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 7. OTHER DISCLOSURES Yes No Unknown Do structures have aluminum wiring? ❑ ■ 0 Are there any foundation problems with the structures? ■ ■ ❑ Are there any encroachments? ■ 0 ■ Are there any violations of zoning, building codes, or restrictive covenants? ■ ■ ■ Does the property have a shared driveway with another property? ❑ ❑ ■ Is the property subject to covenants, conditions and / or restrictions of a homeowner's• association? ❑ • Is the property subject to a homeowner's association assessment? If yes, what is the current amount? ❑ in • Is this property located within a locally designated historic district under IC 36-7-11? J ■ ❑ Is the present use a non -conforming use? Explain: • ■ ■ Is the access to your property via a private road? ■ ■ ■ Is the access to your property via a public road? J • ❑ Is the access to your property via an easement? • ■ ■ Have you received any notices by any governmental or quasi -governmental agencies affecting this property? ❑ rA • Are there any structural problems with the building? ■ ■ ❑ Have any substantial additions or alterations been made without a required building permit? ❑ Are there moisture and/or water problems in the basement, crawl space area, or any other area? ❑ Is there any damage due to wind, flood, termites or rodents? ■ ■ ■ Have any structures been treated for wood destroying insects? • 0 0 Is the property or a portion of the property located within a community's flood plain boundaries, as indicated in a Federal Emergency Management Agency Flood Insurance Rate Map? See https://msc.fema.qov/portal/home. ❑ ❑ ■ Do you currently pay flood insurance? ■ • 0 Is the property located near a military installation, within a state area of interest ((as defined in IC 36-7-30.2-6) and may be impacted to some degree by the effects of the ❑ ❑ installation's military operations? If yes, local laws may restrict use and development of the property to promote compatibility with military installation operation. • Does the property contain underground storage tank(s)? ❑ 0 ■ Is the homeowner a licensed real estate broker? ■ ■ ■ Is there any threatened or existing litigation regarding the property? ■ • ❑ Is the Owner subject to the Foreign Investment in Real Property Tax Act? See http://www.irs.gov/publications/p515/index.html. ❑ Is the property located within one (1) mile of an airport? ❑ 0 ■ Is the property subject to a conservation easement as defined in IC 32-23-5-2? ■ • 0 S. ADDITIONAL COMMENTS AND/OR EXPLANATIONS: (Use additional pages and attach, if necessary) SELLER NEVER LIVED AT HOUSE 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 owners 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 l Date (mm /dd /yyyy) Signature of Buyer Date (mm /dd / yyyy) acIu TWA MA aus9 �a a1LL}nd4UFN ur .7e[fer I Ld{e-[R!trrl ft / yy}ryi Pyndt{JrS W tltiyer t udlw tlnnl / VI)/ yyyy; e e er ere y certt es Buyer. at a con Ilion o e property is su ntia y t e same as it was w en e e e s isc osure orm was ongina y prow to e Signature of Seller (at closing) Date (mm /dd / yyyy) Signature of Seller (at closing) Date (mm /dd / yyyy) i —