1. 414 North William Street_COA 2025-0310B PACKET

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Property address (number and street, city, state, and ZIP code) 414 North William Street, South Bend, IN 46601 1. The following are in the conditions indicated: C. WATER & SEWER SYSTEM Not Applicable / Rented Defective Not Defective Unknown A. APPLIANCES Not Applicable / Rented Defective Not Defective Unknown Built-in Vacuum System • IN ❑ ■ Cistern ■ ■ El• Septic Field / Bed • ■ ■ ❑ Clothes Dryer - ■ Septic & Holding Tank / Septic Mound • 0 ■ ❑ Clothes Washer • Dishwasher _ U A Disposal U Hot Tub • • 0 0 Freezer Plumbing • • ■ ❑ Gas Grill Aerator System r Hood Sump Pump El El ■ 8 Microwave Oven Irrigation Systems 0 0 I. 0 Oven Range • • ❑ Water Heater / Electric 0 ❑ 0 0 Refrigerator • Er ❑ ❑ Water Heater / Gas • • 0 ❑ Room Air Conditioner(s) • • • • Water Heater / Solar • • 0 ❑ Water Purifier • • ❑ ❑ Trash Compactor • • • • Water Softener • • • ❑ TV Antenna / Dish 0 U -0 U Other: • ❑ ❑ • Well • • ❑ ❑ Geothermal and Heat Pump • • • 0 Other Sewer System (Explain) 0 ■ • B. ELECTRICAL SYSTEM Not Applicable / Rented Defective Defective Not Unknown Swimming Pool & Pool Equipment • 0 • 0 Security Systems(s) Ceiling Fan(s) 1E1 8 B Yes No Unknown Garage Door Opener / Controls • • 0 • Are the structures connected to a public water system? ■ 0 El Inside Telephone Wiring and Blocks / Jacks 0 0 • ❑ Are the structures connected to a public sewer system? • ® ❑ Light Fixtures ❑ ❑ • • Are there any additions that may require improvements to the sewage disposal system? • • • Sauna • • • • Smoke / Fire Alarms • • ■ ■ If yes, have the improvements been completed on the sewage disposal system? • El 0 Carbon Monoxide Detectors 0 • El■ Are the structure(s) connected to a private / community water system? • ❑ 0 Switches and Outlets • 0 • • Vent Fan(s) 0 ❑ • • Are the structure(s) connected to a private / community sewer system? ■ • 0 • Amp 60 Service • 100 ■ 200 • 0 0 0 Generator • ■ • ■ The information contained in this Disclosure has been furnished by the Seller, who certifies to the truth thereof, based on the Seller's CURRENT ACTUAL KNOWLEDGE. A disclosure form is not a warranty by the owner or the owner's broker, if any, and the disclosure form may not be used as a substitute for any inspections or warranties that the prospective buyer or owner may later obtain. At or before settlement, the owner is required to disclose any material change in the physical condition of the property or certify to the purchaser at settlement that the condition of the property is substantially the same as it was when the disclosure form was provided. Seller and Purchaser hereby acknowledge receipt of this Disclosure by signing below. Signature of Seller { Date (mm /dd /yyyy) Signature of Buyer I Date (mm /dd /yyyy) SON aril Pr, LNL2 bignature of baler 3 uate tmm / as i yyyy) bi nature or buyer 9 y I 11a[e (mm / dd I yyyy) The Seller hereby certifies that the condition of the property is substantially the same as it was when f e Seller's Disclosure form was originally provided to the Buyer. Signature of Seller (at closing) Date (mm / dd /yyyy) I Signature of Seller (at closing) Date (mm /dd / yyyy)