Wisconsin Statutes 709.033 – Vacant land disclosure report form
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The report required under s. 709.02 with respect to real property, as defined in s. 709.001 (5) (b), shall be in substantially the following form and shall include at least all of the following information:
VACANT LAND DISCLOSURE REPORT
DISCLAIMER
This disclosure report concerns the real property located at …. in the …. (city) (village) (town) of …., county of …., state of Wisconsin. This report is a disclosure of the condition of that property in compliance with section 709.02 of the Wisconsin Statutes as of …. (month) …. (day), …. (year). It is not a warranty of any kind by the owner or any agents representing any party in this transaction and is not a substitute for any inspections or warranties that the parties may wish to obtain.
A buyer who does not receive a fully completed copy of this report within 10 days after the acceptance of the contract of sale or option contract for the above-described real property has the right to rescind that contract (Wis. Stat. s. 709.02), provided the owner is required to provide this report under Wisconsin Statutes chapter 709.
NOTICE TO PARTIES REGARDING ADVICE OR INSPECTIONS
Real estate licensees may not provide advice or opinions concerning whether or not an item is a defect for the purposes of this report or concerning the legal rights or obligations of parties to a transaction. The parties may wish to obtain professional advice or inspections of the property and to include appropriate provisions in a contract between them with respect to any advice, inspections, defects, or warranties.
A. OWNER’S INFORMATION
A1. In this form, “aware” means the “owner(s)” have notice or knowledge.
A2. In this form, “defect” means a condition that would have a significant adverse effect on the value of the property; that would significantly impair the health or safety of future occupants of the property; or that if not repaired, removed, or replaced would significantly shorten or adversely affect the expected normal life of the premises.
A3. In this form, “owner” means the person or persons, entity, or organization that is the owner of the above-described real property.
An “owner” who transfers real estate that does not include any buildings is required to complete this report.
Exceptions: An “owner” who is a personal representative, trustee, conservator, or fiduciary appointed by or subject to supervision by a court, and who has never occupied the property transferred is not required to complete this report. An “owner” who transfers property that has not been inhabited or who transfers property in a manner that is exempt from the real estate transfer fee is not required to complete this report. (Wis. Stat. s. 709.01)
A4. The owner represents that to the best of the owner’s knowledge, the responses to the following questions have been accurately checked as “yes,” “no,” or “not applicable (N/A)” to the property being sold. If the owner responds to any question with “yes,” the owner shall provide, in the additional information area of this form, an explanation of the reason why the response to the question is “yes.”
A5. If the transfer is of a condominium unit, the property to which this form applies is the condominium unit, the common elements of the condominium, and any limited common elements that may be used only by the owner of the condominium unit being transferred.
A6. The owner discloses the following information with the knowledge that, even though this is not a warranty, prospective buyers may rely on this information in deciding whether and on what terms to purchase the property. The owner hereby authorizes the owner’s agents and the agents of any prospective buyer to provide a copy of this report, and to disclose any information in the report, to any person in connection with any actual or anticipated sale of the property.
CAUTION: The lists of defects following each question below are examples only and are not the only defects that may properly be disclosed in response to each respective question.
B. ENVIRONMENTAL – See PDF for table 
C. WELLS, SEPTIC SYSTEMS, STORAGE TANKS – See PDF for table
D. TAXES, SPECIAL ASSESSMENTS, PERMITS, ETC. – See PDF for table
E. LAND USE – See PDF for table
F. ADDITIONAL INFORMATION – See PDF for table
OWNER’S CERTIFICATION
NOTE: Wisconsin Statute section 709.035 requires owners who, prior to acceptance of a purchase contract or an option to purchase, obtain information that would change a response on this report to submit a complete amended report or an amendment to the previously completed report to the prospective buyer within 10 days of acceptance.
The owner certifies that the information in this report is true and correct to the best of the owner’s knowledge as of the date on which the owner signs this report.
Owner ………………………………………… Date …………..
Owner ………………………………………… Date …………..
Owner ………………………………………… Date …………..
CERTIFICATION BY PERSON SUPPLYING INFORMATION
A person other than the owner certifies that the person supplied information on which the owner relied for this report and that the information is true and correct to the best of the person’s knowledge as of the date on which the person signs this report.
Person ………………………………. Items ………………………………… Date ……………..
Person ………………………………. Items ………………………………… Date ……………..
Person ………………………………. Items ………………………………… Date ……………..
BUYER’S ACKNOWLEDGEMENT
The prospective buyer acknowledges that technical knowledge such as that acquired by professional inspectors may be required to detect certain defects such as the presence of asbestos, building code violations, and floodplain status.
I acknowledge receipt of a copy of this statement.
Prospective buyer ……………………………………. Date ……………..
Prospective buyer ……………………………………. Date ……………..
Prospective buyer ……………………………………. Date ……………..
Terms Used In Wisconsin Statutes 709.033
- Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
- Contract: A legal written agreement that becomes binding when signed.
- Fiduciary: A trustee, executor, or administrator.
- Following: when used by way of reference to any statute section, means the section next following that in which the reference is made. See Wisconsin Statutes 990.01
- Land: includes lands, tenements and hereditaments and all rights thereto and interests therein. See Wisconsin Statutes 990.01
- Person: includes all partnerships, associations and bodies politic or corporate. See Wisconsin Statutes 990.01
- Personal representative: means a person, however denominated, who is authorized to administer a decedent's estate. See Wisconsin Statutes 990.01
- Property: includes real and personal property. See Wisconsin Statutes 990.01
- Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
- real property: includes lands, tenements and hereditaments and all rights thereto and interests therein. See Wisconsin Statutes 990.01
- State: when applied to states of the United States, includes the District of Columbia, the commonwealth of Puerto Rico and the several territories organized by Congress. See Wisconsin Statutes 990.01
- Statute: A law passed by a legislature.
- Trustee: A person or institution holding and administering property in trust.