THIS DISCLOSURE STATEMENT CONCERNS THE MOBILEHOME PARK KNOWN AS ______________________________________________________ LOCATED AT

______________________________________________________________________________________________________________________________________________

(park name) (park address)

IN THE CITY OF ______________________________________________________ COUNTY _____________________________________ ,

STATE OF CALIFORNIA.

THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE PARK AND PARK COMMON AREAS AS OF (date) ____________ IN COMPLIANCE WITH SECTION 798.75.5 OF THE CIVIL CODE.
IT IS NOT A WARRANTY OF ANY KIND BY THE MOBILEHOME PARK OWNER OR PARK MANAGEMENT AND IS NOT A SUBSTITUTE FOR ANY INSPECTION BY THE PROSPECTIVE HOMEOWNER/LESSEE OF THE SPACE TO BE RENTED OR LEASED OR OF THE PARK, INCLUDING ALL COMMON AREAS REFERENCED IN THIS STATEMENT. THIS STATEMENT DOES NOT CREATE ANY NEW DUTY OR NEW LIABILITY ON THE PART OF THE MOBILEHOME PARK OWNER OR MOBILEHOME PARK MANAGEMENT OR AFFECT ANY DUTIES THAT MAY HAVE EXISTED PRIOR TO THE ENACTMENT OF SECTION 798.75.5 OF THE CIVIL CODE, OTHER THAN THE DUTY TO DISCLOSE THE INFORMATION REQUIRED BY THE STATEMENT.

Are you (the mobilehome park owner/mobilehome park manager) aware of any of the following:

A.Park or common area facilities?

B. Does the park contain this facility?

C. Is the facility in operation?

D. Does the facility have any known substantial defects?

E. Are there any uncorrected park citations or notices of abatement relating to the facilities issued by a public agency?

F. Is there any substantial, uncorrected damage to the facility from fire, flood, earthquake, or landslides?

G. Are there any pending lawsuits by or against the park affecting the facilities or alleging defects in the facilities?

H. Is there any encroachment, easement, nonconforming use, or violation of setback requirements regarding this park common area facility?

Yes

Clubhouse

Walkways

Streets, roads and access

Electric utility system

Water utility system

Gas utility System

Common area lighting system

Septic or sewer system

Playground

RV storage

Parking areas

Swimming pool

Spa pool

Laundry

Other common area facilities*

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*If there are other important park or common area facilities, please specify (attach additional sheets if necessary):_____________________

If any item in C is checked “no”, or any item in D, E, F, G, or H is checked “yes”, please explain (attach additional sheets if necessary): ______

The mobilehome park owner/park manager states that the information herein has been delivered to the prospective homeowner/lessee a minimum of three days prior to execution of a rental agreement and is true and correct to the best of the park owner/park manager's knowledge as of the date signed by the park owner/manager.

Park Owner/Manager:____________________________________ By:_______________________________ Date:__________________

print name signature

I/WE ACKNOWLEDGE RECEIPT OF A COMPLETED COPY OF THE PARK OWNER/MANAGER STATEMENT.

Prospective Homeowner

Lessee ____________________________ Park Owner/Manager ___________________________ Title ________________________

Date:_

Prospective Homeowner

Lessee ____________________________ Park Owner/Manager ___________________________ Title ________________________

Date:_

(Added by Stats 1999, Chap. 517 (SB 534, Dunn), eff. 1/1/2000)