dotloop signature verification: dtlp.

us/joSO-HMSB-Mc75

SELLER’S PROPERTY DISCLOSURE STATEMENT

EXHIBIT “________”

2024 Printing

This Seller’s Property Disclosure Statement (“Statement”) is an exhibit to the Purchase and Sale Agreement with an Offer Date of
_____________________ for the Property (known as or located at: 3120 _____________________________________________________
Godby Road
__________________________________, Georgia, 30349
Atlanta _________________). This Statement is intended to make it easier for Seller to
fulfill Seller’s legal duty to disclose hidden defects in the Property of which Seller is aware. Seller is obligated to disclose such defects
even when the Property is being sold “as-is.”

A. INSTRUCTIONS TO SELLER IN COMPLETING THIS STATEMENT.

In completing this Statement, Seller agrees to:
(1) answer all questions in reference to the Property and the improvements thereon;
(2) answer all questions fully, accurately and to the actual knowledge and belief of all Sellers (hereinafter, collectively
“Knowledge”);
(3) provide additional explanations to all “yes” answers in the corresponding Explanation section below each group of questions
(including providing to Buyer any additional documentation in Seller’s possession), unless the “yes” answer is self-evident;
(4) promptly revise the Statement if there are any material changes in the answers to any of the questions prior to Closing and
provide a copy of the same to the Buyer and any Broker involved in the transaction.

B. HOW THIS STATEMENT SHOULD BE USED BY BUYER. Caveat emptor or “buyer beware” is the law in Georgia. Buyer should
conduct a thorough inspection of the Property. If Seller has not occupied the Property or has not recently occupied the Property,
Seller’s Knowledge of the Property’s condition may be limited. Buyer is expected to use reasonable care to inspect the Property
and confirm that it is suitable for Buyer’s purposes. If an inspection of the Property reveals problems or areas of concern that
would cause a reasonable Buyer to investigate further, Buyer should investigate further. A “yes” or “no” answer to a question
means “yes” or “no” to the actual Knowledge and belief of all Sellers of the Property. In other words, if a Seller answers “no” to a
question, it means Seller has no Knowledge whether such condition exists on the Property. As such, Seller’s answers should not
be taken as a warranty or guaranty of the accuracy of such answers, nor a substitute for Buyer doing its own due diligence.

C. SELLER DISCLOSURES.

1. GENERAL: YES NO
(a) What year was the main residential dwelling constructed? 2023
_________________
(b) Is the Property vacant?
If yes, how long has it been since the Property has been occupied? ________________
(c) Is the Property or any portion thereof leased?
(d) Has the Property been designated as historic or in a historic district where permission must be
received to make modifications and additions?
EXPLANATION:

2. COVENANTS, FEES, and ASSESSMENTS: YES NO

(a) Is the Property subject to a recorded Declaration of Covenants, Conditions, and Restrictions
(“CC&Rs”) or other similar restrictions?
(b) Is the Property part of a condominium or community in which there is a community association?
IF YES, SELLER TO COMPLETE AND PROVIDE BUYER WITH A “COMMUNITY
ASSOCIATION DISCLOSURE EXHIBIT” GAR F322.
EXPLANATION:

3. LEAD-BASED PAINT: YES NO

(a) Was any part of the residential dwelling on the Property or any painted component, fixture, or
material used therein constructed or manufacture prior to 1978? IF YES, THE “LEAD-BASED
PAINT EXHIBIT” GAR F316 MUST BE EXECUTED BY THE PARTIES AND THE “LEAD-
BASED PAINT PAMPHLET” GAR CB04 MUST BE PROVIDED TO THE BUYER.

THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH Micahia
_____________________________
Braden IS INVOLVED AS A
REAL ESTATE LICENSEE. UNAUTHORIZED USE OF THE FORM MAY RESULT IN LEGAL SANCTIONS BEING BROUGHT AGAINST THE USER AND SHOULD BE
REPORTED TO THE GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831.
Copyright© 2024 by Georgia Association of REALTORS®, Inc. F301, Seller’s Property Disclosure Statement Exhibit, Page 1 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

4. STRUCTURAL ITEMS, ADDITIONS AND ALTERATIONS: YES NO

(a) Has there been any settling, movement, cracking or breakage of the foundations or structural
supports of the improvements?
(b) Have any structural reinforcements or supports been added?
(c) Have there been any additions, structural changes, or any other major alterations to the original
improvements or Property, including without limitation pools, carports or storage buildings?
(d) Has any work been done where a required building permit was not obtained?
(e) Are there violations of building codes, housing codes, or zoning regulations (not otherwise
grandfathered)?
(f) Have any notices alleging such violations been received?
(g) Is any portion of the main dwelling a mobile, modular or manufactured home?
(h) Was any dwelling or portion thereof (excluding mobile, modular and manufactured dwelling)
moved to the site from another location?
EXPLANATION:

5. SYSTEMS and COMPONENTS: YES NO

(a) Has any part of the HVAC system(s) been replaced during Seller’s ownership?
(b) Date of last HVAC system(s) service: 5/2024
_________________________________________
(c) Is any heated and cooled portion of the main dwelling not served by a central heating and cooling
system?
(d) Is any portion of the heating and cooling system in need of repair or replacement?
(e) Does any dwelling or garage have aluminum wiring other than in the primary service line?
(f) Are any fireplaces decorative only or in need of repair?
(g) Have there been any reports of damaging moisture behind exterior walls constructed of synthetic
stucco?
(h) Are any systems/components subject to a lease or rental payment plan (i.e. HVAC, security
system, appliances, alternate energy source systems, etc.)?
(i) Are there any remotely accessed thermostats, lighting systems, security camera, video doorbells,
locks, appliances, etc. servicing the Property?
EXPLANATION:
Regular Maintenance on HVAC

6. SEWER/PLUMBING RELATED ITEMS: YES NO

(a) Approximate age of water heater(s): 1_______________ years
(b) What is the drinking water source:  public  private  well
(c) If the drinking water is from a well, give the date of last service: _______________________
(d) If the drinking water is from a well, has there ever been a test the results of which indicate that
the water is not safe to drink? If yes, date of testing: ___________________________
(e) What is the sewer system:  public  private  septic tank
(f) If the Property is served by a septic system, how many bedrooms was the septic system
approved for by local government authorities? ____________
(g) Is the main dwelling served by a sewage pump?
(h) Has any septic tank or cesspool on Property ever been professionally serviced?
If yes, give the date of last service: ______________________________
(i) Are there any leaks, backups, or other similar problems with any portion of the plumbing, water,
or sewage systems or damage therefrom?
(j) Is there presently any polybutylene plumbing, other than the primary service line?
(k) Has there ever been any damage from a frozen water line, spigot, or fixture?
EXPLANATION:
All tankless water heaters replaced in January 2024

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 2 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

7. ROOFS, GUTTERS, and DOWNSPOUTS: YES NO

(a) Approximate age of roof on main dwelling: 1_________ years.
(b) Has any part of the roof been repaired during Seller’s ownership?
(c) Are there any roof leaks or other problems with the roof, roof flashing, gutters, or downspouts?
EXPLANATION:

8. FLOODING, DRAINING, MOISTURE, and SPRINGS: YES NO

(a) Is there now or has there been any water intrusion into the basement, crawl space or other interior
parts of any dwelling or garage or damage therefrom from the exterior?
(b) Have any repairs been made to control water intrusion into the basement, crawl space, or other
interior parts of any dwelling or garage from the exterior?
(c) Is any part of the Property or any improvements thereon presently located in a Special Flood
Hazard Area?
(d) Has there ever been any flooding?
(e) Are there any streams that do not flow year round or underground springs?
(f) Are there any dams, retention ponds, storm water detention basins, or other similar facilities?
EXPLANATION:

9. SOIL AND BOUNDARIES: YES NO

(a) Are there any landfills (other than foundation backfill), graves, burial pits, caves, mine shafts, trash
dumps or wells (in use or abandoned)?
(b) Is there now or has there ever been any visible soil settlement or movement?
(c) Are there any shared improvements which benefit or burden the Property, including, but not limited
to a shared dock, septic system, well, driveway, alleyway, or private road?
(d) Are there presently any encroachments, unrecorded easements, unrecorded agreements
regarding shared improvements, or boundary line disputes with a neighboring property owner?
EXPLANATION:

10. TERMITES, DRY ROT, PESTS, and WOOD DESTROYING ORGANISMS: YES NO
(a) Are you aware of any wildlife accessing the attic or other interior portions of the residence?
(b) Is there any damage or hazardous condition resulting from such wildlife intrusion; from insects
(such as termites, bees and ants); or by fungi or dry rot?
(c) Is there presently a bond, warranty or service contract for termites or other wood destroying
organisms by a licensed pest control company?
If yes, what is the cost to transfer? $ ___________ What is the annual cost? _____________
If yes, company name/contact: __________________________________________________
Coverage:  re-treatment and repair  re-treatment  periodic inspections only
Expiration Date _______________________ Renewal Date _______________________
EXPLANATION:

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 3 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

11. ENVIRONMENTAL, HEALTH, and SAFETY CONCERNS: YES NO

(a) Are there any underground tanks or toxic or hazardous substances such as asbestos?
(b) Has Methamphetamine (“Meth”) ever been produced on the Property?
(c) Have there ever been adverse test results for radon, lead, mold or any other potentially toxic or
environmentally hazardous substances?
EXPLANATION:

12. LITIGATION and INSURANCE: YES NO

(a) Is there now or has there been any litigation therein alleging negligent construction or defective
building products?
(b) Has there been any award or payment of money in lieu of repairs for defective building products
or poor construction?
(c) Has any release been signed regarding defective products or poor construction that would limit a
future owner from making any claims?
(d) During Seller’s ownership have there been any insurance claims for more than 10% of the value of
the Property?
(e) Is the Property subject to a threatened or pending condemnation action?
(f) How many insurance claims have been filed during Seller’s ownership? _________________
EXPLANATION:

13. OTHER HIDDEN DEFECTS: YES NO

(a) Are there any other hidden defects that have not otherwise been disclosed?
EXPLANATION:

14. AGRICULTURAL DISCLOSURE: YES NO

(a) Is the Property within, partially within, or adjacent to any property zoned or identified on an
approved county land use plan as agricultural or forestry use?
(b) Is the Property receiving preferential tax treatment as an agricultural property?
It is the policy of this state and this community to conserve, protect, and encourage the development and improvement of
farm and forest land for the production of food, fiber, and other products, and also for its natural and environmental value.
This notice is to inform prospective property owners or other persons or entities leasing or acquiring an interest in real
property that property in which they are about to acquire an interest lies within, partially within, or adjacent to an area
zoned, used, or identified for farm and forest activities and that farm and forest activities occur in the area. Such farm and
forest activities may include intensive operations that cause discomfort and inconveniences that involve, but are not limited
to, noises, odors, fumes, dust, smoke, insects, operations of machinery during any 24-hour period, storage and disposal of
manure, and the application by spraying or otherwise of chemical fertilizers, soil amendments, herbicides, and pesticides.
One or more of these inconveniences may occur as the result of farm or forest activities which are in conformance with
existing laws and regulations and accepted customs and standards.

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 4 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

ADDITIONAL EXPLANATIONS (If needed):

D. FIXTURES CHECKLIST

1. Directions on How to Generally Fill Out Fixtures Checklist. REGARDLESS OF WHETHER AN ITEM IS A FIXTURE OR
NOT, SELLER SHALL HAVE THE RIGHT TO REMOVE ALL ITEMS ON THE FIXTURES CHECKLIST BELOW THAT ARE
LEFT BLANK. THE ITEMS ON THE CHECKLIST BELOW THAT ARE CHECKED OR MARKED SHALL REMAIN WITH THE
PROPERTY. Unless otherwise indicated, if an item is left blank, the Seller may remove all of that item from the Property. For
example, if “Refrigerator” is left blank, Seller shall remove all Refrigerators on the Property, unless otherwise noted. Similarly, if
“Refrigerator” is checked or marked in the Fixtures Checklist, then all refrigerators shall remain with the Property unless
otherwise noted. This Fixtures Checklist is intended to supersede the common law of fixtures with regard to the items identified
below. The common law of fixtures shall apply to all items not identified on this Fixtures Checklist.

2. Items Not Remaining with the Property. Items identified as not remaining with the Property that are not physically attached to
the Property shall be carefully removed from the Property in a manner designed to do minimal damage, but such items do not
need to be replaced with a similar item. Seller shall make reasonable efforts to repair areas damaged by the removal of an item.
Reasonable efforts to repair damage shall not extend to painting newly exposed areas that do not match the surrounding paint
color. (Seller is encouraged, but shall not be required, to remove fixtures not remaining with the Property prior to marketing the
Property for sale). Seller shall remove all items left blank below prior to Closing or the transfer of possession, whichever is later.
Seller shall lose the right to remove those items not timely removed but shall be liable to Buyer for the reasonable cost of
disposing such items provided that Buyer disposes of them within 30 days after Closing or the transfer of possession, which is
later.

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 5 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

3. Items Remaining with Property. Items identified as remaining with the Property shall mean those specific items, including any
solely necessary or required controller, as they existed in the Property as of the Offer Date. No such item shall be removed from
the Property unless it is broken or destroyed. In the event such item is removed, it shall be replaced with a substantially identical
item, if reasonably available. If not reasonably available, it shall be replaced with a substantially similar item of equal quality and
value, or better. The same or newer model of the item being replaced in the same color and size and with the same functions or
better shall be considered substantially identical. Once the Seller’s Property is under contract, the items that may be removed
and taken by the Seller, as reflected in this Seller’s Property Disclosure Statement, may only be amended with the written
consent of the Buyer of the Property.

Appliances  Television (TV)  Birdhouses  Fire Sprinkler System

 Clothes Dryer  TV Antenna  Boat Dock  Gate
 Clothes Washing  TV Mounts/Brackets  Fence - Invisible  Safe (Built-In)
Machine  TV Wiring  Dog House  Smoke Detector
 Dishwasher  Flag Pole  Window Screens
 Garage Door Interior Fixtures  Gazebo
Opener  Ceiling Fan  Irrigation System Systems
 Garbage Disposal  Chandelier  Landscaping Lights  A/C Window Unit
 Ice Maker  Closet System  Mailbox  Air Purifier
 Microwave Oven  Fireplace (FP)  Out/Storage Building  Whole House Fan
 Oven  FP Gas Logs  Porch Swing  Attic Ventilator Fan
 Range  FP Screen/Door  Statuary  Ventilator Fan
 Refrigerator w/o Freezer  FP Wood Burning Insert  Stepping Stones  Car Charging Station
 Refrigerator/Freezer  Light Bulbs  Swing Set  Dehumidifier
 Free Standing Freezer  Light Fixtures  Tree House  Generator
 Surface Cook Top  Mirrors  Trellis  Humidifier
 Trash Compactor  Wall Mirrors  Weather Vane  Propane Tank
 Vacuum System  Vanity (hanging)  Propane Fuel in Tank
 Vent Hood Mirrors Recreation  Fuel Oil Tank
 Warming Drawer  Shelving Unit & System  Aboveground Pool  Fuel Oil in Tank
 Wine Cooler  Shower Head/Sprayer  Gas Grill  Sewage Pump
 Storage Unit/System  Hot Tub  Solar Panel
Home Media  Window Blinds (and  Outdoor Furniture  Sump Pump
 Amplifier Hardware)  Outdoor Playhouse  Thermostat
 Cable Jacks  Window Shutters (and  Pool Equipment  Water Purification
 Cable Receiver Hardware)  Pool Chemicals System
 Cable Remotes  Window Draperies (and  Sauna  Water Softener
 Intercom System Hardware) System
 Internet HUB  Unused Paint Safety  Well Pump
 Internet Wiring  Alarm System (Burglar)
 Satellite Dish Landscaping / Yard  Alarm System (Smoke/Fire) Other
 Satellite Receiver  Arbor  Security Camera  Smart
____________________
Home System
 Speakers  Awning  Carbon Monoxide Detector  Smart
____________________
Home Refrigerator
 Speaker Wiring  Basketball Post  Doorbell  ____________________
 Switch Plate Covers and Goal  Door & Window Hardware  ____________________

Clarification Regarding Multiple Items. Items identified above as remaining with Property where Seller is actually taking one or
more of such items shall be identified below. For example, if “Refrigerator” is marked as staying with the Property, but Seller is
taking the extra refrigerator in the basement, the extra refrigerator and its location shall be described below. This section shall
control over any conflicting or inconsistent provisions contained elsewhere herein.
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

Items Needing Repair. The following items remaining with Property are in need of repair or replacement:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 6 of 7, 01/01/24
dotloop signature verification: dtlp.us/joSO-HMSB-Mc75

RECEIPT AND ACKNOWLEDGEMENT BY BUYER SELLER’S REPRESENTATION REGARDING THIS

STATEMENT

Buyer acknowledges receipt of this Seller’s Property Seller represents that the questions in this Statement have
Disclosure Statement. been answered to the actual knowledge and belief of all Sellers
of the Property

dotloop verified

________________________________________________ Etienne Brown

__________________________________________________
7PPK-ML4V-9Q2S-MJBX
05/28/24 6:33 PM EDT

1 Buyer’s Signature 1 Seller’s Signature

________________________________________________
JAKARIS DELANTE HARRIS Etienne Brown
__________________________________________________
Print or Type Name Print or Type Name

________________________________________________
06/09/2024 __________________________________________________
Date Date

________________________________________________ __________________________________________________
2 Buyer’s Signature 2 Seller’s Signature

________________________________________________ __________________________________________________
Print or Type Name Print or Type Name

________________________________________________ __________________________________________________
Date Date

 Additional Signature Page (F267) is attached.  Additional Signature Page (F267) is attached.

Copyright© 2024 by Georgia Association of REALTORS® F301, Seller’s Property Disclosure Statement Exhibit, Page 7 of 7, 01/01/24
dotloop signature verification: dtlp.us/9Oic-9n0A-pJy7

COMMUNITY ASSOCIATION DISCLOSURE

EXHIBIT “_______”

2024 Printing

This Exhibit is part of the Agreement with an Offer Date of ________________________________ for the purchase and sale of that certain
Property known as: 3120 Godby Road
____________________________________________, Atlanta 30349
_____________________, Georgia ____________ (“Property”).

Directions for Filling Out This Community Association Disclosure (“Disclosure”). Seller must fill out this Disclosure accurately and
completely. If new information is learned by Seller which materially changes the answers herein, Seller must immediately update and provide
Buyer with a revised copy of this Disclosure up until Closing (see Section B for Seller’s payment obligations related to initial and updated
Disclosures). Seller should ensure the disclosures being made are accurate by confirming the same with the Community Association
(“Association”) and/or Association Manager(s).

Buyer’s Use of Disclosure. While this Disclosure is intended to give the Buyer basic information about the community in which Buyer is
purchasing, Buyer should read the covenants and other legal documents for the community (“Covenants”) to fully understand Buyer’s rights
and obligations therein. This Disclosure does not address all issues that may affect Buyer as the owner of a residence in the community.
Assessments in community associations tend to increase over time. The Covenants can normally be amended to reflect the changing
preferences in the community.

A. KEY TERMS AND CONDITIONS

1. TYPE OF ASSOCIATION IN WHICH BUYER WILL OR MAY BECOME A MEMBER (Select all that apply. The boxes not selected shall
not be a part of this Exhibit)
 Mandatory Membership Condominium Association  Mandatory Membership Age Restricted Community
 Mandatory Membership Community Association  All units are occupied by person 62 or older.
 Mandatory Membership Master Association  At least 80% of the occupied units are occupied by at least one
 Optional Voluntary Association person who is 55 years of age or older
 Voluntary Transitioning to Mandatory (Buyer shall be a
 voluntary or  mandatory member)
2. CONTACT INFORMATION FOR ASSOCIATION(S)
a. Name of Association: South Park Cottages, LLC
________________________________________________________________________________________
Booker Washington, Managing Member
Contact Person / Title: ________________________________________________________________________________________
Association Management Company: _____________________________________________________________________________
Telephone Number: _______________________________ Email Address: [email protected]
____________________________________________
Mailing Address: _________________________________ Website: _________________________________________________
_________________________________

b. Name of Master Association: ___________________________________________________________________________________

Contact Person / Title: ________________________________________________________________________________________
Association Management Company: _____________________________________________________________________________
Telephone Number: _______________________________ Email Address: ____________________________________________
Mailing Address: _________________________________ Website: ________________________________________________
_________________________________
3. ANNUAL ASSESSMENTS
$275.00/a month, includes water
The total annual assessments paid to the above Association(s) is $__________________________________ per calendar or fiscal year,
depending on how it is collected (hereinafter “Year”) and shall be paid in installments as follows: (Select all of that apply. The boxes not
selected shall not be a part of this Agreement)  Monthly  Quarterly  Semi-Annually  Annually  Other: __________

4. SPECIAL ASSESSMENTS
N/A
a. Buyer’s total portion of all special assessments Under Consideration is $________________________________________________.
N/A
b. Buyer’s total portion of all approved special assessments is $_________________________________________________________.
c. Approved Special Assessments shall be paid as follows: (Select all that apply. The boxes not selected shall not be a part of this
Agreement)  Monthly  Quarterly  Semi-Annually  Annually  Other: ___________________________________
d. Notwithstanding the above, if the Buyer’s portion of any and all special assessment(s) that are passed or Under Consideration after
the Binding Agreement Date is $____________________ or more, Buyer shall have the right, but not the obligation to terminate the
Agreement upon notice to Seller, provided that Buyer terminates the Agreement within five (5) days from being notified of the above,
after which Buyer’s right to terminate shall be deemed waived.
THIS FORM IS COPYRIGHTED AND MAY ONLY BE USED IN REAL ESTATE TRANSACTIONS IN WHICH Micahia Braden
_____________________________ IS INVOLVED AS A REAL
ESTATE LICENSEE. UNAUTHORIZED USE OF THE FORM MAY RESULT IN LEGAL SANCTIONS BEING BROUGHT AGAINST THE USER AND SHOULD BE REPORTED
TO THE GEORGIA ASSOCIATION OF REALTORS® AT (770) 451-1831.
Copyright© 2024 by Georgia Association of REALTORS®, Inc. F322, Community Association Disclosure Exhibit, Page 1 of 3, 01/01/24
dotloop signature verification: dtlp.us/9Oic-9n0A-pJy7

5. TRANSFER, INITIATION, AND ADMINISTRATIVE FEES

To the extent Transfer, Initiation, and Administrative Fees are fully and accurately disclosed by Seller, Buyer shall pay
540
600.00
$__________________ for all Transfer, Initiation, and Administrative Fees.

6. OTHER ASSOCIATION EXPENSES

 a. A fee for ___________________________________ is currently $_____________ per Year and is paid in _______ installments.
This fee does not include any Transfer, Initiation, and Administrative Fees.
 b. Utility Expenses. Buyer is required to pay for utilities which are billed separately by the Association and are in addition to any
other Association assessments. The Association bills separately for:  Electric  Water/Sewer  Natural Gas
 Cable TV  Internet  Other: __________________________________________________________________

7. ASSESSMENTS PAY FOR FOLLOWING SERVICES, AMENITIES, AND COSTS. The following services, amenities, and costs are
included in the Association annual assessment. (Select all which apply. Items not selected in Section 7.a. and/or Section 7.b. shall not be
part of this Agreement).
a. For Property costs include the following:
 Cable TV  Natural Gas  Pest Control  Other: _________________________
 Electricity  Water  Termite Control  Other: _________________________
 Heating  Hazard Insurance  Dwelling Exterior  Other: _________________________
 Internet Service  Flood Insurance  Yard Maintenance  Other: _________________________
b. Common Area / Element Maintenance costs include the following:
 Concierge  Pool  Hazard Insurance  Road Maintenance
 Gate Attendant  Tennis Court  Flood Insurance  Other: Gazebow/Swings
_________________________
 All Common Area  Golf Course  Pest Control  Other: _________________________
Utilities  Playground  Termite Control  Other: _________________________
 All Common Area  Exercise Facility  Dwelling Exterior  Other: _________________________
Maintenance  Equestrian Facility  Grounds Maintenance  Other: _________________________
 Internet Service  Marina/Boat Storage  Trash Pick-Up  Other: _________________________
8. LITIGATION. There  IS or  IS NOT any threatened or existing litigation relating to alleged construction defects in the Association in
which the Association is involved. If there is such threatened or existing litigation, please summarize the same below:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
 Check if additional pages are attached.

9. VIOLATIONS. Seller  HAS or  HAS NOT received any notice or lawsuit from the Association(s) referenced herein alleging that
Seller is in violation of any rule, regulation, or Covenant of the Association. If Seller has received such a notice of violation or lawsuit,
summarize the same below and the steps Seller has taken to cure the violation.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
 Check if additional pages are attached.
B. FURTHER EXPLANATIONS TO CORRESPONDING PARAGRAPHS IN SECTION A
1. TYPE OF ASSOCIATION IN WHICH BUYER WILL OR MAY BECOME A MEMBER
a. Defined: The primary purpose of a Community Association is to provide for the community, business, and governance aspects of the
Association. The Association administers and maintains operation of the community as provided in the deed, Covenants and
restrictions, rules and regulations, declaration, and/or other Community Association documents.
b. Examination: Buyer acknowledges that ownership of the Property is subject to declarations, certain restrictions (including the ability
to rent the Property), and by-laws, which may include additional costs as a member of a mandatory membership Association.
Restrictions are subject to change by actions of the Association.
c. Owner Limitations: If repairs and/or replacement of defects in any common element(s) are the exclusive responsibility of the
Association, the owner of the Property is unable to make such replacements and/or repairs.
2. CONTACT INFORMATION FOR ASSOCIATION(S)
a. Consent of Buyer to Reveal Information to Association(s). Buyer hereby authorizes closing attorney to reveal to the Association
from whom the closing attorney is seeking a Closing Letter the Buyer’s name and any contact information the closing attorney has on
the Buyer such as telephone numbers, e-mail address, etc. The closing attorney may rely on this authorization.

Copyright© 2024 by Georgia Association of REALTORS®, Inc. F322 Community Association Disclosure Exhibit, Page 2 of 3, 01/01/24
dotloop signature verification: dtlp.us/9Oic-9n0A-pJy7

3. ANNUAL ASSESSMENTS
a. Disclosure Regarding Fees. Owners of property in communities where there is a Mandatory Membership Community Association
are obligated to pay certain recurring fees, charges, and assessments (collectively “Fee”) to the Association. Fees can and do
increase over time and, on occasion, there may be the need for a special assessment. The risk of paying increased Fees is assumed
by the Buyer in living in a community with a Mandatory Membership Community Association.
b. Buyer shall pay a) any pre-paid regular assessment (excluding Special Assessments) due at Closing for a period of time after
Closing; and b) move-in fees, including fees and security deposits to reserve an elevator as these fees are not considered Transfer,
Initiation, and Administrative Fees.
c. Seller shall pay a) all Fees owing on the Property which come due before the Closing so that the Property is sold free and clear of
liens and monies owed to the Association; b) any Seller move-out Fees, foreclosure Fees or other fees specifically intended by the
Association to be paid by Seller; and c) any Fee in excess of the sum disclosed in Section A(3) above for the remainder of the Year in
which the Property was contracted to be sold.
d. Account Statement or Clearance Letter. Seller shall pay the cost of any Association account statement or clearance letter (“Closing
Letter”) including all amounts required by the Association or management company to be pre-paid in order to obtain such Closing
Letter. Seller shall not be reimbursed at Closing for any amounts prepaid in order to obtain the Closing Letter. Within two (2) days of
notice from the closing attorney, Seller shall pay for the Closing Letter as instructed by the closing attorney. Seller’s failure to follow
the instructions of the closing attorney may cause a delay in Closing and/or result in additional fees being charged to Seller.
4. SPECIAL ASSESSMENTS
a. Under Consideration: For all purposes herein, the term “Under Consideration” with reference to a special assessment shall mean
that a notice of a meeting at which a special assessment will be voted upon, has been sent to the members of the Association. If a
special assessment(s) has been voted upon and rejected by the members of the Association, it shall not be deemed to be Under
Consideration by the Association. Seller warrants that Seller has accurately and fully disclosed all special assessment(s) passed or
Under Consideration to Buyer. This warranty shall survive the Closing. ALL PARTIES AGREE THAT NEITHER SELLER NOR
BROKER SHALL HAVE ANY OBLIGATION TO DISCLOSE ANY POSSIBLE SPECIAL ASSESSMENT IF IT IS NOT YET UNDER
CONSIDERATION, AS THAT TERM IS DEFINED HEREIN.
b. Liability for Undisclosed Special Assessments: With respect to special assessment(s) Under Consideration or approved before
Binding Agreement Date that are either not disclosed or are not disclosed accurately by Seller to Buyer, Seller shall be liable for and
shall reimburse Buyer for that portion of the special assessment(s) that was either not disclosed or was not disclosed accurately.
c. Seller Pays for Undisclosed Special Assessments: With respect to special assessments, Under Consideration or approved and
accurately disclosed above, if an unpaid special assessment is due but may be paid in installments, it shall be deemed to be due in
installments for purposes of determining whether it is to be paid by Buyer or Seller. Installment payments due prior to or on Closing
shall be paid by the Seller; and installment payments due subsequent to Closing shall be paid by the Buyer. Otherwise the special
assessment shall be paid by the party owning the Property at the time the special assessment is first due.
d. Special Assessments Arising after Binding Agreement Date: With respect to special assessments that are only Under
Consideration after the Binding Agreement Date and are promptly disclosed by Seller to Buyer:
i. If the special assessment(s) is adopted and due, in whole or in part, prior to or on Closing, that portion due prior to or on Closing
shall be paid by the Seller; and
ii. If the special assessment(s) is adopted and due in whole or part subsequent to Closing, that portion due subsequent to Closing
shall be paid by Buyer.
5. TRANSFER, INITIATION, AND ADMINISTRATIVE FEES
a. Buyer Pays: Buyer shall pay any initial fee, capital contribution, new member fee, transfer fee, new account set-up fee, fees similar to
the above but which are referenced by a different name, one-time fees associated with closing of the transaction and fees to transfer
keys, gate openers, fobs and other similar equipment (collective, “Transfer, Initiation, and Administrative Fees) to the extent the total
amount due is accurately disclosed above. Advance assessments due at Closing for a period of time after Closing, shall not be
Transfer, Initiation, and Administrative Fees and shall be paid by Buyer.
b. Seller Pays: Seller shall pay any amount in excess of the sum disclosed in Section A(5), even in the event of any later disclosures
made by the Seller of increase in such Transfer, Initiation, and Administrative Fees. In the event Seller fills in the above blank with
“N/A”, or anything other than a dollar amount, or is left empty, it shall be the same as Seller filling in the above blank with $0.00.
c. Fees Defined: All Transfer, Initiation, and Administrative Fees paid by Seller pursuant to this section are considered actual Seller
fees and are not a Seller concession or contribution to the Buyer’s cost to close.
dotloop verified

__________________________________________________ Etienne Brown

__________________________________________________
IMEO-KOQP-RBUD-9EIC
05/28/24 6:51 PM EDT

1 Buyer’s Signature 1 Seller’s Signature

__________________________________________________
JAKARIS HARRIS __________________________________________________
Etienne Brown
Print or Type Name Print or Type Name
06/09/2024
__________________________________________________ 05/28/2024
__________________________________________________
Date Date

__________________________________________________ __________________________________________________
2 Buyer’s Signature 2 Seller’s Signature
__________________________________________________ __________________________________________________
Print or Type Name Print or Type Name
__________________________________________________ __________________________________________________
Date Date

 Additional Signature Page (F267) is attached.  Additional Signature Page (F267) is attached.
Copyright© 2024 by Georgia Association of REALTORS®, Inc. F322 Community Association Disclosure Exhibit, Page 3 of 3, 01/01/24