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Residential Disclosure of Lead Based Paint

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Residential Disclosure of Lead Based Paint Powered By Docstoc
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           RESIDENTIAL DISCLOSURE OF
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          INFORMATION ON LEAD-BASED
           PAINTOR LEAD-BASED PAINT
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          HAZARDS ON PRE-1978 HOUSING

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            RESIDENTIAL DISCLOSURE OF INFORMATION ON LEAD-BASED PAINT
                 OR LEAD-BASED PAINT HAZARDS ON PRE-1978 HOUSING


Lead Warning Statement

Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips and dust
can pose health hazards if not managed properly. Lead exposure is especially harmful to young
children and pregnant women.


Disclosure

(a) Presence of lead-based paint and/or lead-based paint hazards (Check (1) or (2) below):

      (1) _____ Known lead-based paint and/or lead-based paint hazards are present in the
      housing (explain): ______________________________________________


      (2) ____ Landlord has no knowledge of lead-based paint and/or lead-based paint hazards in
      the housing.


(b) Records and reports available to the landlord (Check (1) or (2) below):

      (b1) _____ Landlord has provided the Tenant with all available records and reports
      pertaining to lead-based paint and/or lead-based paint hazards in the housing (list
      documents): ______________________________________________

      (b2)____ Landlord has no reports or records pertaining to lead-based paint and/or lead-
      based paint hazards in the housing.




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Tenant's Acknowledgment (initial)


(3) _____ Tenant has received copies of all information listed above.


(4) _____ Tenant has received the pamphlet, Protect Your Family from Lead in Your Home.


Certification of Accuracy

The following parties have reviewed the information above and certify, to the best of their
knowledge, that the information they have provided is true and accurate.



____________________

Date:       ___________




SUBSCRIBED TO AND SWORN TO before me this ___ day of_______________, 20____.

______________________
NOTARY PUBLIC
My Commission Expires: _______




NOTICE
The information in this document is designed to provide an outline that you can follow when formulating business
or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek
professional legal counseling before entering into any contract or agreement.




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DOCUMENT INFO
Description: By law, if you are a landlord or selling a premises, you must provide this form to notify the purchaser or new tenant if there is any lead based paint used on the premises.
This document is also part of a package Real Estate Business Templates 153 Documents Included