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M.S_&A4 Real Property Form No.14(1998,Rev.2009) 4 RE OF SEWAGE TLZg&TMEha SYSTEMPq f S rDISCLOSURE OF SEWAGE TREATMENT SYSTEM. 3 Copyright 1997,1898,try Minnasota State Bar Awocta6on,Minneapo4 r.Minnesota. WARNING TO PREPARER:Make no changes:to this form unless such changes are visible. [Complete this next rara h if this farm is used as an addendum to a Purchase A reemenU This addend m is a�gntinuat' n ofth urcha Agreement ted by and betwe "�� "^ a 1 •! Lal.- as Sellers, and 1 as Buyers, for property described below in Section A. The Disclosure Law. Pursuant to Minnesota Statutes Section 115.55,Subdivision 6,before signing an agreement to sell or to transfer real property,the seller or transferor must disclose in writing to the buyer or transferee information on how sewage generated at the property is managed. Unless the buyer/transferee and seller/transferor agree to the contrary in writing before the closing of the sale,a seller/transferor who fails to disclose the existence or known status of a subsurface sewage treatment system at the time of sale,and who knew or had reason to know of the existence or known status of the system is liable to the buyer/transferee for costs relating to bringing the system into compliance with the subsurface sewage treatment system rules and for reasonable attorney fees for collectionofcosts from the sellerltransferor.An action under this subdivision must be commenced within two years after the date on which the buyer/transferee closed the purchase or transfer of the real property where the system is located. IF YOU DO NOT UNDERSTAND THIS LAW CONSULT YOUR LAWYER. A. PROPERTY DESCRIPTION. IProperty Identification Number(Tax Parcel No.): iQuarter: Section: Township: Range: County: Legal Description: Lot,,,_,Block (plat name) (If metes-and-bounds description,attach legal description on separate sheet.) Street Address: DISCLOSURE OF SEWAGE SYSTEM. [B�STATUTORY SellerlTransferormust complete this section.] M.P.C.A.PERMITTED FACILITY: [Check only one from f,2,and 3.1 1. Seller/'Transferor states that sewage generated at the property goes to a facility permitted by the Minnesota Pollution Control Agency(for example,the sewer lines on the property are connected to a municipal sewer system or public sewage treatment system). 2. Seller[Transferor states that sewage generated at the property does not go to a facility permitted by the Minnesota Pollution Control Agency, and is therefore subject to applicable requirements. Q 3. Seller/7ransferor states that no sewage is generated at the property. IN-USF SUBSURFACE ONSITE SEWAGE TREATMENT SYSTEM. [Checkeither4 ors:] 4. SellerfTransferor has no Knowledge whether there is a subsurface sewage treatment system in use on the property. 5. Seller/Transferor knows that there[strike one. are are no subsurface sewage treatment systems in use on the prop f SellerfTransferor discloses the existence of a subsurface sewage treatment system on the property,then Minnesota law requires that the location of the system be disclosed to Buyer/Transferee with a map.[Complete the map below in Section C.]