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# CA Seller Disclosure Worksheet — Starter Blank (USA Houses LLC original draft)
Original worksheet; not a copy of any statutory or association form.

Coordinate with: TDS (Civ. 1102.6 — statutory form; this worksheet is NOT a substitute), NHD (Civ. 1103.2), Megan's Law notice, smoke/water heater statement, lead paint (pre-1978), HOA docs (Civ. 4525).

Seller has actual knowledge of the following (Yes/No/Unknown): Real property / structure ☐ roof ☐ foundation ☐ plumbing ☐ electrical ☐ HVAC ☐ water intrusion/mold ☐ pests ☐ additions without permits ☐ easements/encroachments ☐ lawsuits/liens ☐ HOA ☐ death/other material facts (counsel to advise limits) — explain each Yes: ____

Seller: ____ Date ____  Buyer receipt: ____ Date ____