Florida Flood Disclosure Form

## Flood Disclosure **KELLERWILLIAMS** **REALTY · ST. PETE** Florida Statute 689.302 requires a seller to complete and provide a flood disclosure to a purchaser of residential real property **at or before** the time the sales contract is executed. **Seller:** Johan Jongsma and Tanya Jongsma provides Buyer the following flood disclosure **at or before** the time the sales contract is executed. **Property address:** 851 Brightwaters Blvd NE St. Petersburg, FL 33703 Seller, please check the applicable box in paragraphs (1) and (2) below. --- ### FLOOD DISCLOSURE **Flood Insurance:** Homeowners' insurance policies do not include coverage for damage resulting from floods. Buyer is encouraged to discuss the need to purchase separate flood insurance coverage with Buyer's insurance agent. 1. Seller [ ] has [ ] has not filed a claim with an insurance provider relating to flood damage on the property, including, but not limited to, a claim with the National Flood Insurance Program. 2. Seller [ ] has [ ] has not received federal assistance for flood damage to the property, including, but not limited to, assistance from the Federal Emergency Management Agency. 3. For the purposes of this disclosure, the term "flooding" means a general or temporary condition of partial or complete inundation of the property caused by any of the following: - a. The overflow of inland or tidal waters. - b. The unusual and rapid accumulation of runoff or surface waters from any established water source, such as a river, stream, or drainage ditch. - c. Sustained periods of standing water resulting from rainfall. --- **Seller:** _________________________________ **Date:** _________________ **Seller:** _________________________________ **Date:** _________________ --- Copy provided to Buyer on ________________ by [ ] email [ ] facsimile [ ] mail [ ] personal delivery. --- *FD-1 Rev 9/24* *Serial#: 014108-500172-7726901* *©2024 Florida Realtors®* *Form Simplicity*