765 ILCS 77/35
2021 Illinois Compiled Statutes|Chapter 765 - PROPERTY|765 ILCS 77/ - Residential Real Property Disclosure Act.|Article 2 - Disclosures

Sec. 35. Disclosure report form. The disclosures required of a seller  by this Act shall be made in the following form:   RESIDENTIAL REAL PROPERTY DISCLOSURE REPORTNOTICE:  THE PURPOSE OF THIS REPORT IS TO PROVIDE PROSPECTIVE BUYERS WITH  INFORMATION ABOUT MATERIAL DEFECTS IN THE RESIDENTIAL REAL PROPERTY.  THIS  REPORT DOES NOT LIMIT THE PARTIES' RIGHT TO CONTRACT FOR THE SALE OF  RESIDENTIAL  REAL PROPERTY IN "AS IS" CONDITION.  UNDER COMMON LAW, SELLERS WHO DISCLOSE  MATERIAL DEFECTS MAY BE UNDER A CONTINUING OBLIGATION TO ADVISE THE PROSPECTIVE  BUYERS ABOUT THE CONDITION OF THE RESIDENTIAL REAL PROPERTY EVEN AFTER THE  REPORT IS DELIVERED TO THE PROSPECTIVE BUYER.  COMPLETION OF THIS REPORT BY  THE  SELLER CREATES LEGAL OBLIGATIONS ON THE SELLER; THEREFORE THE  SELLER MAY WISH TO CONSULT  AN ATTORNEY PRIOR TO COMPLETION OF THIS REPORT.   Property Address: ............................................City, State & Zip Code: ......................................Seller's Name: ...............................................This Report is a disclosure of certain conditions of the residential real  property listed above in compliance with the Residential Real Property  Disclosure Act.  This information is provided as of ...(month) ...(day)  ...(year), and does not reflect any changes made or occurring after that date  or information that becomes known to the seller after that date.  The  disclosures herein shall not be deemed warranties of any kind by the seller or  any person representing any party in this transaction.In this form, "am aware" means to have actual notice or  actual knowledge without any specific investigation or inquiry.  In this form, "material defect" means a condition that would  have a substantial adverse effect on the value of the residential  real property or that would significantly impair the health or  safety of future occupants of the residential real property  unless the seller reasonably believes that the condition has  been corrected.The seller discloses the following information with the  knowledge that even though the statements herein are not deemed  to be warranties, prospective buyers may choose to rely on  this information in deciding whether or not and on what terms  to purchase the residential real property.The seller represents that to the best of his or her actual  knowledge, the following statements have been accurately noted  as "yes" (correct), "no" (incorrect), or "not applicable" to the  property being sold.  If the seller indicates that the response  to any statement, except number 1, is yes or not applicable, the  seller shall provide an explanation, in the additional information  area of this form.       YES NO N/A   1. ..... ..... ..... Seller  has  occupied  the  property          within the last 12 months.    (No explanation is needed.) 2. ..... ..... ..... I am aware of flooding or  recurring          leakage problems in the crawl          space or basement.   3. ..... ..... ..... I  am  aware  that  the  property is          located in a flood plain or that I          currently have flood hazard          insurance on the property.    4. ..... ..... ..... I am  aware  of material  defects in          the basement or foundation          (including cracks and bulges).   5. ..... ..... ..... I am aware of leaks or  material          defects in the roof, ceilings, or          chimney.    6. ..... ..... ..... I am  aware of  material  defects in          the walls, windows, doors, or floors.   7. ..... ..... ..... I am aware of  material  defects  in          the electrical system.   8. ..... ..... ..... I am  aware  of  material defects in          the plumbing system (includes          such things as water heater, sump          pump, water treatment system,          sprinkler system, and swimming          pool).    9. ..... ..... ..... I am aware of  material  defects  in           the well or well equipment.   10. ..... ..... ..... I am  aware of  unsafe conditions in          the drinking water.   11. ..... ..... ..... I am aware of  material  defects  in          the heating, air conditioning, or          ventilating systems.    12. ..... ..... ..... I am  aware  of  material defects in          the fireplace or woodburning           stove.   13. ..... ..... ..... I am aware of  material  defects  in          the septic, sanitary sewer, or          other disposal system.   14. ..... ..... ..... I am aware of unsafe  concentrations          of radon on the premises.   15. ..... ..... ..... I am aware of unsafe  concentrations          of or unsafe conditions relating          to asbestos on the premises.    16. ..... ..... ..... I am aware of unsafe  concentrations          of or unsafe conditions relating          to lead paint, lead water pipes,          lead plumbing pipes or lead in          the soil on the premises.   17. ..... ..... ..... I  am  aware  of  mine   subsidence,          underground pits, settlement,          sliding, upheaval, or other earth          stability defects on the          premises.   18. ..... ..... ..... I am aware of  current  infestations          of termites or other wood boring          insects.    19. ..... ..... ..... I am aware  of  a structural  defect          caused by previous infestations          of termites or other wood boring          insects.    20. ..... ..... ..... I  am  aware   of  underground  fuel          storage tanks on the property.   21. ..... ..... ..... I am  aware  of boundary or lot line          disputes.    22. ..... ..... ..... I have received notice of  violation          of local, state or federal laws          or regulations relating to this          property, which violation has not          been corrected. 23................I am aware that this property has    been used for the manufacture    of methamphetamine as     defined in  Section 10 of    the    Methamphetamine Control    and Community Protection Act.   Note:  These disclosures are not intended to cover the common  elements of a condominium, but only the actual residential real  property including limited common elements allocated to the  exclusive use thereof that form an integral part of the  condominium unit.Note:  These disclosures are intended to reflect the current condition of  the premises and do not include previous problems, if any, that the seller  reasonably believes have been corrected.If any of the above are marked "not applicable" or "yes", please explain here  or use additional pages, if necessary:   ..........................................................................................................................................................................................Check here if additional pages used: .....Seller certifies that seller has prepared this statement and  certifies that the information provided is based on the actual  notice or actual knowledge of the seller without any specific  investigation or inquiry on the part of the seller.  The seller  hereby authorizes any person representing any principal in this  transaction to provide a copy of this report, and to disclose  any information in the report, to any person in connection  with any actual or anticipated sale of the property.   Seller: ............................... Date: ................Seller: ............................... Date: ................THE PROSPECTIVE BUYER IS AWARE THAT THE PARTIES MAY CHOOSE  TO NEGOTIATE AN AGREEMENT FOR THE SALE OF THE PROPERTY SUBJECT TO  ANY OR ALL MATERIAL DEFECTS DISCLOSED IN THIS REPORT ("AS IS").  THIS DISCLOSURE IS NOT A SUBSTITUTE FOR ANY INSPECTIONS OR WARRANTIES  THAT THE PROSPECTIVE BUYER OR SELLER MAY WISH TO OBTAIN  OR NEGOTIATE.  THE FACT THAT THE SELLER IS NOT AWARE OF A PARTICULAR  CONDITION OR PROBLEM IS NO GUARANTEE THAT IT DOES NOT EXIST.  THE PROSPECTIVE BUYER IS AWARE THAT HE MAY REQUEST AN INSPECTION OF  THE PREMISES PERFORMED BY A QUALIFIED PROFESSIONAL.   Prospective Buyer: .................. Date: ...... Time: ....Prospective Buyer: .................. Date: ...... Time: ....  (Source: P.A. 98-754, eff. 1-1-15.)