SELLER'SPROPERTYDISCLOSURESTATEMENT
990 SE 2nd Street, Prineville, OR 97754 13983
(the"Property")
43NOTICETOTHEBUYER:THEFOLLOWINGREPRESENTATIONSAREMADEBYTHESELLER(S)CONCERNINGTHECONDITIONOFTHE 44PROPERTYLOCATEDAT (THE"PROPERTY").
990 SE 2nd St Prineville OR. 97754
45DISCLOSURESCONTAINEDINTHISFORMAREPROVIDEDBYTHESELLERONTHEBASISOFSELLER'SACTUALKNOWLEDGEOFTHE 46PROPERTYATTHETIMEOFDISCLOSURE.BUYERHASFIVEBUSINESSDAYSFROMTHESELLER'SDELIVERYOFTHISSELLER'S 47DISCLOSURESTATEMENTTOREVOKEBUYER'SOFFERBYDELIVERINGBUYER'SSEPARATESIGNEDWRITTENSTATEMENTOF 48REVOCATIONTOTHESELLERDISAPPROVINGTHESELLER'SDISCLOSURESTATEMENT,UNLESSBUYERWAIVESTHISRIGHTATOR 49PRIORTOENTERINGINTOASALEAGREEMENT.
50FORAMORECOMPREHENSIVEEXAMINATIONOFTHESPECIFICCONDITIONOFTHISPROPERTY,BUYERISADVISEDTOOBTAINAND 51PAYFORTHESERVICESOFAQUALIFIEDSPECIALISTTOINSPECTTHEPROPERTYONBUYER'SBEHALFINCLUDING,FOREXAMPLE, 52ONEORMOREOFTHEFOLLOWING:ARCHITECTS,ENGINEERS,PLUMBERS,ELECTRICIANS,ROOFERS,ENVIRONMENTAL 53INSPECTORS,BUILDINGINSPECTORS,CERTIFIEDHOMEINSPECTORS,ORPESTANDDRYROTINSPECTORS.
54Seller(selectone)[]is[]isnotoccupyingtheProperty.
I.SELLER'SREPRESENTATIONS
55ThefollowingarerepresentationsmadebySellerandarenottherepresentationsofanyfinancialinstitutionthatmayhavemadeormaymakealoan 56pertainingtotheProperty,orthatmayhaveortakeasecurityinterestintheProperty,oranyrealestatelicenseeengagedbySellerorBuyer.
57(Selectorfillinananswertoeachquestionbelow.Select“N/A”ifaquestionisnotapplicabletotheProperty.)
58 *Ifyoumark"Yes"onitemswith*,attachacopyorexplainonanattachedsheet.
59 1.TITLE
60A.DoyouhavelegalauthoritytoselltheProperty?..........................................................................................[]Yes[]No[]Unknown
61B.*IstitletothePropertysubjecttoanyofthefollowing?..................................................................................[]Yes*[]No[]Unknown
62[]Firstrightofrefusal[]Option[]Leaseorrentalagreement[]Otherlisting[]Lifeestate
63C.*IsthePropertybeingtransferredanunlawfullyestablishedunitofland?......................................................[]Yes*[]No[]Unknown
64D.*Arethereanyencroachments,boundaryagreements,boundarydisputesor 65 recentboundarychanges? ............................................................................................................................ []Yes*[]No[]Unknown
66E.*Arethereanyrightsofway,easements,licenses,accesslimitationsorclaims
67 thatmayaffectyourinterestintheProperty?................................................................................................. []Yes*[]No[]Unknown
68F.*Arethereanyagreementsforjointmaintenanceofaneasementorrightofway?.......................................
69G.*Arethereanygovernmentalstudies,designations,zoningoverlays,surveysor 70 noticesthatwouldaffecttheProperty?..........................................................................................................
71H.*ArethereanypendingorexistinggovernmentalassessmentsagainsttheProperty?................................. []Yes*[]No[]Unknown
72I.*Arethereanyzoningviolationsornonconforminguses?............................................................................. []Yes*[]No[]Unknown
BuyerInitials / / /
SellerInitials
NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions
SELLER'SPROPERTYDISCLOSURESTATEMENT
73PropertyAddressorTaxID# 74 (the"Property")
990 SE 2nd Street, Prineville, OR 97754 13983
75J.*IsthereaboundarysurveyfortheProperty?................................................................................................ []Yes*[]No[]Unknown
76K.*Arethereanycovenants,conditions,restrictionsorprivateassessmentsthataffect 77 theProperty?.................................................................................................................................................. []Yes*[]No[]Unknown
78L.*IsthePropertysubjecttoanyspecialtaxassessmentortaxtreatmentthatmay 79 resultinlevyofadditionaltaxesifthePropertyissold?.................................................................................. []Yes*[]No[]Unknown
80 2.WATER
81A.Householdwater
82 (1)Thesourceofthewateris(selectALLthatapply): []Public []Community []Private []Other(specify)
83(2)Watersourceinformation:
84a.*Doesthewatersourcerequireawaterpermit? []Yes*[]No[]Unknown
85IfYes,doyouhaveapermit?.............................................................................................................[]Yes[]No[]Unknown[]NA
86b.IsthewatersourcelocatedontheProperty?......................................................................................[]Yes[]No[]Unknown[]N/A
87 *Ifnot,arethereanywrittenagreementsforasharedwatersource? ...............................................[]Yes*[]No[]Unknown[]N/A
88c.*Isthereaneasement(recordedorunrecorded)foryouraccesstoor 89 maintenanceofthewatersource? []Yes*[]No[]Unknown
90d.Ifthesourceofwaterisfromawellorspring,haveyouhadanyofthe 91followinginthepast12months?.........................................................................................................[]Yes[]No[]Unknown[]N/A 92[]Flowtest[]Bacteriatest[]Chemicalcontentstest
93e.*Arethereanywatersourceplumbingproblemsorneededrepairs?...................................................[]Yes*[]No[]Unknown
94(3)ArethereanywatertreatmentsystemsfortheProperty?.........................................................................[]Yes[]No[]Unknown 95[]Leased[]Owned
96B.Irrigation
97(1)Arethereany[]waterrightsor[]otherirrigationrightsfortheProperty?...........................................[]Yes[]No[]Unknown
98(2) *Ifanyexist,hastheirrigationwaterbeenusedduringthelastfive-yearperiod?...................................... []Yes*[]No[]Unknown[]N/A 99(3) *Isthereawaterrightscertificateorotherwrittenevidenceavailable?..................................................... []Yes*[]No[]Unknown[]N/A 100C.Outdoorsprinklersystem
101(1)IsthereanoutdoorsprinklersystemfortheProperty?.............................................................................[]Yes[]No[]Unknown
102(2)Hasabackflowvalvebeeninstalled?......................................................................................................[]Yes[]No[]Unknown[]N/A 103(3)Istheoutdoorsprinklersystemoperable?................................................................................................[]Yes[]No[]Unknown[]N/A 104 3.SEWAGESYSTEM
105A.IsthePropertyconnectedtoapublicorcommunitysewagesystem?............................................................[]Yes[]No[]Unknown 106B.ArethereanynewpublicorcommunitysewagesystemsproposedfortheProperty?..................................[]Yes[]No[]Unknown 107C.IsthePropertyconnectedtoanon-sitesepticsystem?..................................................................................[]Yes[]No[]Unknown
108(1)Ifyes,whenwasthesysteminstalled?
BuyerInitials / / /
LINESWITHTHISSYMBOL ← REQUIREASIGNATUREANDDATE
SellerInitials / / /
OREF020|Released01/2026|Page3of8 NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com
SELLER'SPROPERTYDISCLOSURESTATEMENT
109PropertyAddressorTaxID# 110 (the"Property")
990 SE 2nd Street, Prineville, OR 97754 13983
111(2)*Ifyes,wasthesysteminstalledbypermit? ............................................................................................[]Yes*[]No[]Unknown[]N/A 112(3)*Hasthesystembeenrepairedoraltered? ..............................................................................................[]Yes*[]No[]Unknown[]N/A 113(4)*Hastheconditionofthesystembeenevaluatedandareportissued?....................................................[]Yes*[]No[]Unknown[]N/A
114(5)Hastheseptictankeverbeenpumped?..................................................................................................[]Yes[]No[]Unknown[]N/A 115Ifyes,when? ..............................................................................................................................................[]N/A
116(6)Doesthesystemhaveapump?.................................................................................................................[]Yes[]No[]Unknown[]N/A 117(7)Doesthesystemhaveatreatmentunitsuchasasandfilteroranaerobicunit?......................................[]Yes[]No[]Unknown[]N/A
118(8) *Isaservicecontractforroutinemaintenancerequiredforthesystem?....................................................[]Yes*[]No[]Unknown[]NA 119(9)AreallcomponentsofthesystemlocatedontheProperty?......................................................................[]Yes[]No[]Unknown[]NA 120D.*Arethereanysewagesystemproblemsorneededrepairs?........................................................................[]Yes*[]No[]Unknown 121E.Doesyoursewagesystemrequireon-sitepumpingtoanotherlevel?...........................................................[]Yes[]No[]Unknown
122 4.DWELLINGINSULATION
123A.Isthereinsulationinthe:
124(1)Ceiling?.....................................................................................................................................................[]Yes[]No[]Unknown
125(2)Exteriorwalls?...........................................................................................................................................[]Yes[]No[]Unknown 126(3)Floors?......................................................................................................................................................[]Yes[]No[]Unknown
127B.Arethereanydefectiveinsulateddoorsorwindows?...................................................................................[]Yes[]No[]Unknown
128 5.DWELLINGSTRUCTURE
129A.*Hastheroofleaked?...................................................................................................................................... []Yes*[]No[]Unknown 130Ifyes,hasitbeenrepaired?........................................................................................................................[]Yes[]No[]Unknown[]N/A 131B.Arethereanyadditions,conversionsorremodeling?.....................................................................................[]Yes[]No[]Unknown 132Ifyes,wasabuildingpermitrequired?........................................................................................................[]Yes[]No[]Unknown[]N/A 133Ifyes,wasabuildingpermitobtained?.......................................................................................................[]Yes[]No[]Unknown[]N/A 134Ifyes,wasfinalinspectionobtained?..........................................................................................................[]Yes[]No[]Unknown[]N/A 135C.Aretheresmokealarmsordetectors?.............................................................................................................[]Yes[]No[]Unknown 136D.Aretherecarbonmonoxidealarms?................................................................................................................[]Yes[]No[]Unknown 137E.Isthereawoodstoveorfireplaceinsertincludedinthesale?.........................................................................[]Yes[]No[]Unknown 138 *Ifyes,whatisthemake?
139 *Ifyes,wasitinstalledwithapermit?.......................................................................................................... []Yes*[]No[]Unknown[]N/A 140 *Ifyes,isacertificationlabelissuedbytheUnitedStatesEnvironmentalProtection 141 Agency(EPA)ortheDepartmentofEnvironmentalQuality(DEQ)affixedtoit?........................................ []Yes*[]No[]Unknown[]N/A 142F.*Haspestanddryrot,structuralor"wholehouse"inspectionbeendonewithinthe 143 lastthreeyears?........................................................................................................................................... []Yes*[]No[]Unknown
BuyerInitials / / /
LINESWITHTHISSYMBOL ← REQUIREASIGNATUREANDDATE
SellerInitials / / /
OREF020|Released01/2026|Page4of8 NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions
ProducedwithLoneWolfTransactions(zipFormEdition)717NHarwoodSt,Suite2200,Dallas,TX 75201 www.lwolf.com
SELLER'SPROPERTYDISCLOSURESTATEMENT
144PropertyAddressorTaxID# 145 (the"Property")
990 SE 2nd Street, Prineville, OR 97754 13983
146G.*Arethereanymoistureproblems,areasofwaterpenetration,mildewodorsor 147 othermoistureconditions(especiallyinthebasement)?.................................................................................[]Yes*[]No[]Unknown 148 *Ifyes,explainonattachedsheetthefrequencyandextentofproblemandanyinsurance 149 claims,repairsorremediationdone.
150H.IsthereasumppumpontheProperty?...........................................................................................................[]Yes[]No[]Unknown
151I.Arethereanymaterialsusedintheconstructionofthestructurethatareorhavebeen 152thesubjectofarecall,classactionsuit,settlementorlitigation?...................................................................[]Yes[]No[]Unknown 153Ifyes,whatarethematerials?
154(1)Arethereproblemswiththematerials?.....................................................................................................[]Yes[]No[]Unknown[]NA 155(2)Arethematerialscoveredbyawarranty?.................................................................................................[]Yes[]No[]Unknown[]N/A 156(3)Havethematerialsbeeninspected?.........................................................................................................[]Yes[]No[]Unknown[]N/A 157(4)Havethereeverbeenclaimsfiledforthesematerialsbyyouorbypreviousowners?..............................[]Yes[]No[]Unknown[]N/A 158Ifyes,when? ...............................................................................................................................[]N/A
159(5)Wasmoneyreceived?.............................................................................................................................[]Yes[]No[]Unknown[]N/A 160(6)Wereanyofthematerialsrepairedorreplaced?......................................................................................[]Yes[]No[]Unknown[]N/A 161 6.DWELLINGSYSTEMSANDFIXTURES
162Ifthefollowingsystemsorfixturesareincludedinthepurchaseprice,aretheyingoodworkingorderonthedatethisformissigned?
163A.Electricalsystem,includingwiring,switches,outletsandservice...................................................................[]Yes[]No[]Unknown 164B.Plumbingsystem,includingpipes,faucets,fixturesandtoilets.......................................................................[]Yes[]No[]Unknown 165C.Waterheatertank..........................................................................................................................................[]Yes[]No[]Unknown 166D.Garbagedisposal.............................................................................................................................................[]Yes[]No[]Unknown[]N/A 167E.Built-inrangeandoven....................................................................................................................................[]Yes[]No[]Unknown[]N/A
168F.Built-indishwasher...........................................................................................................................................[]Yes[]No[]Unknown[]N/A 169G.Sumppump....................................................................................................................................................[]Yes[]No[]Unknown[]N/A 170H.Heatingandcoolingsystems
171(1)Heatingsystems.........................................................................................................................................[]Yes[]No[]Unknown[]N/A 172(2)Coolingsystems.........................................................................................................................................[]Yes[]No[]Unknown[]N/A 173I.Securitysystem[]Owned[ ]Leased.........................................................................................................[]Yes[]No[]Unknown[]N/A 174J.Arethereanymaterialsorproductsusedinthesystemsandfixturesthatareorhave 175beenthesubjectofarecall,classactionsuitsettlementorlitigation?............................................................[]Yes[]No[]Unknown 176Ifyes,whatproduct?
177(1)Arethereproblemswiththeproduct?........................................................................................................[]Yes[]No[]Unknown[]N/A 178(2)Istheproductcoveredbyawarranty?.......................................................................................................[]Yes[]No[]Unknown[]N/A 179(3)Hastheproductbeeninspected?...............................................................................................................[]Yes[]No[]Unknown[]N/A
BuyerInitials / / /
SellerInitials / / / LINESWITHTHISSYMBOL ← REQUIREASIGNATUREANDDATE OREF020|Released01/2026|Page5of8 NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions
SELLER'SPROPERTYDISCLOSURESTATEMENT
180PropertyAddressorTaxID# 181 (the"Property")
990 SE 2nd Street, Prineville, OR 97754 13983
182(4)Haveclaimsbeenfiledforthisproductbyyouorbypreviousowners?.....................................................[]Yes[]No[]Unknown[]N/A 183Ifyes,when?
184(5)Wasmoneyreceived?...............................................................................................................................[]Yes[]No[]Unknown[]N/A
185(6)Wereanyofthematerialsorproductsrepairedorreplaced?...................................................................[]Yes[]No[]Unknown[]N/A
186 7.COMMONINTEREST
187A.IsthereaHomeOwners'Associationorothergoverningentity?...................................................................[]Yes[]No[]Unknown 188NameofAssociationorOtherGoverningEntity: 189ContactPerson: 190Address: 191PhoneNumber:
192B.Regularperiodicassessments:$ per[]Month[]Year[]Other 193C.*Arethereanypendingorproposedspecialassessments? ..........................................................................[]Yes*[]No[]Unknown
194D.Arethereshared"commonareas"orjointmaintenanceagreementsforfacilities 195likewalls,fences,pools,tenniscourts,walkwaysorotherareasco-ownedin 196undividedinterestwithothers?........................................................................................................................[]Yes[]No[]Unknown
197E.IstheHomeOwners'Associationorothergoverningentityapartytopending 198litigationorsubjecttoanunsatisfiedjudgment?.............................................................................................[]Yes[]No[]Unknown[]N/A
199F.IsthePropertyinviolationofrecordedcovenants,conditionsandrestrictionsorin 200violationofotherbylawsorgoverningrules,whetherrecordedornot?..........................................................[]Yes[]No[]Unknown[]N/A
201 8.SEISMIC
202A.Wasthehouseconstructedbefore1974?......................................................................................................[]Yes[]No[]Unknown 203Ifyes,hasthehousebeenboltedtoitsfoundation?..................................................................................[]Yes[]No[]Unknown[]N/A
204 9.GENERAL
205A.Arethereproblemswithsettling,soil,standingwaterordrainageontheProperty 206orintheimmediatearea?...............................................................................................................................[]Yes[]No[]Unknown 207B.DoesthePropertycontainfill?........................................................................................................................[]Yes[]No[]Unknown 208C.IsthereanymaterialdamagetothePropertyoranyofthestructure(s)fromfire, 209wind,floods,beachmovements,earthquake,expansivesoilsorlandslides?................................................[]Yes[]No[]Unknown
210D.IsthePropertyinadesignatedfloodplain?....................................................................................................[]Yes[]No[]Unknown 211Note:Floodinsurancemayberequiredforhomesinafloodplain.
212E.IsthePropertyinadesignatedslideorothergeologichazardzone?.............................................................[]Yes[]No[]Unknown 213F.*HasanyportionofthePropertybeentestedortreatedforasbestos,formaldehyde, 214 radongas,lead-basedpaint,mold,fuelorchemicalstoragetanksorcontaminated 215 soilorwater?..................................................................................................................................................[]Yes*[]No[]Unknown
216G.Arethereanytanksorundergroundstoragetanks(forexample,septic,chemical,fuel, 217etc.)ontheProperty?.....................................................................................................................................[]Yes[]No[]Unknown
BuyerInitials / / /
SellerInitials / / / LINESWITHTHISSYMBOL ← REQUIREASIGNATUREANDDATE
OREF020|Released01/2026|Page6of8 NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions
SELLER'SPROPERTYDISCLOSURESTATEMENT
218PropertyAddressorTaxID# 219 (the"Property")
220H.HasthePropertyeverbeenusedasanillegaldrugmanufacturingordistributionsite?.................................[]Yes[]No[]Unknown 221 *Ifyes,wasaCertificateofFitnessissued?............................................................................................... []Yes*[]No[]Unknown[]N/A
222 10.FULLDISCLOSUREBYSELLER(S)
223A.*ArethereanyothermaterialdefectsaffectingthisPropertyoritsvaluethata 224 prospectivebuyershouldknowabout?........................................................................................................... []Yes*[]No
225*Ifyes,describethedefectonattachedsheetandexplainthefrequencyandextent 226 oftheproblemandanyinsuranceclaims,repairsorremediation.
227Theforegoinganswersandattachedexplanations(ifany)arecompleteandcorrecttothebestofmy/ourknowledgeandI/wehavereceivedacopy 228ofthisdisclosurestatement.I/weauthorizemy/ouragentstodeliveracopyofthisdisclosurestatementtoallprospectivebuyersofthePropertyor 229theiragents.
230Totalnumberofpagesattached,includingalladdenda,reports,oranyotherdocuments. (completeevenifzero)
| 11:19 AM PDT
II.BUYER'SACKNOWLEDGMENT
239A.Asbuyer(s),I/weacknowledgethedutytopaydiligentattentiontoanymaterialdefectsthatareknowntome/usorcanbeknownbyme/usby 240utilizingdiligentattentionandobservation.
241B.EachBuyeracknowledgesandunderstandsthatthedisclosuressetforthinthisstatementandinanyamendmentstothisstatementaremade 242onlybySellerandarenotrepresentationsofanyfinancialinstitutionthatmayhavemadeormaymakealoanpertainingtotheProperty,orthat 243mayhaveortakeasecurityinterestintheProperty,orofanyrealestatelicenseeengagedbySellerorBuyer.Afinancialinstitutionorrealestate 244licenseeisnotboundbyandhasnoliabilitywithrespecttoanyrepresentation,misrepresentation,omission,errororinaccuracycontainedin 245anotherparty'sdisclosurestatementrequiredbythissectionoranyamendmenttothedisclosurestatement.
246C.Buyer(whichtermincludesallpersonssigningthe"buyer'sacknowledgment"portionofthisdisclosurestatementbelow)herebyacknowledges 247receiptofacopyofthisdisclosurestatement(includingattachments,ifany)bearingSeller'ssignature(s).
248DISCLOSURES,IFANY,CONTAINEDINTHISFORMAREPROVIDEDBYTHESELLERONTHEBASISOFSELLER'SACTUALKNOWLEDGE 249OFTHEPROPERTYATTHETIMEOFDISCLOSURE.IFTHESELLERHASFILLEDOUTSECTION2OFTHISFORM,YOU,THEBUYER,HAVE 250FIVEBUSINESSDAYSFROMTHESELLER'SDELIVERYOFTHISDISCLOSURESTATEMENTTOREVOKEYOUROFFERBYDELIVERING 251YOURSEPARATESIGNEDWRITTENSTATEMENTOFREVOCATIONTOTHESELLERDISAPPROVINGTHESELLER'SDISCLOSUREUNLESS 252YOUWAIVETHISRIGHTATORPRIORTOENTERINGINTOASALEAGREEMENT.
BuyerInitials / / / LINESWITHTHISSYMBOL ← REQUIREASIGNATUREANDDATE
OREF020|Released01/2026|Page7of8 NoportionofthisformmaybereproducedwithouttheexpresspermissionofOregonRealEstateForms,LLC|CopyrightOregonRealEstateForms,LLC2022 ThisformhasbeenlicensedforusesolelybytheusernamedbelowunderthetermsoftheOregonRealEstateFormslicenseagreementlocatedat: https://orefonline.com/oref-forms-license-terms-and-conditions
Theresa M. Vandehey
