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Authentisign ID: 71E98722-2751-4C21-86DF-B14FE3F4484DMUNICIPAL INFORMATIONUTILITIES11. Water SystemPublic Filtration System? Yes NoPrivateIf private: "Buyer understands that this property is, or will be served by a private waterYessupply (well) which may be susceptible to contamination, availability, and potentially harmful to health. If a publicwater supply is not available, the private water supply must be tested in accordance with regulations established bythe RI Department of Health pursuant to R.I.G.L. Section 23-1-5.3. The Seller of that property is required to providethe Buyer with a copy of any private water supply (well) testing results in the Seller’s possession and notify theBuyer of any known problems with the private water supply (well)."Dug well or drilled well?Depth:Drilled100ft Location:Back yardWell water inspection certificate available? Yes NoIfyes,attachcopy Water Quality Problems? Yes (Explain) No Filtration System? Yes No Treatment System? Yes No Additional Utilities Information (Attach additional sheets if necessary.)12. Property Tax 6296.60 for fiscal/calendar year ending2016 Tax Rate:21.0 Current Exemptions:13. Easements/EncroachmentsSeller is legally required to provide the Buyer with a copy of any previous surveys of the property anddocumentation of conservation and/or preservation easements and restrictions that are in the Seller’s possession andnotify the Buyer of any known easements, encroachments, covenants or restrictions of the Seller’s property. ABuyer may wish to have a boundary or other survey independently performed at Buyer’s expense.Does Seller have a copy of any surveys in his/her possession? Yes No If yes, attach copyDoes Seller have any knowledge of easement(s), preservation restrictions or right(s) of way on property?Yes No If yes, describeDoes Seller have a copy of documentation of conservation and/or preservation easements or restrictions in his/herpossession? Yes No If yes, attach copyDoes Seller have any knowledge of Encroachments? Yes No If yes, describe14. DeedType of deed to be conveyed:Number of parcels conveying:warranty15. Zoning/Historical"Buyers of real estate in the State of Rhode Island are legally obligated to comply with all local real estateordinances; including, but not limited to ordinances on the number of unrelated persons who may legally reside in adwelling, as well as ordinances on the number of dwelling units permitted under the local zoning ordinances. If thesubject property is located in a historic district, that fact must be disclosed to the buyer, together with the notificationthat property located in a historic district may be subject to construction, expansion, or renovation limitations.Contact the local building inspection official for details."R-2Classification:Is the current use a permitted use under the current zoning regulations? Yes NoUnknown If no, explain:Is the current use non-conforming in any other way? Yes No UnknownIf yes, explain:Is this property located in a historic district or subject to historic restrictions? Yes No Unknown16. RestrictionsPlat or other? Yes (Explain) No Copy available to Buyer:17. Building PermitsHave you applied for or been granted a special permit for this property? Yes No If yes, explain:Have building permits been obtained for all required construction and/or renovation while you have owned theproperty? Yes No If no, explain:18. Building Code/orMinimum Housingn/aViolations:19. Flood PlainIs the property located in a flood plain? Yes No UnknownIs there flood insurance on the property? Yes No Flood maps and flood insurance rates are subject to change. For more information, contact the Federal EmergencyManagement Agency (FEMA) Map Service Center, the National Flood Insurance Program (NFIP) coordinator in themunicipality, or an insurance agent for more information.20. WetlandsThe location of coastal wetlands, bays, fresh water wetlands, ponds, marshes, river banks or swamps, as those termsare defined in R.I.G.L. 2-1 and the associated buffer areas may impact future property development. If known,Seller must disclose to the Buyer any such determination on all or part of the land made by the Department ofEnvironmental Management.Has all or part of property been determined to be coastal wetland, bog, freshwater wetland, pond, marsh, river bankor swamp? Yes (Explain)No UnknownIf the Buyer is concerned about convicted felons in the neighborhood, he/she should contact the local policeauthority.Any farm(s) that may be in the municipality are protected by R.I.G.L. 2-23, the "Right to Farm Law." If Buyer feelsthat this information is relevant to Buyer’s decision to purchase this property, Buyer should investigate further.21. Megan's Law22. FarmsAdditional Municipal Information (Attach additional sheets if necessary.)SELLER’S INITIALS BUYER’S INITIALS Copyright 2013 Rhode Island Association of REALTORS FORM# 1418 (R-106) Rev 08/13 Page 2 of 5This copyright protected form was produced using Instanet Solutions' Instanet Forms service.

CONDO / MULTI UNITAuthentisign ID: 71E98722-2751-4C21-86DF-B14FE3F4484D23. Condo/Assoc.FeesMonthly Condo/Association Fee: Heat/Electric/Water Included in Fee?Working Capital Deposit? Yes No If yes, Amount: Buyer to pay? Yes NoCurrent Outstanding Assessments: Fire Alarm System up to date? Yes No UnknownAnticipated Future Assessments: Yes If yes, describeNo Unknown24. Multi-family orOther RentalPropertyAre income and expense figures available? Yes No If yes, attach copiesLease(s) period: Copies available? Yes NoNumber of Units:Are the existing rents current? Yes No Security DepositsAre all units legal for the current zoning and use? Yes NoAppliances Offered:NOTICES / DISCLOSURESAdditional Condo/Multi Unit Information (Attach additional sheets if necessary.)25. Pools &EquipmentAge of pool: Maintenance history:Was a permit obtained for the pool? Yes No Unknown26. LeadContamination"Every Purchaser of any interest in residential property is notified that such property may presentexposure to lead from lead-based hazards that may place young children at risk of developing leadpoisoning. Lead poisoning in young children may produce permanent neurological damage, includinglearning disabilities, reduced Intelligence Quotient, behavioral problems, and impaired memory. Leadpoisoning also poses a particular risk to pregnant women. The Seller of any interest in residentialproperty is required to provide the Buyer with any information on lead or lead hazards in paint, interiordust, soil, or water from risk assessments or inspections in the Seller's possession and notify the Buyer ofany known or potential lead or lead-based hazards, and must receive a lead disclosure and educationalbrochure. A risk assessment or inspection for possible lead-based hazards is recommended prior topurchase." Have you ever had a lead paint inspection conducted? Yes No If yes, copy of report available? Yes NoLead compliance certificate(s) available? Yes NoInstalled and functioning? Yes No R.I.G.L. 23-28.1 requires certain residentialdwellings to be equipped with an approved smoke detector and carbon monoxide detector system.Three-unit dwellings must be equipped with interconnected smoke detectors effective July 1, 2008.Contact the local Fire Marshal to determine the requirements for this Property."Radon has been determined to exist in the State of Rhode Island. Testing for the presence of Radon inresidential real estate prior to purchase is advisable."27. Smoke/Carbon MonoxideDetectors28. RadonHas building been tested for Radon? YesU/K No If yes, # of Pico curies/liter:Copy of test available? Yes NoMitigation system in place Any action taken?29. HomeownersInsurance ClaimsHistoryAre you aware of any homeowners insurance claims pertaining to this property that have been filedwhile you have owned it? Yes No If yes, please list all claims.Additional Notices/Disclosures Information (Attach additional sheets if necessary.)SELLER’S INITIALS BUYER’S INITIALS Copyright 2013 Rhode Island Association of REALTORS FORM# 1418 (R-106) Rev 08/13 Page 3 of 5This copyright protected form was produced using Instanet Solutions' Instanet Forms service.

Authentisign ID: 71E98722-2751-4C21-86DF-B14FE3F4484DDo any defects/malfunctions exist in any of the following? Mark Yes (Y), No (N), Unknown (UK) or Not Applicable (NA).Y N UK NAY N UK NAY N UK NA3031STRUCTURE32333435 36 41 Basement Driveway(s) Plumbing Bulkhead/Hatchway 37 42 Exterior Walls Sidewalks Ceilings38 43 Floors Walls/Fences Chimney(s)39 44 Foundation/Slab(s) Windows Doors40 Interior Walls Other Structural Components (Describe)If the answer to any of the items is Yes (Y), please explain. (Attach additional sheets if necessary.)Does any item, equipment or system in or on the property and conveying with the sale need repair or replacement?Mark Yes (Y), No (N), Unknown (UK) or Not Applicable (NA).Y N UK NAY N UK NAY N UK NA 46 47 48 49 50 51 52 EQUIPMENT / SYSTEMS45 Alarm/Security System Ceiling/Whole House Fan Central Vac/Equipment Dishwasher Dryer Freezer Garage Door Opener(s) Garbage Disposal 54 55 56 57 58 59 60 53 Generator Hot Tub/Sauna Intercom System Jacuzzi/Whirlpool Kitchen Stove/Oven Lawn Sprinkler System Lighting Fixtures Refrigerator 62 63 64 65 66 67 68 61 Satellite Dish Sump Pump Trash Compactor Washer If the answer to any of the items is Yes (Y), please explain. (Attach additional sheets if necessary.)SELLER’S INITIALS BUYER’S INITIALS Copyright 2013 Rhode Island Association of REALTORS FORM# 1418 (R-106) Rev 08/13 Page 4 of 5This copyright protected form was produced using Instanet Solutions' Instanet Forms service.

Authentisign ID: 71E98722-2751-4C21-86DF-B14FE3F4484DDo any of the following conditions exist? Yes (Y), No (N), Unknown (UK) or Not Applicable (NA).Y N UK NA 70 71 72 73 74 75 76 77 78 79 80 81 82 CONDITIONS69 Y N UK NAAsbestos83Cemetery or Burial Ground on Property84 Water PenetrationWood RotPrevious Flooding:Diseased Tree(s) within 100′ of Dwelling/OutbuildingEndangered Species/Habitat on Property85Hazardous or Toxic Waste86 Into the ImprovementsOnto the PropertyStructural Repairs:Hazardous or Toxic Waste Site Within 1 MileImproper Drainage87Landfill88 Previous Foundation RepairsOther Structural RepairsTermites or Other Wood-Destroying Insects:MoldPrevious Fire/Smoke Damage89Settling90Soil Movement91Subsurface Structure(s) or Pit(s)92Synthetic Stucco / EIFS93 Active InfestationPrevious TreatmentPrevious Damage RepairedDamage Needing RepairCurrent Service ContractCHANGESACKNOWLEDGMENTSTATEMENTCOMMENTSIf the answer to any of the conditions is Yes (Y), please explain. (Attach additional sheets if necessary.)Additional Comments:Any agreement to transfer real estate shall contain an acknowledgment that a completed real estate disclosure form has beenprovided to the Buyer by the Seller in accordance with the provisions of this section. This form has been designed to meet the RealEstate Disclosure requirements of Rhode Island General Law 5-20.8. Seller acknowledges that the above property information isaccurate, true and complete to the best of his knowledge, and that no information concerning the property has been knowinglywithheld. Seller further acknowledges that the legal and/or tax consequences of this real estate sale and all transactions relatedthereto may be best discussed with an attorney, accountant, or other appropriate party and that Seller has not relied on the ListingLicensee(s) for such advice. Seller is obligated to report to the Listing Licensee(s) any known changes prior to salesagreement and prior to closing.Seller hereby acknowledges that the information set forth above is true and accurate to the best of my (our) knowledge. Sellerfurther agrees to defend and indemnify the Listing Licensee(s) for disclosure of any of the information contained herein. Sellerfurther acknowledges receipt of copy of Seller’s R.I. Real Estate Sales Disclosure Form.12/22/2016 Seller DateDate12/22/2016 SellerDate Seller Date SellerBuyer/Prospective Buyer acknowledges receipt of Seller’s R.I. Real Estate Sales Disclosure Form before purchase. Buyeracknowledges that Broker has not verified the information herein and Buyer has been advised to verify information independently.Date Buyer Date BuyerDate Buyer Date BuyerChanges since property was first listed:Date Seller’s Initials Date Buyer’s InitialsCopyright 2013 Rhode Island Association of REALTORS FORM # 1418 (R-106) Rev 08/13Page 5 of 5This copyright protected form was produced using Instanet Solutions' Instanet Forms service.

EIK, DA, LR/FP, LAV, MBR/BTS Foundation Type: C BR,BR,BTS,STDY Great 3-bedroom, 2 -1/2 bath Cape Cod in quiet neighborhood w easy access to I -95. Features a 1st floor master bedroom suite, hardwood floors, generously sized eat -in kitchen w cathedral ceiling, large deck & front porch & beautiful grounds & gardens. Dry Wall 2 / Integral Brick