Position Realty · Seller
Residential Earthquake Risk Disclosure Statement
Record the seller’s knowledge of common earthquake weaknesses in a home built before 1960 and the buyer’s receipt of the guide and statement.
ForSellerYour partSign
Property
Seller
Property address
Assessor’s parcel number
Year built
Known earthquake-risk features
Water heater braced
□ Yes□ No□ Doesn’t apply□ Don’t know
Home bolted to foundation
□ Yes□ No□ Doesn’t apply□ Don’t know
Crawl-space walls braced or piers strengthened
□ Yes□ No□ Doesn’t apply□ Don’t know
Unreinforced masonry foundation strengthened
□ Yes□ No□ Doesn’t apply□ Don’t know
Hillside foundation walls and posts strengthened
□ Yes□ No□ Doesn’t apply□ Don’t know
Unreinforced masonry exterior walls strengthened
□ Yes□ No□ Doesn’t apply□ Don’t know
Wall around garage opening strengthened where living area is above
□ Yes□ No□ Doesn’t apply□ Don’t know
Mapped hazard zones
Alquist-Priolo fault-zone and seismic-hazard-zone facts belong in the Natural Hazard Disclosure record rather than the seller’s knowledge answers here.
Certification and receipt
Seller signatures
Buyer acknowledges receipt of the guide and completed statement