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Lead Based Paint Disclosure for Rental Transaction - Vermont 2026

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The document is a Lead-Based Paint Disclosure form for rental properties built before 1978, highlighting the health risks associated with lead exposure, particularly for young children and pregnant women. It requires lessors to disclose any known lead-based paint hazards and provide lessees with an EPA-approved pamphlet on lead poisoning prevention. The form includes sections for the lessor's disclosure, lessee's acknowledgment, agent's acknowledgment, and certification of accuracy.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the property details, including the street address, city, state (Vermont), and zip code in the designated fields.
In the Lessor's Disclosure section, indicate whether known lead-based paint and/or hazards are present by checking either option (i) or (ii) and providing any necessary explanations.
Next, check if you have provided all available records and reports regarding lead-based paint hazards. If so, list those documents; otherwise, check option (ii).
The Lessee must initial to acknowledge receipt of all information listed above and confirm they received the pamphlet 'Protect Your Family from Lead in Your Home.'
Ensure that both lessor(s) and lessee(s) sign and date the form at the bottom to certify accuracy.

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