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THIS LEAD PAINT DISCLOSURE (the "Disclosure") is entered into on this, ______________ _____, ________.
 
BY AND BETWEEN:

 

 
("SELLER")

 
AND
 

 
("BUYER")


WARNING: LEAD FROM PAINT, DUST, AND SOIL CAN BE DANGEROUS IF NOT MANAGED PROPERLY

LEAD PAINT DISCLOSURE

 
This Lead Paint Disclosure is in regard to the located at , (the "Premises").
 
Every purchaser or renter of any interest in residential real estate 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, reduce intelligence quotient, behavioral problems and impared memory. Lead poisoning also poses a particular risk to pregnant woman.

The Seller of any interest in residential real estate property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the Sellers possession, and notify the buyer of any known lead-based paint hazards. A risk assesment or inspection for possible lead-based hazards is recommended, although not required, prior to purchase.

SELLERS DISCLOSURE:


    BUYERS ACKNOWLEDGEMENT: (Please initial)

    1. _______ if any documents or reports are listed above, the buyer has recieved copies of it.
    2. _______Buyer has recieved the pamphlet Protect Your Family from Lead in your Home.


    Sellers Initials: _______

    Buyers Initials: _______





    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. Penalties for failure to comply with Federal Lead-Based Paint Disclosure Laws include treble (3) times damages, attorney fees, costs, and a penalty up to $10,000.00 for each violation.

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