Property Address__________________________________________________


Molds are a member of the fungi family and are simple, microscopic organisms, found virtually everywhere, indoors and outdoors. Molds are found on plants, food, dry leaves and many other organic materials. Mold spores are very tiny and lightweight with as many as 250,000 mold spores being able to reside on the head of a pin. Mold growths are seen in a variety of colors from white to pink to green to brown to black and many shades in between. When some molds are present in large quantities they can cause allergic reactions, asthma episodes, infections, other respiratory problems and, possibly, toxic reactions in some individuals.

At the present time, there are no federal or state regulatory standards defining "safe" levels of mold, proper mold identification methods or mold remediation standards. The Seller and the Buyer are hereby advised to seek professional assessment or inspection of the property if the presence of mold is of concern to either the Seller or Buyer.


Seller does_____ does not_____ have knowledge of the presence of mold in the property included in this sale.

Seller does_____ does not _____have any reports, records or inspections regarding past or

current mold infestation in the property included in this sale. Any reports, records or inspections in Seller’s possession are attached hereto as a disclosure to Buyer.


Buyer has read the information set forth in this "Disclosure of Information on Mold" and has received copies of any reports, records or inspections listed above, if any.

Buyer has received the U.S. Environmental Protection Agency "A Brief Guide to Mold, Moisture, and Your Home".

Buyer does _____does not_____ waive the opportunity to conduct an inspection of the property included in this sale for the presence of mold.

The parties hereto, by their signature(s) affixed hereon, agree that the information contained herein is true and accurate to the best of their knowledge and belief. The parties hereto agree to hold the Agent(s) and Broker(s) harmless in the event any mold or other fungal contaminant is present on or in the property included in this sale.

Seller:_________________________ Buyer:_________________________

Date Date

Seller:_________________________ Buyer:_________________________

Date Date

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Seller’s Agent Date Buyer’s Agent Date

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