Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards
Lead Warning Statement
Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is
notified that such property may present exposure to lead from lead-based paint that may place young children at risk
of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage,
including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead
poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property is
required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections
in the seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or
inspection for possible lead-based paint hazards is recommended prior to purchase.
Seller’s Disclosure
(a)
Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i)
Known lead-based paint and/or lead-based paint hazards are present in the housing
(explain).
_________________________________________________________________________
(ii)
Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the
housing.
(b)
Records and reports available to the seller (check (i) or (ii) below):
(i)
Seller has provided the purchaser with all available records and reports pertaining to
lead-based
paint and/or lead-based paint hazards in the housing (list documents below).
__________________________________________________________________________________
(ii)
Seller has no reports or records pertaining to lead-based paint and/or lead-based paint
hazards in
the housing.
Purchaser’s Acknowledgment (initial)
Offer and Purchase and Sale Agreement
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