the house connected to the)) public sewer system service is available to the property, is the house connected to the sewer main? If no, please explain.
						. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		C. Is the property ((currently subject to a sewer capacity charge)) subject to any sewage system fees or charges in addition to those covered in your regularly billed sewer or on-site sewage system maintenance service?
						D. If the property is connected to ((a septic)) an on-site sewage system:
[ ] Yes		[ ] No		[ ] Don't know			*(1) Was a permit issued for its construction, and was it approved by the ((city or county)) local health department or district following its construction?
							(2) When was it last pumped:
							. . . . . . . . . . . . . . . . . .((, 19)) . . .
[ ] Yes		[ ] No		[ ] Don't know			*(3) Are there any defects in the operation of the ((septic)) on-site sewage system?
				[ ] Don't know			(4) When was it last inspected?
							. . . . . . . . . . . . . . . . . .((, 19)) . . .
							By Whom: . . . . . . . . . . . . . . . . .
				[ ] Don't know			(5) For how many bedrooms was the on-site sewage system approved ((for))?
							. . . . . . . . . . . . . . . . . . bedrooms
[ ] Yes		[ ] No		[ ] Don't know		(( *E. Do)) E. Are all plumbing fixtures, including laundry drain, ((go)) connected to the ((septic/sewer)) sewer/on-site sewage system? If no, please explain: . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		*F. ((Are you aware of)) Have there been any changes or repairs to the ((septic)) on-site sewage system?
[ ] Yes		[ ] No		[ ] Don't know		G. Is the ((septic tank)) on-site sewage system, including the drainfield, located entirely within the boundaries of the property? If no, please explain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		H. Does the on-site sewage system require monitoring and maintenance services more frequently than once a year? If yes, please explain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
NOTICE: IF THIS RESIDENTIAL REAL PROPERTY DISCLOSURE STATEMENT IS BEING COMPLETED FOR NEW CONSTRUCTION WHICH HAS NEVER BEEN OCCUPIED, THE SELLER IS NOT REQUIRED TO COMPLETE THE QUESTIONS LISTED IN ITEM 4. STRUCTURAL OR ITEM 5. SYSTEMS AND FIXTURES
						4. STRUCTURAL
[ ] Yes		[ ] No		[ ] Don't know		*A. Has the roof leaked?
(([ ] Yes		[ ] No		[ ] Don't know		If yes, has it been repaired?))
[ ] Yes		[ ] No		[ ] Don't know		*B. Has the basement flooded or leaked?
[ ] Yes		[ ] No		[ ] Don't know		*C. Have there been any conversions, additions, or remodeling?
[ ] Yes		[ ] No		[ ] Don't know			(( 1.)) (1) If yes, were all building permits obtained?
[ ] Yes		[ ] No		[ ] Don't know			(( 2.)) (2) If yes, were all final inspections obtained?
[ ] Yes		[ ] No		[ ] Don't know		((C.)) D. Do you know the age of the house? If yes, year of original construction:
						. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		(( * D. Do you know of)) * E. Has there been any settling, slippage, or sliding of ((either the house or other structures/improvements located on the property? If yes, explain:)) the property or its improvements?
						((. . . . . . . . . . . . . . . . . . . . . . . . . . . . ))
[ ] Yes		[ ] No		[ ] Don't know		(( E. Do you know of)) F. Are there any defects with the following: (If yes, please check applicable items and explain.)
	□ Foundations				□ Decks				□ Exterior Walls
	□ Chimneys				□ Interior Walls				□ Fire Alarm
	□ Doors				□ Windows				□ Patio
	□ Ceilings				□ Slab Floors				□ Driveways
	□ Pools				□ Hot Tub				□ Sauna
	□ Sidewalks				□ Outbuildings				□ Fireplaces
	□ Garage Floors				□ Walkways				□ Siding
	□ Other				□ Wood Stoves
(([ ] Yes		[ ] No		[ ] Don't know		*F. Was a pest or dry rot, structural or "whole house" inspection done? When and by whom was the inspection completed? . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		*G. Since assuming ownership, has your property had a problem with wood destroying organisms and/or have there been any problems with pest control, infestations, or vermin?))
[ ] Yes		[ ] No		[ ] Don't know		*G. Was a structural pest or "whole house" inspection done? If yes, when and by whom was the inspection completed? . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		H. During your ownership, has the property had any wood destroying organism or pest infestation?
[ ] Yes		[ ] No		[ ] Don't know		I. Is the attic insulated?
[ ] Yes		[ ] No		[ ] Don't know		J. Is the basement insulated?
						5. SYSTEMS AND FIXTURES
						((If)) *A. If any of the following systems or fixtures are included with the transfer, ((do they have any existing defects:)) are there any defects? If yes, please explain.
[ ] Yes		[ ] No		[ ] Don't know			(( *A.)) Electrical system, including wiring, switches, outlets, and service
[ ] Yes		[ ] No		[ ] Don't know			(( *B.)) Plumbing system, including pipes, faucets, fixtures, and toilets
[ ] Yes		[ ] No		[ ] Don't know			(( *C.)) Hot water tank
[ ] Yes		[ ] No		[ ] Don't know			(( *D.)) Garbage disposal
[ ] Yes		[ ] No		[ ] Don't know			(( *E.)) Appliances
[ ] Yes		[ ] No		[ ] Don't know			(( *F.)) Sump pump
[ ] Yes		[ ] No		[ ] Don't know			(( *G.)) Heating and cooling systems
[ ] Yes		[ ] No		[ ] Don't know			(( *H.)) Security system [ ] Owned [ ] Leased
							(( *I.)) Other . . . . . . . . . . . . . . .
							*B. If any of the following fixtures or property is included with the transfer, are they leased? (If yes, please attach copy of lease.)
[ ] Yes		[ ] No		[ ] Don't know			Security system . . . . . .
[ ] Yes		[ ] No		[ ] Don't know			Tanks (type): . . . . . .
[ ] Yes		[ ] No		[ ] Don't know			Satellite dish . . . . . . Other: . . . . . .
						6. COMMON INTERESTS
[ ] Yes		[ ] No		[ ] Don't know		A. Is there a Home Owners' Association? Name of Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		B. Are there regular periodic assessments:
						$ . . . per [ ] Month [ ] Year [ ] Other . . . . . . . . . . . . . . . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		*C. Are there any pending special assessments?
[ ] Yes		[ ] No		[ ] Don't know		*D. Are there any shared "common areas" or any joint maintenance agreements (facilities such as walls, fences, landscaping, pools, tennis courts, walkways, or other areas co-owned in undivided interest with others)?
						7. GENERAL
[ ] Yes		[ ] No		[ ] Don't know		*A. ((Is there any settling, soil, standing water, or)) Have there been any drainage problems on the property?
[ ] Yes		[ ] No		[ ] Don't know		*B. Does the property contain fill material?
[ ] Yes		[ ] No		[ ] Don't know		*C. Is there any material damage to the property ((or any of the structure)) from fire, wind, floods, beach movements, earthquake, expansive soils, or landslides?
[ ] Yes		[ ] No		[ ] Don't know		D. Is the property in a designated flood plain?
[ ] Yes		[ ] No		[ ] Don't know		*E. Are there any substances, materials, or products on the property that may be ((an)) environmental ((hazard such as, but not limited to,)) concerns, such as asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical storage tanks, ((and)) or contaminated soil or water ((on the subject property))?
[ ] Yes		[ ] No		[ ] Don't know		*G. Has the property ever been used as an illegal drug manufacturing site?
[ ] Yes		[ ] No		[ ] Don't know		*H. Are there any radio towers in the area that may cause interference with telephone reception?
						8. MANUFACTURED AND MOBILE HOMES
						If the property includes a manufactured or mobile home,
[ ] Yes		[ ] No		[ ] Don't know		*A. Did you make any alterations to the home? If yes, please describe the alterations: . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		*B. Did any previous owner make any alterations to the home? If yes, please describe the alterations: . . . . . . . . . .
[ ] Yes		[ ] No		[ ] Don't know		*C. If alterations were made, were permits or variances for these alterations obtained?
						((8.)) 9. FULL DISCLOSURE BY SELLERS
						A. Other conditions or defects:
[ ] Yes		[ ] No		[ ] Don't know		*Are there any other existing material defects affecting ((this)) the property ((or its value)) that a prospective buyer should know about?
						B. Verification:
						The foregoing answers and attached explanations (if any) are complete and correct to the best of my/our knowledge and I/we have received a copy hereof. I/we authorize all of my/our real estate licensees, if any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the property.
DATE . . . . . . . . . . .				SELLER . . . . . . . . . . . . . .				SELLER . . . . . . . . . . . . . .
		II. BUYER'S ACKNOWLEDGMENT
			A.	((As buyer(s), I/we acknowledge the)) Buyer hereby acknowledges that: Buyer has a duty to pay diligent attention to any material defects ((which)) that are known to ((me/us)) Buyer or can be known to ((me/us)) Buyer by utilizing diligent attention and observation.
			B.	((Each buyer acknowledges and understands that)) The disclosures set forth in this statement and in any amendments to this statement are made only by the Seller and not by any real estate licensee or other party.
			C.	Buyer acknowledges that, pursuant to RCW 64.06.050(2), real estate licensees are not liable for inaccurate information provided by Seller, except to the extent that real estate licensees know of such inaccurate information.
			D.	This information is for disclosure only and is not intended to be a part of the written agreement between the Buyer and Seller.
			E.	Buyer (which term includes all persons signing the "Buyer's acceptance" portion of this disclosure statement below) ((hereby acknowledges receipt of)) has received a copy of this Disclosure Statement (including attachments, if any) bearing Seller's signature.

DISCLOSURES CONTAINED IN THIS ((FORM)) DISCLOSURE STATEMENT ARE PROVIDED BY ((THE)) SELLER BASED ON ((THE BASIS OF)) SELLER'S ACTUAL KNOWLEDGE OF THE PROPERTY AT THE TIME ((OF DISCLOSURE. YOU, THE BUYER,)) SELLER COMPLETES THIS DISCLOSURE STATEMENT. UNLESS BUYER AND SELLER OTHERWISE AGREE IN WRITING, BUYER SHALL HAVE THREE BUSINESS DAYS((, UNLESS OTHERWISE AGREED, FROM THE SELLER'S DELIVERY OF THIS SELLER'S)) FROM THE DAY SELLER OR SELLER'S AGENT DELIVERS THIS DISCLOSURE STATEMENT TO RESCIND ((YOUR)) THE AGREEMENT BY DELIVERING ((YOUR SEPARATE SIGNED)) A SEPARATELY SIGNED WRITTEN STATEMENT OF RESCISSION TO ((THE)) SELLER ((UNLESS YOU WAIVE THIS RIGHT OF RESCISSION)) OR SELLER'S AGENT. IF THE SELLER DOES NOT GIVE YOU A COMPLETED DISCLOSURE STATEMENT, THEN YOU MAY WAIVE THE RIGHT TO RESCIND PRIOR TO OR AFTER THE TIME YOU ENTER INTO A SALE AGREEMENT.

BUYER HEREBY ACKNOWLEDGES RECEIPT OF A COPY OF THIS ((REAL PROPERTY TRANSFER)) DISCLOSURE STATEMENT AND ACKNOWLEDGES THAT THE DISCLOSURES MADE HEREIN ARE THOSE OF THE SELLER ONLY, AND NOT OF ANY REAL ESTATE LICENSEE OR OTHER PARTY.

DATE . . . . . . . BUYER . . . . . . . . . BUYER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(2) If the disclosure statement is being completed for new construction which has never been occupied, the disclosure statement is not required to contain and the seller is not required to complete the questions listed in item 4. Structural or item 5. Systems and Fixtures.

(3) The ((real property transfer)) seller disclosure statement shall be for disclosure only, and shall not be considered part of any written agreement between the buyer and seller of residential ((real)) property. The ((real property transfer)) seller disclosure statement shall be only a disclosure made by the seller, and not any real estate licensee involved in the transaction, and shall not be construed as a warranty of any kind by the seller or any real estate licensee involved in the transaction."

On page 1, line 2 of the title, after "statement;" strike the remainder of the title and insert "and amending RCW 64.06.020."