Property Condition Confirmation Form
Property Condition Confirmation Form
(Notification for Land & Building / Land) (Property Name: __________)
(There is no need to fill in items① through ⑪ if the land is currently vacant nor to fill in items ① through ③and ⑦ through ⑪ if the land is to be handed over after the building is demolished.)
The Seller hereby provides the Buyer with the following information regarding the condition of the property for sale that the Seller is currently aware of.
Property Condition
In addition to normal wear and tear over time, the property is in the following condition.
(Notification for Land & Building / Land) (Property Name: __________)
(There is no need to fill in items① through ⑪ if the land is currently vacant nor to fill in items ① through ③and ⑦ through ⑪ if the land is to be handed over after the building is demolished.)
The Seller hereby provides the Buyer with the following information regarding the condition of the property for sale that the Seller is currently aware of.
Property Condition
In addition to normal wear and tear over time, the property is in the following condition.
① Rainwater leaks
□ No leaks have been found to date.
□ There have been leaks in the past. Location(s): _____
Repair work: not yet completed / completed (month and year)
□ There are currently leaky areas. Location(s):_____
② Termite damage
□ No termite damage has been found to date.
□ Termite prevention work: not done/ done (month and year)
□ Termite damage has occurred in the past. (month and year)
Extermination and repair work: not yet completed / completed (month and year)
□ There is currently termite damage. Location(s): _____
③ Building defects (tilt, corrosion, problems, etc.)
□ Not found
□ Found
Location(s) and condition(s): _____
④ Failure or leakage of water supply and drainage facilities
□ Not found
□ Found
Location(s) and condition(s): _____
⑤ History and documentation of renovations, extensions, repairs, remodeling, and changes in use
□ Not conducted
□ Conducted (month and year)
□ Unknown
Location(s) and condition(s): _____
Construction company: _____
Building permit: Yes/No
Inspection certificate: Yes/No
Design specifications: Yes/No
⑥ Damage from fires (including a small fire)
□ No
□ Yes (month and year)
Location(s) and condition(s): _____
⑦ Records of asbestos use survey results
Date of survey: month/date/year
Organization that conducted the survey: _____
Scope of survey：_____
Remarks: _____
□ No leaks have been found to date.
□ There have been leaks in the past. Location(s): _____
Repair work: not yet completed / completed (month and year)
□ There are currently leaky areas. Location(s):_____
② Termite damage
□ No termite damage has been found to date.
□ Termite prevention work: not done/ done (month and year)
□ Termite damage has occurred in the past. (month and year)
Extermination and repair work: not yet completed / completed (month and year)
□ There is currently termite damage. Location(s): _____
③ Building defects (tilt, corrosion, problems, etc.)
□ Not found
□ Found
Location(s) and condition(s): _____
④ Failure or leakage of water supply and drainage facilities
□ Not found
□ Found
Location(s) and condition(s): _____
⑤ History and documentation of renovations, extensions, repairs, remodeling, and changes in use
□ Not conducted
□ Conducted (month and year)
□ Unknown
Location(s) and condition(s): _____
Construction company: _____
Building permit: Yes/No
Inspection certificate: Yes/No
Design specifications: Yes/No
⑥ Damage from fires (including a small fire)
□ No
□ Yes (month and year)
Location(s) and condition(s): _____
⑦ Records of asbestos use survey results
Date of survey: month/date/year
Organization that conducted the survey: _____
Scope of survey：_____
Remarks: _____
⑧ Inspection of building conditions
Yes/No
(□ Building Condition Inspection Report □ Building Condition Inspection Report Summary)
Dated: month/date/year
Inspected by: _____
⑨ Seismic diagnosis and earthquake safety data
Yes/No
(Available documents)
□ Certificate of Compliance with Earthquake Resistance Standards
□ Report of Seismic Assessment Results
□ Existing Home Performance Evaluation Report
□ Certificate of Existing Home Sales Defect Insurance
□ Other: _____
⑩ Housing Performance Evaluation
Yes/No (Available documents)
□ Housing Design Performance Evaluation Report
□ Housing Construction Performance Evaluation Report
□ Existing Home Performance Evaluation Report
⑪ Documentation at the time of construction and the name of the developer
Building permit: Yes/No
Design specifications: Yes/No
Inspection certificate: Yes/No
Developer / real estate agent: _____
⑫ About the boundaries
Boundary with the adjacent land: confirmed / not confirmed
Location(s) that cannot be confirmed: _____
Written agreement: Yes/No
Disputes: Yes/No
Details of the disputes: _____
⑬ Issues involving the boundaries
Is there anything crossing the boundaries? Yes/No/Unknown
Objects/equipment crossing the boundaries:
□ Wall □ Fence □ Retaining wall □ Building □ Trees and plants □ Water pipe □ Drainage pipe
□ Gas pipe □ Other: _____
Written agreement: Yes/No
Disputes: Yes/No
Details of the disputes: _____
Location(s)/circumstances: _____
Yes/No
(□ Building Condition Inspection Report □ Building Condition Inspection Report Summary)
Dated: month/date/year
Inspected by: _____
⑨ Seismic diagnosis and earthquake safety data
Yes/No
(Available documents)
□ Certificate of Compliance with Earthquake Resistance Standards
□ Report of Seismic Assessment Results
□ Existing Home Performance Evaluation Report
□ Certificate of Existing Home Sales Defect Insurance
□ Other: _____
⑩ Housing Performance Evaluation
Yes/No (Available documents)
□ Housing Design Performance Evaluation Report
□ Housing Construction Performance Evaluation Report
□ Existing Home Performance Evaluation Report
⑪ Documentation at the time of construction and the name of the developer
Building permit: Yes/No
Design specifications: Yes/No
Inspection certificate: Yes/No
Developer / real estate agent: _____
⑫ About the boundaries
Boundary with the adjacent land: confirmed / not confirmed
Location(s) that cannot be confirmed: _____
Written agreement: Yes/No
Disputes: Yes/No
Details of the disputes: _____
⑬ Issues involving the boundaries
Is there anything crossing the boundaries? Yes/No/Unknown
Objects/equipment crossing the boundaries:
□ Wall □ Fence □ Retaining wall □ Building □ Trees and plants □ Water pipe □ Drainage pipe
□ Gas pipe □ Other: _____
Written agreement: Yes/No
Disputes: Yes/No
Details of the disputes: _____
Location(s)/circumstances: _____
Property Condition Confirmation Form
(Notice for Land & Building / Land) (Property Name: __________)
⑭ About retaining walls
Yes/No
Direction: (Direction) side / □ Owner: Seller □ Neighboring landowner □ Shared □ Unknown
Direction: (Direction) side / □ Owner: Seller □ Neighboring landowner □ Shared □ Unknown
Written agreement: Yes/No
Disputes: Yes/No
Details:_____
Cracks or other defects: Found / Not found
Condition:
⑮ Ground subsidence/softening
Found / Not found
Condition: _____
⑯ Soil contamination
History of non-residential use of the site (stores, factories, etc.)
Yes/No/Unknown
(Month/Year Used as:_____)
Other information on soil contamination: Yes/No/Unknown
⑰ Underground deposits
□ Not found
□ Found / □Previous building foundations □ Construction waste □ Septic tank □ Well □ Other: _____
Location / Details: _____
⑱ Noise, vibration, odor, etc.
Yes/No/Unknown
Details: _____
⑲ Electromagnetic interference
Yes/No/Unknown
Condition: _____
⑳ Flooding and other damage
Yes/No/Unknown
Condition: _____
(Notice for Land & Building / Land) (Property Name: __________)
⑭ About retaining walls
Yes/No
Direction: (Direction) side / □ Owner: Seller □ Neighboring landowner □ Shared □ Unknown
Direction: (Direction) side / □ Owner: Seller □ Neighboring landowner □ Shared □ Unknown
Written agreement: Yes/No
Disputes: Yes/No
Details:_____
Cracks or other defects: Found / Not found
Condition:
⑮ Ground subsidence/softening
Found / Not found
Condition: _____
⑯ Soil contamination
History of non-residential use of the site (stores, factories, etc.)
Yes/No/Unknown
(Month/Year Used as:_____)
Other information on soil contamination: Yes/No/Unknown
⑰ Underground deposits
□ Not found
□ Found / □Previous building foundations □ Construction waste □ Septic tank □ Well □ Other: _____
Location / Details: _____
⑱ Noise, vibration, odor, etc.
Yes/No/Unknown
Details: _____
⑲ Electromagnetic interference
Yes/No/Unknown
Condition: _____
⑳ Flooding and other damage
Yes/No/Unknown
Condition: _____
㉑ Neighborhood building plans
Yes/No/Unknown
Details: _____
㉒ Surrounding facilities that may affect the property for sale
Yes/No/Unknown
Details: _____
㉔ Neighborhood agreements
Yes/No/Unknown
Details: _____
㉕ Other matters to be passed on from the Seller to the Buyer: _____
Remarks:
Yes/No/Unknown
Details: _____
㉒ Surrounding facilities that may affect the property for sale
Yes/No/Unknown
Details: _____
㉔ Neighborhood agreements
Yes/No/Unknown
Details: _____
㉕ Other matters to be passed on from the Seller to the Buyer: _____
Remarks:
Month/Date/Year
The Seller has notified the Buyer that the condition of the Property is as described above.
The name of the Seller: _____ (personal/company seal)
The Buyer has been notified by the Seller as described above.
The name of the Buyer: _____ (personal/company seal)
The name of the Seller: _____ (personal/company seal)
The Buyer has been notified by the Seller as described above.
The name of the Buyer: _____ (personal/company seal)