Cal. Civ. Code § 1103.2
NATURAL HAZARD DISCLOSURE STATEMENT | |
This statement applies to the following property: | |
The seller and the seller's agent(s) or a third-party consultant disclose the following information with the knowledge that even though this is not a warranty, prospective buyers may rely on this information in deciding whether and on what terms to purchase the subject property. Seller hereby authorizes any agent(s) representing any principal(s) in this action to provide a copy of this statement to any person or entity in connection with any actual or anticipated sale of the property. | |
The following are representations made by the seller and the seller's agent(s) based on their knowledge and maps drawn by the state and federal governments. This information is a disclosure and is not intended to be part of any contract between the seller and buyer. | |
THIS REAL PROPERTY LIES WITHIN THE FOLLOWING HAZARDOUS AREA(S): | |
A SPECIAL FLOOD HAZARD AREA (Any type Zone "A" or "V") designated by the Federal Emergency Management Agency. | |
Yes ____ No ____ Do not know and _____ information not _____ available from local _____ jurisdiction ____ | |
AN AREA OF POTENTIAL FLOODING shown on a dam failure inundation map pursuant to Section 8589.5 of the Government Code. | |
Yes ____ No ____ Do not know and _____ information not _____ available from local _____ jurisdiction ____ | |
A HIGH or VERY HIGH FIRE HAZARD SEVERITY ZONE (FHSZ) as identified by the Director of Forestry and Fire Protection pursuant to Section 51178 of the Government Code or Article 9 (commencing with Section 4201) of Chapter 1 of Part 2 of Division 4 of the Public Resources Code. The owner of this property is subject to the maintenance requirements of Section 51182 of the Government Code. | |
Yes ____ No ____ High FHSZ in a state responsibility area ____ Very High FHSZ in a state responsibility area ____ Very High FHSZ in a local responsibility area ____ | |
A WILDLAND AREA THAT MAY CONTAIN SUBSTANTIAL FOREST FIRE RISKS AND HAZARDS pursuant to Section 4125 of the Public Resources Code. The owner of this property is subject to the maintenance requirements of Section 4291 of the Public Resources Code. Additionally, it is not the state's responsibility to provide fire protection services to any building or structure located within the wildlands unless the Department of Forestry and Fire Protection has entered into a cooperative agreement with a local agency for those purposes pursuant to Section 4142 of the Public Resources Code. | |
Yes ____ No ____ | |
AN EARTHQUAKE FAULT ZONE pursuant to Section 2622 of the Public Resources Code. | |
Yes ____ No ____ | |
A SEISMIC HAZARD ZONE pursuant to Section 2696 of the Public Resources Code. | |
Yes (Landslide Zone)____________ Yes (Liquefaction Zone) ______No ____ Map not yet released by state ____ | |
THESE HAZARDS MAY LIMIT YOUR ABILITY TO DEVELOP THE REAL PROPERTY, TO OBTAIN INSURANCE, OR TO RECEIVE ASSISTANCE AFTER A DISASTER. | |
THE MAPS ON WHICH THESE DISCLOSURES ARE BASED ESTIMATE WHERE NATURAL HAZARDS EXIST. THEY ARE NOT DEFINITIVE INDICATORS OF WHETHER OR NOT A PROPERTY WILL BE AFFECTED BY A NATURAL DISASTER. SELLER(S) AND BUYER(S) MAY WISH TO OBTAIN PROFESSIONAL ADVICE REGARDING THOSE HAZARDS AND OTHER HAZARDS THAT MAY AFFECT THE PROPERTY. | |
Signature of Seller(s) | Date |
Signature of Seller(s) | Date |
Seller's Agent(s) | Date |
Seller's Agent(s) | Date |
Check only one of the following: _____ | |
[] Seller(s) and their agent(s) represent that the information herein is true and correct to the best of their knowledge as of the date signed by the transferor(s) and agent(s). | |
_____ | |
[] Seller(s) and their agent(s) acknowledge that they have exercised good faith in the selection of a third-party report provider as required in Section 1103.7 of the Civil Code, and that the representations made in this Natural Hazard Disclosure Statement are based upon information provided by the independent third-party disclosure provider as a substituted disclosure pursuant to Section 1103.4 of the Civil Code. Neither seller(s) nor their agent(s) (1) has independently verified the information contained in this statement and report or (2) is personally aware of any errors or inaccuracies in the information contained on the statement. This statement was prepared by the provider below: | |
Third-Party Disclosure Provider(s) | Date |
Buyer represents that Buyer has read and understands this document. Pursuant to Section 1103.8 of the Civil Code, the representations made in this Natural Hazard Disclosure Statement do not constitute all of the seller's or agent's disclosure obligations in this transaction. | |
Signature of Buyer(s) | Date |
Signature of Buyer(s) | Date |
Ca. Civ. Code § 1103.2