This Natural Hazard Disclosure Statement concerns the real property situated in the City of _________________, County of _________________, State of California, described as:

This Statement is a disclosure of natural hazards relating to the above described property in compliance with section 1102 of the California Civil Code. It is not a warranty of any kind by the seller(s) in this transaction, and is not a substitute for any inspections or warranties the buyers may wish to obtain.

This Natural Hazard Disclosure Statement is made pursuant to Section 1102 of the Civil Code. Other statutes may require disclosures, depending upon the details of the particular real estate transaction (for example: special study zone and purchase money liens on residential property). In addition, there may be local disclosure requirements in your particular city or county.

The Seller discloses 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 based on their knowledge and maps drawn by the estate and federal governments. This information is a disclosure and is not intended to be part of any contract between the Buyer and Seller.

 

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.
Yes ____ No ____
Do not know and information not available from local jurisdiction ____

A VERY HIGH FIRE HAZARD SEVERITY ZONE pursuant to Section 51178 or 51179 of the Government Code. The owner of this property is subject ·to the maintenance requirements of Section 51182 of the Government Code.
Yes ____ No ____

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. Buyer(s)and Seller(s) may wish to obtain professional advice regarding those hazards and other hazards that may affect the property.

Seller represents that the information herein is true and correct to the best of the Seller's knowledge as of the date signed by the Seller.

 

 

Signature of Seller: __________________________________ Date: ______________

Buyer represents that he or she has read and understands this document.

Signature of Buyer: __________________________________ Date: ______________