New York State Disclosure Form for Buyer and Seller

THIS IS NOT A CONTRACT

New York State law requires real estate licensees who are acting as agents of buyers or sellers of property to advise the potential buyers or sellers of whom they work of the nature of their agency relationship and the rights and obligations it creates. This disclosure will help you to make informed choices about your relationship with the real estate broker and its sales agents.

Throughout the transaction you may receive more than one disclosure form. The law may require each agent assisting in the transaction to present you with this disclosure form. A real estate agent is a person qualified to advise about real estate.

If you need legal, tax or other advice, consult with a professional in that field.

Seller's Agent

A seller's agent is an agent who is engaged by a seller to represent the seller's interest. The seller's agent does this by securing a buyer for the seller's home at a price and on terms acceptable to the seller. A seller's agent has, without limitation, the following fiduciary duties to the seller: reasonable care, undivided loyalty, confidentiality, full disclosure, obedience and duty to account. A seller's agent does not represent the interest of the buyer. In dealings with the buyer, a seller's agent should (a) exercise reasonable skill and care in performance of the agent's duties; (b) deal honestly, fairly and in good faith; and (c) disclose all facts known to the agent materially affecting the value or desirability of property, except as otherwise provided by law.

Buyer's Agent

A buyer's agent is an agent who is engaged by a buyer to represent the buyer's interest. The buyer's agent does this by negotiating the purchase of a home at a price and on terms acceptable to the buyer. A buyer's agent has, without limitation, the following fiduciary duties to the buyer: reasonable care, undivided loyalty, confidentiality, full disclosure, obedience and duty to account. A buyer's agent does not represent the interest of the seller.

Broker's Agents

A broker's agent is an agent that cooperates or is engaged by a listing agent or a buyer's agent (but does not work for the same firm as the listing agent or buyer's agent) to assist the listing agent or buyer's agent in locating a property to sell or buy, respectively, for the listing agent's seller or the buyer agent's buyer. The broker's agent does not have a direct relationship with the buyer or seller and the buyer or seller cannot provide instructions or direction directly to the broker's agent.

Dual Agent

A real estate broker may represent both the buyer and the seller if both the buyer and seller give their informed consent in writing. In such a dual agency situation, the agent will not be able to provide the full range of fiduciary duties to the buyer and seller. A buyer or seller should carefully consider the possible consequences of a dual agency relationship before agreeing to such representation.

Dual Agent with Designated Sales Agents

If the buyer and seller provide their informed consent in writing, the principals and the real estate broker who represents both parties as a dual agent may designate a sales agent to represent the buyer and another sales agent to represent the seller. A sales agent works under the supervision of the real estate broker.

This form was provided to me by Stephen Davis of Signature Premier Properties, a licensed real estate broker acting in the interest of the:

(I) (We) Guest acknowledge receipt of a copy of this disclosure form:

DOS-1736-f (Rev. 09/21) — Page 1 of 2 / Page 2 of 2 — Demo rendering of the official form.

Fair Housing Notice

Federal, State and Local Fair Housing Laws protect individuals from housing discrimination. It is unlawful to discriminate based on certain protected characteristics which include, but are not limited to: race, creed, national origin, sex, sexual orientation, marital status, age, disability, military status, familial status, alienage or citizenship status, lawful source of income, gender identity or expression, arrest record, and domestic violence victim status.

The Human Rights Law also prohibits:

• Retaliation against any individual for filing a complaint or assisting in the investigation of any such complaint.
• Refusing to rent, sell, or lease housing because of a person's protected characteristic.
• Discriminating in the terms, conditions, or privileges of the sale or rental of housing, or in the provision of services or facilities.
• Steering a person toward or away from a neighborhood or property based on a protected characteristic.
• Blockbusting, and any representation that a change in the composition of a neighborhood may affect property values.

If you believe you have been the victim of housing discrimination:

You may file a complaint with the New York State Division of Human Rights or contact the New York State Department of State, Division of Licensing Services. Filing a complaint is free, and you do not need an attorney.

The licensee providing this notice, Stephen Davis of Signature Premier Properties, is required by law to provide fair and equal service to all persons, and to make housing available without discrimination.

(I) (We) Guest acknowledge receipt of a copy of this Fair Housing Notice:

NYS Fair Housing Notice — Demo rendering of the official notice.