SELLER PROPERTY INFORMATION STATEMENT - RESIDENTIAL

SELLERS: ANSWERS MUST BE COMPLETE AND ACCURATE. This statement is designed in part to protect Sellers by establishing that correct information concerning the property is being provided to buyers. All of the information contained herein is provided by the Sellers to the broker/sales representative or Buyer. Any person who is in receipt of and utilizes this Statement acknowledges and agrees that the information is being provided for information purposes only and is not a warranty as to the matters recited hereinafter even if attached to an Agreement of Purchase and Sale. The broker/sales representative shall not be held responsible for the accuracy of any information contained herein.

Buyers must still make their own enquiries notwithstanding the information contained on this statement. Each question and answer must be considered and where necessary, keeping in mind that the Sellers' knowledge of the property may be incomplete, additional information can be requested from the Sellers or from an independent source such as the municipality. Buyers can hire an independent inspector to examine the property to determine whether defects exist and to provide an estimate of the cost of repairing problems that have been identified.

PROPERTY:

SELLER(S):

1 (a) I have owned the property foryears.

(b) I have occupied the property fromto

2. Does any other party have an ownership, spousal, or other interest in the property? Yes No Unknown Not Applicable

3. Is the property subject to first right of refusal, option, lease, rental agreement or other listing? Yes No Unknown Not Applicable

4. If the Seller owns adjoining land, has a consent to sever been obtained within the last 2 years? Yes No Unknown Not Applicable

5. Are there any encroachments, registered easements, or rights-of-way? Yes No Unknown Not Applicable

6. (a) Is there a plan of Survey? Yes No Unknown Not Applicable Date of survey

(b) Does the survey show the current location of all buildings, improvements, easements, encroachments and rights-of-way? Yes No Unknown Not Applicable

7. What is the zoning on the subject property?.

8. Does the subject property comply with the zoning? Yes No Unknown Not Applicable If not, is it legal non-conforming?

9. Are there any pending real estate developments, projects or applications for rezoning in the neighbourhood Yes No Unknown Not Applicable

10. Are there any restrictive covenants that run with the land? Yes No Unknown Not Applicable

11. Are there any drainage restrictions? Yes No Unknown Not Applicable

12. Are there any local levies or unusual taxes being charged at the present time or contemplated? Yes No Unknown Not Applicable If so, at what cost?. Expiry date

13. Have you received any notice, claim, work order or deficiency notice affecting the property from any person or any public body? Yes No Unknown Not Applicable . Explain

14. Are there any public projects planned for the immediate area? Eg: road widenings, new highways, expropriations etc. Yes No Unknown Not Applicable . Explain

15.(a) Are there any current or pending Heritage designations for the property? Yes No Unknown Not Applicable

(b) Is the property in an area designated as Heritage? Yes No Unknown Not Applicable

16. Are there any conditional sales contracts, leases, or service contracts? eg: furnace, alarm system, etc. Are they assignable or will they be discharged? Yes No Unknown Not Applicable . Explain.

17. Are there any defects in any appliances or equipment included with the property? Yes No Unknown Not Applicable

18. Are you aware of any problems with the swimming pool, hot tub or whirlpool bathtub? Yes No Unknown Not Applicable

19. Is the outdoor lawn sprinkler system in working order? Yes No Unknown Not Applicable

20. Do you know the approximate age of the building(s)? Age. Any additions: Age

21. Are there any past or pending claims under any New Home Warranty Program? Yes No Unknown Not Applicable Program Registration Number.

22. Will the sale of this property be subject to GST or other taxes? Yes No Unknown Not Applicable

ADDITIONAL COMMENTS:

WATER SUPPLY AND WASTE DISPOSAL:

1. (a) What is your water source? Municipal Drilled Bored Dug Lake Community Shared Other

(b) If your water source is Community/Shared, is there a transferrable written agreement? Yes No Unknown Not Applicable (c) Are you aware of any problem re: quantity of water? Yes No Unknown Not Applicable (d) Are you aware of any problems re: quality of water? Yes No Unknown Not Applicable (e) Do you have any water treatment devices? Yes No Unknown Not Applicable . (f) Is your water system operable year round? Yes No Unknown Not Applicable

2. (a) What kind of sewage disposal system services the property?.

(b) Are you aware of any problems with the septic system? Yes No Unknown Not Applicable Date septic tank/holding tank last pumped

(c) What documentation for the septic system is available? Use Permit Location Sketch Maintenance Records Age of system

16 ADDITIONAL COMMENTS:

SELLER(S) TO INITIAL EACH APPLICABLE BOX YES NO UNKNOWN NOT APPLICABLE

ENVIRONMENTAL:

1. Are you aware of possible environmental problems or soil contamination of any kind on your property or in the immediate area? Eg: toxic waste, underground gasoline or fuel tanks etc. Yes No Unknown Not Applicable

2. Are there any existing or proposed waste dumps, disposal sites or land fills in the immediate area? Yes No Unknown Not Applicable

3. Is the lot subject to flooding? Yes No Unknown Not Applicable

4. Is the property under the jurisdiction of any Conservation Authority or Commission? Yes No Unknown Not Applicable

5. (a) Is there a fuel oil tank on the property? Yes No Unknown Not Applicable If yes, complete the following:

Underground. Date for required upgrading or removal.

Aboveground. Age of tank. Date of last inspection

(b) Does the fuel oil tank comply with the Technical Standards and Safety Authority requirements and any other requirements for fuel to be delivered? Yes No Unknown Not Applicable

6. Has the use of the property ever been for the growth or manufacture of illegal substances? Yes No Unknown Not Applicable

ADDITIONAL COMMENTS:

STRUCTURAL:

1. Are you aware of any structural problems? Yes No Unknown Not Applicable

2. (a) Have you made any renovations, additions or improvements to the property? Yes No Unknown Not Applicable

(b) Was a building permit obtained? Yes No Unknown Not Applicable

(c) Has the final building inspection been approved or has a final occupancy permit been obtained? Yes No Unknown Not Applicable

3. To the best of your knowledge have the building(s) ever contained ureaformaldehyde insulation? Yes No Unknown Not Applicable

4. (a) Are you aware of any deficiencies or non-compliance with the Fire Code? Yes No Unknown Not Applicable

(b) Is your property equipped with operational smoke detectors? Yes No Unknown Not Applicable

(c) Is the property equipped with operational carbon monoxide detectors? Yes No Unknown Not Applicable

5. Is the woodstove(s)/chimney(s)/fireplace(s) in working order? Yes No Unknown Not Applicable

6. Are you aware of any problems with the central air conditioning or heating system? Yes No Unknown Not Applicable

7. Are you aware of any moisture and/or water problems in the basement or crawl space? Yes No Unknown Not Applicable

8. Are you aware of any damage due to wind, fire, water, insects, termites, rodents, pets or wood rot? Yes No Unknown Not Applicable

9. Are you aware of any roof leakage or unrepaired damage? Yes No Unknown Not Applicable Age of roof covering if known

10.(a) Are you aware of any problems with the electrical system? Yes No Unknown Not Applicable

(b) Type of wiring: copper aluminium knob-and-tube other

11. Are you aware of any problems with the plumbing system? Yes No Unknown Not Applicable

12. Is there any lead or galvanized metal plumbing on the property? Yes No Unknown Not Applicable

13. What is under the carpeting?

14. Is there a home inspection report available? Yes No Unknown Not Applicable Date of Report

ADDITIONAL COMMENTS:

CONDOMINIUMS:

1. Are there any special assessments approved or proposed? Yes No Unknown Not Applicable

2. Has a reserve fund study been completed? Yes No Unknown Not Applicable Date of Study

3. (a) Are there any restrictions on the use of the property? e.g. pets Yes No Unknown Not Applicable

(b) Are there any pending rule or by-law amendments which may alter or restrict the uses of the property? Yes No Unknown Not Applicable

4. Is the condominium registered? Yes No Unknown Not Applicable

5. Parking: Number of SpacesOwned Exclusive Use Leased or Licensed

ADDITIONAL COMMENTS:

For the purposes of this Seller Property Information Statement, a "Seller" includes a vendor, a landlord, or a prospective vendor or landlord and a "buyer" includes a purchaser, a tenant, or a prospective purchaser or tenant. THE SELLERS STATE THAT THE ABOVE INFORMATION IS TRUE, BASED ON THEIR CURRENT ACTUAL KNOWLEDGE AS OF THE DATE BELOW. ANY IMPORTANT CHANGES TO THIS INFORMATION KNOWN TO THE SELLERS WILL BE DISCLOSED BY THE SELLERS PRIOR TO CLOSING. THE SELLERS HEREBY AUTHORIZE THAT A COPY OF THIS SELLER PROPERTY INFORMATION STATEMENT BE DELIVERED TO PROSPECTIVE BUYERS OR THEIR AGENTS OR REPRESENTATIVES. THE SELLERS HEREBY ACKNOWLEDGE RECEIPT OF A TRUE COPY OF THIS STATEMENT.

NOTE: SELLERS ARE RESPONSIBLE FOR THE ACCURACY OF ALL ANSWERS AND ACKNOWLEDGE THAT SAID ANSWERS FORM THE BASIS OF BUYERS' INTEREST IN THE PROPERTY.

DATE .(Seller)

DATE (Seller)

I acknowledge that the information provided herein is not warranted and hereby acknowledge receipt of a copy of the above information.

DATE. (Buyer or Authorized Representative)

DATE (Buyer)