Sewell, Brandon

M
ti A :DREDGE & FILL
B D
NERAL PERMIT A,. C Previous permit #
Ww' E]Modification­� 'EJCOMplete Reissue EIPartial Reissue Date previous permit issued
As authorized by. the StateofNorth Carolina, Department of Environment and Natural'Resources
Jo
d the Coastal Resources Commiss1. n arej,!:,f environmVntal concern pursuant to I SA J� 7Y
;t u
0
in a G?Irules attached.
,, 1) 1 'tic" r J / I r
Applicant Name Project Location: County ie-V
pp
Address Street Address/ State Ro7d/ Lot- #(s)
City State., e' ZIP
Phone #N, -am-7E-Mail Subdivision,
Authorized Agent 0 1AV r L4 City,r ZIP x 4
Affected ��*A El ES El PTS Phone # River Basin
-1 OEA El HHF DIH El UBA D N/A I I, , 14.1 4 (,�I.
AEC(s): Adj. Wtr. Body
0 Pws: (nat /man /unkn
ORW: yes //no) PNA yes /<6o,Closest Maj. Wtr. Body
Type of Project/ Activity r
Pier (dock), length Shy It f 7
Fixed Platform(s) X1'2
Floating Platform(s)
Finger pier s
Gr>in len gth ,
number
Bulkhead/ Riprap length ff
avg distance Aoffshore ance offshore
max distance offshore
I
Basin, channel
cubic yards
Boat ramp
Boathouse/ oatplrifl
Beach Bulldozing
Other
Shoreline Length q0
f
SAV: not sure yes
Moratorium: n/a yes n
Photos:
yes n6
Waiver Attached: yes
A building permit may be required by:
Note Local Planning jurisdiction)
NAesl Special Conditions
10, C/o I X1 trf r,,,,I— k4X,
(Scale: /,/-- r,
11
See note on back regarding River Basin rules.
) I

4
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-411COAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.nett
Revised 08/27/ 14

AMA / Cl DREDGE & FILL
h NERAL PEl4MIT
t
�1 �.�eJ� .. A B
Previous OC
permit #
e�w ' ❑Modification ❑Complete Reissue' ❑Partial ,Reissue Date previous permit issued
horized by the State of North Carolina, Department of Environment and Natural Resources .
Resource C/
@„ 'Commissio in an area of environm iitai concern
pursuant to I5A NCAC f:' `✓ . ..
ant Name C U'j! t
les attached.
Project Location: Coun f
7i
1 ty �.
Street Address/ State Ro d/ Lot #(s)
�i�r.
State,.'i1t' ZIP_-4��
#' { E-Mail
Subdivision
rized Agent 1 t 0
r
City. f s' ZIP
W U � A El ES [IPTS
Bd` DOEA ❑ HHP ❑ IH B
❑U A ❑N/A
Phone # (_) ver Basin
Adj. Wtr. Body
❑'PWS:
nat man unkn
yes / no I I PNA yes /&0
{
Closest Maj. Wtr. Body
of Project/ Activity
ng platform(s)
r;pier(s)
n Length
number
iead/ Riprap length
avg distance offshore
Tax distance offshore
i, channel' .
cubic yards
ramp
louse/ oatli
Ire Len h.
gt
(Scale:. )
/ �
OMMUMENEE
Ili■■■■■■■■■■■■■

i ccrtifi that 1 have aatauthorized(aertt) tilt +�tf t r LuPT *M5
to act on my
behalf, for the pu,rPOSc of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (in), property • ic�rateo at
t p 1i(
Thinc.ertifitatio" is valid thru (orate)
..._.._ ._.....
Property
ature
Pate
RECEIVE
FEB 2 0'2op
®CM- MHD CITY �

Note: %thru bolts
used at 4x10 girders.
5/8 thru bolts used at
hogslats and 6x6s
Drawing:
312 Silver Creek
Landing, Peletier
For :Brandon Sewell
Harber Contracting Inc
P.O. Box 4562
Emerald Isle NC
28594
252-342-9987

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RECEIVE
FEB 2 0 2017
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RECEIVELD"I
FEB 2 0 2017
®CM- MH® CITY
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 2 11 13 201'
Name of Property Owner Applying for Permit:
its ILL(W S 90 5xet
Mailing Address:
13 C(2 CO, DIC ve. 1 A 1 —
Mo J-P- �q PA C fuC
I certify that I have authorized (agent) W ry 0AU1 S 10 it#ZwE ("TKA -7+&1rto act on my
behalf, for the purpose of applying for and obtaining all C,AMA Permits necessary to
install or construct (activity) T1, S'fAt, , h 0XV
at (my property located at) _312 SILVcR. CUEV tAQ!b11JG ROAD
SWAT-�GQozq, 6k— 2 8 S$ 7
This certification is valid thru (date) _3 3 20i
Property Owner Signature
k4W" ,, a/1-3/1 7
Date
E
j
RECEIVE
FEB 2 0 2017
DCM® MHD CITY

[Consult "Guide linos"(form 12G) for guidance in completing this form]
NUMI * This contract is intended for unimproved real property tip Buyer willpurh only for personal use and does not have
immediate plans w, subdivide. It should not be used to sell property that is being subdivided unless the property W been platted,
Property approved and recorded with the register of deeds as of the date of the, contract. If Seller is Buyer's WItler aad the mile
involves the construction of a new single family dwelling prior to closing, use ft standard Offer to Purchase mid. Contract —New
Construction, (Form 800-T) or, if the construction is completed, use the Offer to Purchase and Contract (Form 2-T) with the New
Construction Addendum (fWm 2A3-T).
For valuable consideration, the receipt and legal sufficiency of which are hereby Acknowledged, Buyer offers to purchase aril Soller
upon accVtance agrees to sell and convey the Property on the terms and conditions of this Offer To Purchase and Contract and any
addendinn or modification made in accordance with its terms (together the "Contract").
1. TERMS AND DEFINITIONS: The terms listed below shall have the respective meaning given them as set forth adjacent to each
term.
(aysettee: William R and Sarah A Dixon
N -40yer": Madena B Sewell
(c)"rroperty". 'Me Property shall include all that real estate described below togethe with all appurtenances thereto including the
imp0ovements located thercon. NOT& If the Property will include a nianufactured (mobile) home(i), Buyer and Seller should
consider including the Manufactured (Mobilo) Home provision in the Additional Provisions Addendum (Standard Form 2AII-T)
with this offer.
Street Address:312 Silver Creek Lending Road
city, $wansboro zip, ?A24
County. carwre—t North Carolina
(NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ from address shown.)
Liegal Description: (Complete ALL applicable)
Plat Reference: LoVUniL_4§. Block/Section ebaggj Subdivision/Condominium,Sher Qrej�
—, as; shown on Plat Booldslide 22 at Pages)
IUPIN/PID or other identification narriberof the Property is; §AZJQJJ8J51fflQQ
Other4escription.,
Some Qr all of tar .Property may be described in Deed Book 10.40 at Page 41
(d)"Purchase Price":
160-000-00 paid in U.S. Dollars upon the following terms:
BY DUE DILIGENCE IT-E- made payable to Seller by the Effective Date
$ 2, .02 BY INITIAL .EARNEST MONEY DEPOS made payable to Escrow Agent named
in Paragraph I (f) U with this offer OR 4. delivered within five (5) days of the,
Effective Date of this Contract by C1 cash 74 personal check U official bank check
Cl wire transfer
$ BY (ADDITIONAL) EARNEST MONEY DEPOSIT made payable to Escrow
Agent named in Paragraph l(f) by cash or immediately available fituds such as
official bank check or were transfer to be delivered to Escrow Agent no later than
— TIME
BEING OF THE MENCE with regard to said date.
$ BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on
the existing loan(s) secured by a deed of trust on the Property in accordance with the
attached Luau Assumption Addendum (Standard Form. 2A6-T),
BY SELLER.FINANCING in accordance with the attached Seller Financing
1W Addendum (Standard Form 2A54)
177
BALANCE of the l'urcluin Price in cash at Settlement (sort c or aill of which may be
paid with the proceeds of a now Ion)
Should Buyer fad to deliver either the Due Diligvace Fee or any Initial Earnest Money Deposit by their duo dates, or should any
check or other-fituds paid by Buyer be dishonored, for my reason, by the institution upon which the payment is dawn. Buyer shall
Page I of 9
TWs form Jointly approved br. RM 11-T
North Carolina Bar Amociatiou E 7/2013
North Caroliatt Association of REALTOW, 1ne. 0712013
FEB 2 0 2017
ftyer luitialsma Seller initials
DCM- MILD CITY

have one (1) banking day after written notice to deliver cash or immediately available Inds to the payee. In. the, evein Buyer do"
not timely deliver cash or munediately available fuads, Setter AA have the right to terminate this Contract upon written notice- to
Buyer.
(c) "Earnest Money Deposit: The Wtial Earnest Money Deposir, the Addirloaal Earnest Money Deposit and any other earnest
'Monies paid in connection with this transaction, hereinafter collectively referred to as "Earmst, Money Deposit", shall be deposited
audAeld in escrow by Escrow Agent until Closing, at which time it will be credited to Buyer, or until this Contriort is otherwise
tetrrtinated. In the event (1) this offer is note of any resulting contract is not satisfied, rho Earnest. -epted, or (2) a condition
Money DWsit shall be refunded to Buyer. In the ovon( of breach, of this Contract by Setter, the Earriest Money D", it Awl be
--A»,"AaA — Tle-­ —U.—.1. ­­ T­ .__U ­­_ hjl — -'A.— --i _A-_ —A.— — MY-- 41— __L %.—" T_
ft,ovout of breach of this otract by Buyer, the Earnest Money Deposit shall be paid to � Setter upon SoWs request as: liquidated
damages and as Sec 1's sole and exclusive remedy I for such breach, but without limiting Seller's rights under Parapies etc) and
2(d) for dam, age to the Property or Seller's right to retain the Due. Diligence Fee. It is acknowledged by the parties that payment of
dw Earoest. Money Deposit to Seller in the event of a, breach of this Contract by Bayer is compensatory awl not punitive, such
110101111t being a ivasonable estimation of the, 4ctual loss that Setter would incur as a result of such breach. The payment of the
Earnest Money Deposit to Seller shall not cons -mum, a penalty or forfeiture but actual compensation for Sellces anticipated loss,
both partim acknowledging the difficulty determining Seller's actual damages for such breach. If legal proceedings are brought by
Buyeror Setter against the other to recover the Earnest Money Deposit, the prevailing party in the proceeding shall be entitled to
recover from the non -prevailing party reasonable attorney fees and court costs incurred in connection with the proceeding.
arqwraw Agent" (insert name): Tanturn Law Firm, Cedar Point, NC
NOT& In the event of a dispute between Seller, and Buyer over the disposition of the Earnest Money Deposit held in escrow, a
licensed real estate broker CBrokoe) is required by state law (and Escrow Agent, if not a Broker, hereby agrees) to rclain the
Earnest Money Deposit in the Escrow Agent's trust or escrow account until Escrow Agent has obtained a written release from the
parties c9mming to its disposition or until disbursement is ordered by a cow of competent jurisdiction. Alternatively, if a
Broker or an attorney licensed to practice law in North Carolina ('Attorney") is holding the Earnest Money Deposit, the Broker or
Attorney may deposit the disputed monies with the appropriate clerk of court in accordance with the provisions of N.C.G.S. §93A-
12.
THE PARTIES AGREE THAT A REAL ESTATE BROMAGE FIRM ACTING AS ESCROW AGENT MAY PLACE THE
EARNEST MONEY DEPOSIT IN AN INTEREST BEARING TRUST ACCOUNT AND THAT ANY INTEREST EARNED
THEREON SHALL BE DISBURSED TO THE ESCROW AGENT MONTRLY IN CONSIDERATION OF THE EXPENSES
MURRIBI) BY MAINTAINING SUCH ACCOUNT ANT.? RECORDS ASSOCIATED TMEWITH.
(a) "ectlye We": Tle date that: (1) the lot one of Buyer and Seller has signed or initialed this offer or the final counteroffer, if
any, and (�) such signing or initialing J$ comimmicatcd to the party making the offer or counteroffer, as the case may be.
(h) "Me Diligence": Buyer's opportunity during the Due Diligence Period to investigate the Property and the transaction
contemplated by this Contract, including but not necessarily limited to the matters described in Paragraph 2 below, to decide
whother Buyer, in Buyer's sole discretion, will proceed with or terminate the transaction.
[)41poee Fee": A negotiated amount, if any, paid by Buyer to Seller with this Contract for Buyer's right to conduct Due
during the Due Diligence Period, It shall be the property of Setter upon the Effective Date and shall be a credit to Buyer
The Due Diligence Fee shall be non-refundable except in the event of a material breach of this Contract by Seller, of if
,wt is, terminated under Paragraph 6(l) or Paragmptt 9, or 4% otherwise. provided in any addendum hereto. Buyer and
hexpressly waive any right that they way have to deny the eight to conduct Due Diligence or to assert any defense as to
ability of this Contract baxd on the abwnce or alleged insufficien of any Due Diligence Fee it boin the intent of the
=9
create a legally binding contract fox the purchase and sale of the Property without re4ard to the existence or amunt of
Nfixence Foe,
0) "Dite DVigeave Period".' The period beginning on the Effective Date and extending through 5:00 pm, on
. E4__bjruLar1,V1j3.2Q17 ­ - -TIME BRING OF TEE ESSENCE with regard to said date,

(t) �4SettleIment late". The parties; agree that Settlement wilt takeplaceon February 24, 2017 ..- .
_-- -- (the "Settlement Date"), unless otherwise weed in writing, at a tinne and place designated by Buyer
(m) "Closing": The completion of the legal process which results in the transfer of title to the Property from Seller to Buyer, which
includes the following steps; (I) the Settlement (defined above). (2) the completion of a satisfactory title update to the property
following the Settlement, (3) the closing attorney's receipt of authorization to disburse, all necessary furls; and {d.) recordation in
the appropriate county registry of the deed(s) and deed(s) of trust, if any, which shall take place as soon as reasonably possible for
the closing attorney after Settlemeat. Upon Closing, the proceeds of sale shall be disbursed by the (,,losing attorney in accordance
with the settlement statement and the provisions of Chapter 45A of the North Carolina General Statutes. If the titre update should
reveal unexpected liens, encumbranon or other title defects, or if the closing attorney is not authorized to disburse all necessary
funds, then the Closing shall be suspended and the Settlement deemed delayed widerParagraph l (May in Settlement losing).
WARNING: The North Carolina State Bar has determined that the performance of most acts and services required for a closing
constitutes the practice of law and must be perftmitel only by an attorney licensed to practice lave in North Carolina, ,State law
prohibits unlicensed individuals or firms from rendering legal services or advice. Although trots -attorney settlement agents may
perform limited sservices in connection with a closing, they may not perform all the acts and services required to complete
closing. A closing involves significant legal issues that should be handled by an attorney, accordingly it is the position of the.
North Carolina Haar Association and the Noah Carolina Association of REALTORSO that all buyers should hire an attorney
licensed in North Carolinas to perform a closing.
(n) "'Special Assessments": A charge against the Property by a governmental authority in addition to ad valorem taxes and
recrxrrixng governmental service fees levied with such taxes, or by an owners' association in addition to any regular assessment
(dues), either of which may be a Beta against the Property. A Special Assessment may be either proposed or confirmed.,
"Proposed Special Assessment": A Special Assessment that is under formal consideration but which has not been approved prior
to Settlement.
"Conflirined Special As •oat°': A Special Assessment that has been approved prior to Settlement whether or not it is fully
payable at time of Settlement.
J. RUWR'.S DUE DILIC'ENCE PROCk 5'S:
(a) Loan. inuring the Due Diligence Period, Buyer, at Buyer's expense, shall be entitled to pursue qualification for and approval of
the Leon if any.
(NOTE: Buyer is advised to consult with Buyer's louder prior to sighing this offer to assure that the Due Diligence Period allows
sufficient time for the appraisal to be completed and for Buyer's tender to provide Buyer sufficient information to decide whether
to proceed with or terminate the transaction since the Loan is not a condition of the Contract_)
(b) WeVett invastigatinn. During tine Due Diligence Period, Buyer or Buyer's agents or representatives, at Buyer's expense,
shall be entitled to conduct all desired tests, surveys, appraisals, investigations, ettaminatioris and inspections of the Property as
Buyer deem appropriate, including but NOT limited to the following:
(i) Soft And Rnavimmaental: Repots to determine whether the sail is suitable for Buyer's intended use and whether there
is my environmental contanunation, law, rule or regulation that may prohibit, restrict or limit Buyer's intended use.
(ii) Septic/Sewer System: Any applicable investigation(s) to determine: (1) the condition of an existing sewage system (2)
the costs and expenses to install a sewage system approved by an existing Improvement Permit, (3) the availability and
expense to connect to a public or community sewer system, and/or (4) whether an Improvement Permit or written
evaluation may be obtained from the County Health Deputmeant .for a suitable ground absorption sewage system.
(iu) Water: Any applicable investigation(s) to determine: (l) the condition of an existing private drinking water well, (2) the
coasts and expenses to install a private drinking water well approved by an existing Construction Permit, (3) the
availability, coasts and expenses to connect to a public or community water system, or a shared private well, and/or (4)
whether a: Construction Permit may be obtained frota the County Health Department for at private drinking water well.
(iv) R w of Dos nr is:.Review of Documents: Review of the Declaration of Restriction Covenaras, Bylaws, Articles o
lntcotporation, Ri&s and Regulations, and other governing documents of any applicable owners' association auditor
subdivision. Ifthe:Property is subject to regulation by an owners' association, it is recommended that Buyer review the
completed Owners'Association And Addendum (Standard pram 2Al2-T) provided by Seller prior to signing this offer.
(v) Appraisals: An appraisal of the .Property.
(vi) Su"ey, A survey to determine whether the property is suitable for Buyees intended use and the location of easements,
setbacks, property boundaries and other issues which may or may not coxisCitute title defects,
page'3 of 9
RECEW FQVi 12�T
ev 7/20:i3
Birirer initials Seller initi FEB 2 0 2017
I3 ,
UCM- MHD CITY

(vii) Zoning and Governmental.Rtgulation,
that may afket Buyer's intended use of the Property, 4acent land uses, planned or proposed road construction, and
school attendance zones.
(viii) Flood Hazard: Investigation of potential flood hazards on the, Propetty, and/or any requirement to purchase flood
insurance in order to obtain the Loan.
(ix) Ufflities and Access: Availability, quality, and obligations for maintenance of roads and utilities including electric, gas,
communication services, stormwater management, and means of access to the Property and amenities.
(c) Buyer's Obligation to Repair Damagw, Buyer shall, at Buyer's expense, pro repair any damage to the ftopeoy resulting
from any activities of Buyer and Buyer's agents and contractors, but Buyer shall Act be responsible for any dam* catued by
accepted practices applicable to any N.C. licensed professional performing reasonable appraisals, tests, surveys, examinations and
inspections of the Property. This repair obligation dtall survive any termination of this Contract,
(d) Indemnity- Buyer will indemnify ,reel hold Setter harmless from all 105s, damage, claims, suits or costs, which 'Anil wise out of
any contract, agreement, or injury to any person or property as a result of any activities of Buyer and Buyer's agents and
,contractm relating to the Property except for any loss, damage, claim, suit or cost arising out of pre-existing conditions of the
Property and/or out of Seller's negligence or willful acts or omissions. This indemnity shalt survive this Contract and any
termination hereof.
(o) Buyer's Right to Terminate: Buyer shall have the right to terminate, this Contract for any reason or no mason, by delivering to
Seller written notice of termination (the "Termination Notice") during the Due Diligence Period (or any agreed -upon wrimn
extension of the Due Diligence Period), TIME BEING OF THE ESSENCE. If Buyer timely delivers the Termination Notice, this
Contract shall be terminated and the Earnest Money Deposit -,hall be refunded to Buyer.
WARMNG: If Buyer is not satisfied with the results or progress of Buyer's Due Diligence, Buyer should terminate this Contract,
p6or to The expiration of the Due Diligence PerW, unless Buyer can obtain a written extension from Seller. SELLER TS NOT
OBLIGATED TO GRANT AN EXTENSION. Although Buyer may continue, to investigate the Property following the expiration
of the Due Diligence Period, Buyer's failure to deliver a Terminatioxi Notice to Seller prior to the expiration of the Due Diligence
Period shall constitute a waiver by Buyer of any right to terminate this Contract based on any matter relating to Buyers Due
Diliwe.Provided however, following the Due Diligence Period, Buyer my still exercise a tight to terminate if Seller fails to
materially comply with any of Seller's obligations under paragraph 6 of this Contract or for any other reason permitted under the
terms of this Contract or North Carolina law.
(f) CLOSING SHALL CONSTITUTE ACCEPTANCE OF THE PROPERTY IN ITS THEN EXISITNIG CONDITION
UNLESS PROVISION IN OTHERWISE MADE IN WRITING.
3. BUYER REP RENTATIOW
(a) Luna 7does 0 does not have qobtain anew loan in order to purchose the Property. If Buyer is obtaining anew low
B]ayes irttends to obtain a loan as. follow,,;- M Conventional C3 Other. loan at a
Traced Rate 0 Adiustable Rate in the principal amount of $177,509 for a berm of 30 year(s), at
an initial interest rate not to exceed % per annum (the "Loan"),
(NOTE: Buyer's obligations under this Contract are not conditioned upon obtaining or closing any loan. If Buyer represents that
Buyer does not have to obtain a new low in order to purchase the P!ropmty, Seger is advised, prior to signing this offer, to obtain
doctnuentation from Buyer which demonstrates that Buyer will be able to close on the Property without the necessity of obtaining
4 new 10M)
10 (b) Other Property: Buyer Cl does M does not have to sell or lease other real property in order to qualify for a now loan or to
complete, purchase. (NOTE: If Buyer does have to sell, Buyer and Seller should consider including a Contingent Sale Addendurn
(Standard Form 2A2-T) with this offer.)
(c) Per forwaace of Buyer's Financial Obligations: To the beg of Buyer's knowledge, there are no other cimumstances or
conditions existing as of the date of this offer that w*uId prohibit Buyer from performing Buyer's financial obligations in
accordancewith this Contract, except as may be specifically set forth hemin.
Page 4 of 9 RECEIVED
% STAMA" FORM 12-T
0 Revised
Buyer initiaik4z ScHer initials FEB 2 2017 QRD__��S_ 07/7/20120313
DCM- MHD CITY

4. BUYER OBLIGATIONS:
( Owners' Association Charges: Buyer shall pay any Bees required for confirming accountpayment information on
owners' association dues or assmsmcnts"for payment or proration and any charge made by the owner ' association in co can
with the disposition of the Property to Buyer, including airy transfer and/or document fee unposed by the o association,
Buyer shall not be responsible for fees incurred by Seller in completing theOwners' Association Disclosure losure and Addendura, For
Properties Exempt from Residential t'toperty Disclosure Statement (Standard Form 2A. t )
(b) Responsibility for Proposed Special Assessments: Buyers shalt take title subject to all Proposed Special Assessments,
(e), Respoosiiillty for Certain Casts: Buyer shall be responsible for all dusts with respect to any loan obtained by l uuyet;
appraisal, title seared, title insurance, recording the deed and for preparation and: recording of all instruments required to secure the
balance of the Purchase Price unpaid at Settlement,
. SELLEI PU Sa NTA't IONS:
(a) 3aers ip: Seller represents that Seller:
lras owned the Property fbr at least one year-
U W owned the Property for less than one year.
d does not yet own the Pmpearty.
(b).Assessments, To the best of Seller's knowledge there are no Proposed Special Assessments except as follows (Insert " None" or
the idcutwifacation of such assessments, if any). None
Seiler warrants that there are no Confirmed Special Assessments except as follows ("Insert `None" or the identification of such
assessments, if any) None
(c) Owners' Associatiou(s) and hues: To best of Seller's knowledge, ownership of the Property 14 subjects J dens not subject
Buyer to regulation by out or more owners' associations) and governing documents, which impose various mandatory covenants,
conditions and restrictions upon the Property and Buyer's enjoyment thereof, including but not limited to obligations to pay regular
assessments (dues) mid Special Assessments. If there is an owners' association, titers an Owners' Association Disclosure and
Addendum For Properties Exempt;from Residential Property Disclosure Statement (Standard form 2A 12-T) shall be completed by
Seiler, at Seller's expense, and must be attached as an addendum to this Contract
(d) Sewage System Permit: (C) Applicable t#t Not Applicable) Seller warrants that the sewage system described in the
,Improvement Permit attached hereto has been installed, which representation survives Closing, but utaakes no further
representations as to the system.
(e) Private Drhddng Water Well Oeranit: (® Applicable .Not Applicable) Seller warmats that a private drinking waiter well
has been installed, which representation survives {Closing, but snakes no further representations as to the well. (If well installed
after July 1, 2008, attach Improvement Permit hereto.
& SFJL.ER, Oi4li..MATIONS:
(a) Evideace of Title; Seller agrees to use best efforts to deliver to Buyer as soon as reasonably possible after the Effective slate,
copies. of all title information in possession of or available to Seller; including but not limited to: title insurance policies, attorney's
onions can: title, surveys, covejuints, deeds, notes and deeds of trust, leases, and easements relating to the Property. Seller
authorizes: (T) arty attorney presently or previously representing Seller to release and discloses any title insurance policy in such
attorney's file to Buyer and both Buyer's and Seller's agents and attorneys; and (2) the Property's title insurer or its agent to release
and disclose all materials in the Property's title insurer's (or title insurces agent`s) file to Buyer and both Buyer's and: Seller's agents
and attorneys.
(b) Access to Froperty/Walk-Thr000 Inspection: Seller shall provide reasonable access to the Property (including working,
existing utilities) drongh the earlier of Closing or possession by Buyer, including, but not limited to, allows the Buyer an
opportunity to conduct a final walk-through inspection of the Property. To the extent applicable, Seller shall also be, responsible bar
timely clearing that portion of the Property rewired by the County to perform tests, inspections andtot evaluations to determine the
suitability of the Property for a sewage system andlor private drialdug water well.
(c) Remov#1 of Seller's Property, Seller shall remove, by the date possess is made available to Buyer, all personal property
winch is not a hart of the purchase and all gage and debris from:; the Property:
Page 5 of 9
Breyer initialK - Seller iaitiawkw

(d) Affidavit And _Indemnification AgmmeeoV Seller shah furnish at Settlement an affidavit(s) and indemnification ag eement( )
in form satisfactory to Boyer and Buyer's title insurer, if any, executed by Setter and any persona or entity who has performed or
furnished labor, services, materials or rental equipment to the Property within 120 days prior to the date of SodleuwA and who
may be entitled to +Nairn a lien against the Property as described in KC.G.S< ESA»$ verifying that each such person or entity has
been paid in fall and agreeing to iodemni£v Buyer, Buyer's lender(s) .andBuyer's title insurer against all loss from any cause of
claim arising therefrom,
(e) Designation of Lien Agent, Payment and Satisfaction of LAeds: If required by N.C. ..:44A~11.1, Seller shall have
designated a Lien Agent and Setter shall deliver to Buyer as soon as reasonably possible a coley of the appointment of Lien Agent,
All deeds of Gust, deferred ad valorem taxes, liens and outer charges against the Property, not assumed by Buyer, rust be paid and
satisfied by Seiler prior to or at Settlement such that cancellation may be promptly obtained following Closing. Setter shall remain
obligated to obtain any such cancellations following Closing.
(f) Good Title, Legal Access: Seller shall execute and deliver a GENERAL WARRANTY DEED for the Property in recordable
form nea later than Settlement, which shall convey fee simple marketable and insurable title. without exception for mechanics'
liens, and fad of any other liens, encumbrances or defects, including those which would be revealed by a current and accurate
survey of the Property, except: ad valorem taxes for the current year (prorated through the date of Settlement), utility easements
and unviolated covenants. conditions or restrictions that do not materially affect the value of the Property; and such other bents,
encumbrances or defects as anay be assumed or specifically approved. by Buyer in writing. The Property must have legal access to
a public might of waxy,
(NOTE: Buyer's failure to terminate this Contract prior to the expiration of the Due Diligence Period as a result of any
encumbrance or detect that is.or would have been revealed by a title examination of the Property or a current and accurate survey
shall not relieve Seller of any obligation under this subparagraph)
(NOTE: if ny sale of the Property may be a "short same," consideration should be given to attaching a Short Sale. Addendum
(Standard Form 2.A14-T) as an addendum to this Contract.)
(g) Deed, Excise Taxes: Seller shall pay for preparation of a deed and all other documents necessary to perform Setter's
obligations under this Contract, and: for stale -and county excite taxes required by law. The deed is to be made to:
Brandon T & Mariana B Sewell
(let) Agreement to Pay Buyer Expenses: Seller shall pay at Settlement $ 0.00 toward any of Buyer's
cspooses associated with the purchase of the Property, less any portion disapproved by Buyer's lender,
NOTE. Examples of Buyer's expenses associated with the purchase of the Property include, but are not limited to, discount paints,
loam origination fees, appraisal fees, attorney's fees, inspection fees, and "pre -pails" (taus,_insurance, owners' association dues,
(i) Paysm of of Confirmed Special A ts: Seller shall pay all Confirmed Special Assessments, if any, provided that the
amount thereof can be reasonably determined or estimated.
0) Late Listing Penalties- All property tax late listing penalties, if any, shall be paid by Seller.
(k) Owoers' Association Disclosure and Addendum For Properties _Exempt from Residential Property Disclosure Statement
($d Barre 2A.12-T): if applicable, Seiler shall provide t% completed Owners' Associations Disclosure and Addendum for
Properties Exempt from Residential Property Disclosure Statement to Buyer on or before the Effective Date.
fi) other's Failure to Comply or Breach, If Seller fails to materially comply whit any of Seller's obliptions under this Paragraph.
6 or Setter Materially breaches this Contract, and Buyer elects to terminate this Contract as a result of such failure or breach, then
the ,Farnist Money Deposit and the Due Diligence :fee shall be refunded to Buyer and Seller shall reimburse to Buyer the
reasonable coats actually incurred by Buyer in connection with Buyer's flue Diligence without affecting any ,other remedies. if
legal proceedings are brought by Buyer against the Seller to recover the Earnest Money Deposit, the Due Diligence, Pee and/or the
reasonable costs actually incurred by Buyer in connection with Buyer's Due t'iiligence, the prevailing, party in the ed* shall
be entitled to recover frcam the colt -prevailing panty reasonable attorney tees and court costs incurred in connection with time
proceeding -
page 6Of RECEIVED
1 FEB 2 0 201-7QT` R DARDFORM 2
Itevis+ed 7120
13
DCM- MHD CITY

7.. PRORATIONS: AND ADJUSTMENTS: Unless otherwise provided, the following items shall be pmmated through the date, of
Se4lementand either adjusted between, the parties or paid at Settlement -
(a) Tax" on Real Property: Ad valorem taxes and recurring governmental service fees levied with such taxes on relit property
shall be promed on a Calendar year basis;
(b) ReaWRents, if any, for the Property;
(c) Dues. Owners' association regular assessments (dues) and other like charges,
8. CONDITION OF PROPERTY AT CLOSING. Buyees obligation to complate the transaction contemplated by this Contract
shall be contingent upon the Property being in substantially the, same or better condition at Closing as on the date of this offer,
r"Sonable wear,and war axoopted.
% kUX OF LOS& The risk of loss or damageby-r" or other casualty prior to Closing shall be upon Setter. If the improvements on
the Prop" are destroyed or materially damaged, prior to Closing, Buyer may terminate this Contract by written noticedelivered to
Seller or Seller's agent and the EarnestMoney Deposit and any Due Diligence'Fee shall be refunded to Buyer, In iliezvent Mayer d Ms
NOT elect to terminate this Contract, Buyer shall , be entitled to Teceive '. in addition to the Property, any of Settees insurance proseeds
payable on account of the damage or destruction applicable. to the Property being purchased. Setter is advised not to camel existing
insurance ow the property until after confirming recordation offt deed.
10. DELAY IN SETTLEMNT/4CLOSING- Absent agreement to the contrary in this Contract or any subsequent modification
thereto, if a party is unable to complete Settlement by the Settlement Date but intends to complete the transaction and is acting in good
faith and with reasonable diligence to proceed. to Settlement ("Delaying Parry"), and if the other party is ready, willing and able to
complete Settlement on the Statement Date ("Non -Delaying Pary) then the Detaying Party shall give as much notice as possible, to
the Nook-DeAuying Party and closing attorney and shall be entitled to a delay in Settlement.If the pax -ties bit to complete Setslemont
and Closing within fourteen (14) days of the Settlement Date (including any amended Settlement Date agreed to in writing by the
parties) or to otherwise extend the Settlement Date by written ageement, then the Delaying Party shall'be in breach and the Non -
Delaying Party may terminate this Conuwt and shall be entitled to enforce any remedies available to such party under this Contract
for the breach.
11. POSSESSION- Unless otherwise provided herein, possession shall. be delivered at Closing as defined. in Paragraph t(m). No
alterations, excavations. tree or vegetation removal or other such activities may be done before possession is delivered.
11 OTHER PROVISIONS AND CONDITIONS. CHECK All, STANDARD ADDENDA THAT MAY BE A PART OF T141S
CONTRACT, IF ANY, AND ATTACH HERETO. ITHYRZE ALL OTHER ADDENDA TO THIS CONTRACT, IF ANY, AND
ArrAca . imptnTo-
(NOTE: UNDER NORTH CAROLINA LAW, REAL ESTATE BROKERS ARE NOT PERMrITED TO DRAFT CON&MNS
:OR CONTINGENCIES TO THIS CONTRACT)
0 Additional Provisions Addendum (Form 2AI I-T) U Loan Assumption Addendum (form 2A6-T)
U Baek-Up Contract Addendum (Form 2Al-T) id Owners' Association Disclosure And Addendum For Properties,
0 Contingent Sale Addendum (Form 2A2-T) Exempt front Residential property Disclosure Statement (Fornt
2AI2-T)
C3 Seller Financing Addendum (Form 2A5-T)
Q Short Sale Addendum (Form 2A14-T)
C10THER:
13. ASSIGNMEM: This Contract may not be assiped without tic written consent of all parties except in connection with a tax -
deferred exchange, but it assigned by agreement, then this Contract shall be Winding on the assignee and assipm's heirs and
14, TAX -DEFERRED EXCHANGE In the event Buyer or Seller desires to effect a tax-defvrrod exchan9v in connection *6 the
convey nee of the Ptqperty, Buyer and Seller agree to cooperate in effitaing such exchange; provided, how vice, that the exchanging
party shall be respmlblefor all additional costs associated with such exchange, and provided fiartiter, that :a non-exviianging party
shalt wt assume any additional liability with respect to such tax-deftred exchange. Buyer and Seller shall execute such additional
Page 7,"9 RECEIVEn
ARD FORM 12-T
eller initials
.Buyer initial S. 'RevUed 7/2013
-'-00 FEB 2 0 200 074013
®CM- MHD CITY
.. .......... ................................
.. ..... . ...

documents, in connectiori- therewith, be required
to give effect to atis provision-
15. PARTIES: This Contract shall be binding upon and shall inure to the benefit of Buyer and Seller and their respective heirs,
successors and assigns. As used herein, words in the singular Wclu& the plural andthe masculine includes the feminine and neuter
ge,ndo,rs., a appropriate,
16. SURVIVAL- If any provision herein cmttaiiied which by its nature and effect is required to be observed, kept or performed air
the Closing, it shall survive the Closing and remain binding upon and for the benefit of the parties hereto unlit fully observed, kept or
performed-
17. 'ENTIRE AGREEMENT: This Contract contains the entire agreement of the panics and there are no representations,
inducements or otherprovisions other than those expressed herein: All changes, additions or deletions hereto must be in writing and
4vwJ by all partie& Nothing contained herein "it alter any agreernent between a REALTORO or broker and Seller or Buyer as
containe& in any listing agreement, buyer agency agreement, or any other agency agreement between them
I& NO'J`10E- Any notice.
or comniunication to be givento & party herein may be given to the party or to suchpartya agent. Any
written notice or communication in connection with the transaction, can. templatod by this Contract maybe given to a party or.,a party's
agent by sending or transmitting it to any ritailing address, o-mAil address or fax narnber set forth in the "Notice Information" section
below. Seller and Buyer agree that the 'Notice Information!' and "Escrow Acknowlodgmene' sections Wow shall not constitute a
material part of this Contract, and that the addition or modification of any information therein shall not constitute a rejection of an
offer or the creation of a counteroffer.
is. RUCUTION: This Contract may be signed in multiple originals or counterparts, all of which together constitute one and the
same instrument, and the parties adopt as their seats the word `SEAL" beside their signatures below.
20, COMPUTA77ON OF DAYS- Unless otherwise provided, for purposes of this Contract, the term "days" shall mean consecutive
calendar days, including Saturdays, Sundays, and holidays, whether federal, state, local or religious. For the purposes of calculating
days, the count of "days" shall begin on the day following the day upon which any act or notice as provided in this Contract was
required to be performed or made.
THE NORTH CAROLINA ASSOC(ATION OF REALTORS', INC. AND TiE NORTH CAROLINA BAR ASSOCIATION
MAKE NOREPRESENTATION AS TO THE LEQAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY, SPEC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT. DOES NOT PROVIDE
FOR YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT.
This oiler shall become a binding contract on the Effective Date.
vaw. � 2-130 k k
Date.
Buyer
(SEAL) Seller
1A #
Of (SEAL)
Date:.
Date*
Ww" q DI)Foo
Buyer
(SEAL) Seller
(SEAL)
Elate.
Date-,
Buyer
(SEAL) Senor
(SEAL)
RECEIVED
FEB 2 0 2017
®CM- MHD CITY
page 8 Of 9
STANDARD FORM 12-T
0 74013

NOTICE
(NOTE. INSERT THE ADDRESS AND/OR ELECTRONIC
'FOR THE RECEIPT OIL AN 'NOTICE CONTEMPLATED MPLATED B
'NOTA'P'ItC?Vi7, j
BUYER NOTICE ADDRESS
Mailing Address. E0 Box 885, swansboro, NC 2
Buyer Fax*
Buyer E-mail.
SELLING AGENT NOTICE ADDR SS:
F?irzrt Name:
Acting as Ci Buyer's Agent CI Seller's (sub)Agent El Dual Agent
Mailing A-ddre :
Individual Selling Agent:
C3 Acting as a esignated Dual Agent (check only if applicable)
License �
Sdbug .Agent Phone#.
Selling Agent E#=
fling AgentE-mail:
FORMATION r
ELIVERY ADDRESS EACH PARTY AND AGENT APPROVES
Y THIS S CONTRACT. INSERT "N A�' FOR ANY WHICH ARE
SE LER NOTICE ADDRESS -
Mailing Address— # i3 i3�are esi A rn€tessct NC 2$557
Seller Pa:
,Selter E-mail: v x_ona 01wuth.net
LISTING AGENT NOTICE ADDRESS
Firm Name:
Acting as Ql Seller's Agent Q Dual Agent
Mailing Address.
Indiv dual 'Listing Agent:
11 Acting as a Designated Dual Agent (check only if applicable)
License #:
Listing Agent Phone#:
Listing Agent Fax#'.
Listing Agent E-mail:
ESCROW ACKNOWLEDGMENT OF INITIAL EAW4EST MONEY DEPOSIT
Property:
Seller.
Buyer.
Escrow Agent acknowledges receipt of the Initial Earnest Money Deposit and agrees to hold and disburse the same in
accordance with the terms hereof.
Da Firm -
By:
(Signature)
(Print name)

STATE OF NORTH CAROLINA;
Instructions to property Owners
i. one ResidentialProperty Disclosure Act (GS. 'p) ("Disclosure- tact'") n ui s owners of residential real estate (singic-
family homes, individual condominiums, € wnhouses, and the like, and iau ings with up to :fi)ur dwelling units) to furnish
'purchasers a Residential Property and Owners' Association Disclosure Statement (" isclostre Statement" 116s form'is the
only one approved for this �aurpose. Adisclosure starrme at .must be furnished in connection with the sue, hau ,, option,
an sale under lease wit option to purchase where,the tenant does not occupy or intend to occupy the d elfin .
disclosurestatennent is not re urretl far some transactions, including clue freer ale of tlwellirrg which his never been inh it l
and trarrdsactions of residential property made ursuant to a lease�rrh option to putcinase where the Iessee occupies or intends
to Occupy the dwelling, For a complete list o emptiom G.& 7- .
, You must respond, to each of the questions an the following pages of this Ioarrt by filling in the requested information or by
Vacirsg check (N) in the appropriate box. In responding to the questions, You are only obligated to disclose` n informatio ut v ich you have actual knowledge.
a, Ifyoa check `° es`� lb! any question, you must e plain Your answer and either describe any problcrnn or attach a report:
alai ate artorrney, erzgiraec r, eonrracto pear crnntro3 operarrar or other ex
ar psrinl is agerncy describing it. ffyou attach a
repo t3 you wvill that be liable for any inaccurate or incorrnplere in ormatio n contained inn it so long as ycxu were niat grossly
negligent in obtaining car Transmitting the infortrsatjon.
. if you check "No,' you are smarting that you have no actual knowledge of any problem. tfycau check "No" and you'koow
there is a probitra, you may be liable for making an intentional misstatement.
c. If you check. "No Representation,' ytanx are choosing not to disclose the conditions or characteristics of the property, even
if you have actual knowledge of them or should have known of thcm,
d. If you check 'Yes" or "No" and something
; happens to the property to snake your Disclosure Statement incorrect or
inaccurate (for example, the roof begins to leak), you must promptly give the purchaser a corrected Disclosure Statement
or correct the problem.
3. if y�ou arc assisted its the sale of your property by a licensed real �starc broker, you are still responsible for completing and
deiiveritng the Disclosure Statement to the purchasers; and the broker must disclose any material facts about your property
which one or she knows or reasonably should know, regardless of your responses on theDisclosure Statement.
, You must give the completed Disclosure Sratensent to the purchaser no later than the drone the purser makes an offer to
purchase your Fro erty If you do not, the purchaser can, under certain conditions, cancel arty resenting contract {,See "Now
to Purchasers' bow). You should give the purchaser a copy rat the Disclosure Statement containing your signature an keep
copy signed by the purchaser r your records,
Note in Purchasers: If the owner does not give you a Residential Property and Owners'Association Disclost r+e Starmtrient
by the time you make your offer to purchase the property, you may under certain conditions cancel any resulting contract with-
out penalty to you as the purchaser. To cancel the: contract, you must personally deliver or mail written notice of your decision
to cancel` to the owner or the ownees a erd within three cialendar days following your receipt of the Disclosure Statement, or
three calendar days following the date of the contract, whichever occurs first. However, in no event does the Disclosure Act
permit you to cancel a contract after settlement of the transaction or (in the case of a sale or exchange) a*teryou have occupied
the pretty, whichever occurs first.
5, to the cc below, type or priest in ink the address of the property (sufficient to identify it) and your name. "Chen sign and date.
Property Address: 812 Silver Creek Landins Road, Swansboro, NC 285M
' nee$ anje(s)' Wiliam R and Sarah A Dixon
Owner(s) ac, non dge s) baving examined dyis Disciature Statement burrs signing and that end infirm tion is recce and ca ere
of the sign-e
Owner Signature; A A
e Date
n
owncrS gtnaturc; _Dante
1 Srr> err a azcri recript oyed ccr ry of €t 17sscla5srrr Swrementha they have examined it before ogn , t t urz�` �
that this is nor a uuz sly 4 aumm or cauzwn' gentrg t it if not a ubs t ute, {messy impeeti€ 0 nab a70 obuin, and that the
reprknAI&M am the r yin s and wr ibe o' ar is arrsuhVews Irsr sets Ora atr�xr a +�nrzr d ter ra dzai� i� ar ea
etrtc+ s �z a € e�f orrrr rrxs tnr r a ct es ea al rest hornet, uvr& in dvp1a=1hidzdr she sin sad`ar as aprpmpritw,
Purchaser Signaxum. gate �-
archaser Signature
REV W14
FEB 2 0 2017
DCM- MIW1) CITY

PtopertyMc[tem/Descriptio
The W tog t�itii�Sdo ad r s the dt iracteristics and ti an of die ray identified above ocsr� the et
�
has Amwjk r ,, - Whe the question d �" it is in r�.#'ear to the dam' imm or
thaji one, to he coniiyed NOth the property. 1he to " - g intendewr hunam habWom
ya kwmmfici
1. Inwhat year was the dwelling, constructed?'
Explain if lecessaryz
1 Is there buy problem, malf motion or defect with the dwelling's foundation, slat, fireplacalchimneyi, floors,
windows (including storm windows and screlao, door, ceilings, interior and exterior walls, attached garage,
patio, deck or other structuratcomponcuts including any modifications to dicmr ,.,............ x.
. The dwellingIs exterior "k am made of what $ ret rial? Briek 'te` r c+nel .a Stone i Vinyl (3
yntheticbcuccrs otopositd,oni ardboard nci c Fiber Cement U Aluminum C3 asbestos 0 Other
(Check all that apply)
, 112 what year was the dwellings roof coveting installed'; � � (ppirtmimaw if no records arc
omadable) Explain ifriecesnai`ya
5, is there, any leakage or other problem with the dwelling's toof?. ....
13 El 0
Is there arty waterseepage, leakage, dampness or staradingwater in the dwelling's basement, crawl space, or slats?
no z
7. is them any problem, malfurctt€in or defect with the dwellings elec.rriod systeiii (ouda.t4wiring, panel,
DO 91
switch fixtures, generator, etc.)? .. . ...... . ....... . .. ...... ......., ....,..r. .,.......
U. is ih4rC any pro.aleixi, waifirtiction or dcfecr with the dweili nes plumbing system (pipes. fixtures, water heater; etc.)?
_ 9..., Is there any problem. malfiinctioa or defect with the dwelling's hearing andlor air conditioning?. ................^
(��
Lam!
� .
10, What is the dwelling's heat source? 0 Furnace Ct Hear Pump 0 Baseboard 0 Other
�
I
(Check all that apPlf) . < ,,. .. ...... o_...........................................
of Sysreiri.
l L What is the dwelling's cooling source 0 C,,tntral 1'orccd. Air 0 WA/Window Unic(s) U Other _
(Check all that apply) . ...... ..................................... ......_.,.........,...,.........
.Age of system:
12, " What am the dwellings fuel sources? 0 ileccricity a Natural Gas 0 Propane 0 Oil 0 Other
(Check all that ap�ily) if the fuel source is stared in a rank,
idetxrifv whether the tank is 0 above ground or a.1 below ground and wherher the tank is 0 leased by seller or
El owned by seller, (Check all that apply), .,.. ... ..... ., .. ., ..
0
13. What is the dwelling's water supply stoume? a Cit}r/County Ll Community -System 0 Private Well Shared
Well U Other (Check dl that apply)—..., ......, .
14, The dwelling's waxer pipet are mace ofwhat type oftnarcrial? 0 Copper 0 Galvanized ot Plastic 171 Polybiuylene
is Other (Check all that ayxly).... .:....... .. . .... . . ...... „<.
15. is there any, problem,. malfunction or defect with the dwellings water supply (including water duality, quantity,
or water pressure)' ............ ........... .................. ... ..... ,.. ....
011
M S4laar is the dwtiliri °s se+r�age disposal system? 0 Se tic'1 nk 0 Septic Tank with Pump J Community
Inrear 0 Connected to City/Coancy System 0 City County Systern available 0 Straight (wastewater
into (riot£: iolates 0 Closer
es not go a septic or other Sewer System use of this type of system, x state awl)
0
(Check all that apply).......................—......,,...........................,......... .......,.
17, .if the d elling .s serviced by a stptic stetnb do you know b.ow inany bedrooms s are allowed by the septic
It
rt W perxnW
answer is "yes," hang many bedrooms are allowed?
0 No records available
1,& 6 there any problem, rtialf'uncrfota or defec t with the dweillues sower and/or septic sr,stem? ,.......
11), is there any,probtern, malfunction or defect with the dwellin 's central- vacuum, pool, hot rule, ,a, attic f i
atast f xi, ceilin fa , stamp pump, irrigation system T'v' lie wiring or satellite dish garage osrr openers,
gasI(W. or other symms?. .... .. ..... .... .... ......... ...... ......... —.............
20. lls there .any probleati, malfunction or defect with any a pliances that may may be included to the conveyaance.
�( €i n. attached microwave, hoacld�,-ciaslrv�slrer dfi ctsal, ete.i�.,, .x.....,.,, . „ . ........
i�
Owner Initials and late t }wner Initials and TJate n
Purchaser lcilt14 and Dare iWwchaser sandals and late
Par. 2 44
FEB 2 0 2017
DCM- MHD CITY

i. is there any problem with pit infestation of the 4welhur or damage from past inf�sration of d
desuoying insects or organisms which has not been rcpair04?
21 Ir them aca problem, malfunction or d4ect with the drainage, grading or soil smbiliry of the prop rqi_ ,,. >.
23, Axe there airy structural addiriors or other structural or mechanical changes to he dwelling(s) to be conveyed
w" the property= .,
24, is the property to e: conveyed In violation of any local zoni ordintcts, restrictive~ Covenants, or other land
' ` mw test ns, or building codes (including � Unit to Daa
own proper permits fsrr wom dims or other
25. Are there any hazardous or toxic substances materials, or prodticts (such as asbestos, formaldehyde, radon
rtreth ne gas, (cad -based pxtag.i) c heelx s peal gt�� xstterar � staztslart3s, sn rlelatis { Exealt a lsucr �i tar
covered nr urxde�rtauttd storage tattlss, or eaxuarorrtneratally hazardous condlrloxtsstach as aurarxxauated
writ or water, or o er eaxvironrraexxtaI ctantatninatiorx} sv ltie affect the prcrpei ry?..... .:....... ® N
26is there any noise, odor, smoke, etc, insane commercial, mercial, Industrial, or military sour swhich affects the property?
2 ° Js'the prtx�rtysubject to any ntclira car Wier easements shared driveways party walls or encroachments faunae � {
or on a€ijaa rtt property:....,. >, ........
, Is the property the subject of any tawsuits, foredosums, lvAkrtrptcy, braes or rental amen. is, judgments, tax
Betts, proposed assessments, mecharu liens rraaterr atmc ns trees or notices ktom any govertimearal agency that
couldaffier title to the property?.......... . ....... .. ............. ........
2% Is the property subject to a Rood hazard or is the property located in a federally -designated flood hazard area? 0 13
30, Does the property abut or adjoin any private road(s) or street($)f-.—.... ................... ........... ,...... --- ❑ 0
31. If there is a private road or street adjrainirxg clxr pmperty; is there in a fence any owners` azociatattn or maintenance
mrmerrts Ming with the nt intersance of nc� noel or acted?=..........
i , to of the
Sheets if necessary}:
to tie4 of provi& a written explanation, you may arrach a written report to this Disclosure Staremenr by a taublic ag cy, or by an
atttor°rte% en rwe4 and. surveyor, logisr, pest control o erator, contractor, home inspector, or other expert, de ing with matters within
the swipe of that public agertcy's ttEceioru or the experts License or expcttise.
=i'he followmg questions pertal a to the property identified above, including die lot to be conveyexl and any dwelling u it(s), she&,,
detathed gages, or other buildings located thereon.
NO
Ysa �mraxiaa,
32. To your knowledge, is the property subject to regulation by one or more owners' association(s) or governing
documents, which iris lase various rraaiaditory covenants, conditions, and trstrictions upon the lor, including,
but trot lltaritcd m ola igattions to pay regular assessments or dues and :special assessments? if your answer .is
yes,' please provide the information nested below as to each owners' association to which the property is
subject finsert. NIA into any blank drat do%pot apoyj.
�, whose regular assessments
aQd telepl%ne number of the
mana er
+t'ry name] whose regular assessments
" a a per The name, address, and telephone number of the
president ofthe owners associadoc or the association managerare
RECEIVE
FEB 2 0 2017
* Lfyou answered ' to question 32 ahoy you must coutplete the remainJer of this Disclosure Statement ff a d
"News r "No Representation" to question 3 a you do not aced tea answer the reoWnir q ns an this bitty care
Statement. `fix to the bottom of the last page and in►tW and date the pase
Owner Initials and Date WKU IA � , owner initial, and late
Purchaser Wrists and Date Purrhs r Initials and Data
1agr.3 of 4

33, Atearry feca charged by the assoCiation or by rise tssca trtts management ent '3
cct�ct e of transfer of the lot or property ,to a new tted If your answer is
t�f chi tries:._
d. As of the dace this DuclosureStitement is signed, are h re any dipm for of s
been duly prow d. as reqiured by the a plic�blc declaudon bylaws, and rh"
to which•the lot is subject? If vour answer ii "ye,%' piesso ante the nature am
special assessuitats to which the property is subject:
3. As ok the date this Disclosure Staten. -tent is signed, Are there any cinsatisfied i
lawsuits i�lvf t1w roped arc' l r a If your aver is "Yes"', f
any in connecrlon with the
yes** p6se$rare the amount
meal assrmnts which have
are payable to an association
amount of the dues, kes, or
pending lawsuit, and tie aix aunt of each nsaw ecf jddga t e
36. s oNhe date this ischisute Sta.teumat is s' Hari, act Mere An tattsathfted ludgm,
lawsuits
rxrxalrlra t�td ar rsFetzar t v$ra rls property e
against, Cir pending .ee nature of 4
sagainsx, or pending
are subject, with the
'its can lots other than
h,o opea add lot to Lie conveyed? if your answu is "yes" plemse state the nature cat` each pendin la th,
And ilea a tccsunr of eael� urasatisfZed ttd nt dt:
37. Which of the following serum and uneni ies are paid for by the owners' amdadou(s) identified above
tint of the aasscac adori:s regular (`dues")' (Check Al that apply).
Management p ..,.--....... ..,
Exterior Ektilding Maintenance of Property to beranv e < ....., ... ,. .. ........ .........
Exterior YadiLAndscapiag Maisi tenav e of Lot to be Cunvgc ........... ....... ........ ......
omopor Awgs Adainren�ance. .......... ...................... _ .....:.. ......
TrashRemoval ......... ............ .......>............. ... .,
Recreational A nenity Maintenance (specify amenities coveredI'll) Al � k} i , '
❑ t9 a
0 O
Pest Tz-atntent/secrnination...,..r............... �:. .......... .,s-.... ..
.:....,,..,...
El
Street Lights. .......................
... ..........
........... ..............
........... © 9
11
Storm water Mana ernent/Drama ellod 'bs....... .... ......... ..........:; .....,...:,..,
.... „..... ...,..,.. 0
Internet$=vice- .....:_,..... .,..........................................................._...;_.,..,,........,.,...............................
n 10
1
fable.: ...............................
© 1z
0
Private Road Maintenan ........ .................. . ......... .............................
1314
11
Parkin ea Wnrenance.. ,....,. ......... ........ ..,........,..,............
..,..,..,..... 0 ❑
11
Gate. or Socutity.._..._ ....... , ............. ...... ......................
....... .
Other. (sped )
Owner lnirlala and Date �`� Owner Initials acid late
a J
Put ha r.lrti rals eta L7ate '=haser initials and date
R r- 1! -
eC
Nt4af
FEB 2 0 2017
DCM- MH® CITY