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Lead based paint certification form

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The document is a Lead-Based Paint Disclosure Form that outlines the responsibilities of lessors and lessees regarding lead-based paint hazards in housing built before 1978. It requires owners to disclose any known lead-based paint presence, provide relevant records, and inform tenants about lead poisoning prevention. The form includes sections for owner disclosure, tenant acknowledgment, agent acknowledgment, and certification of accuracy. It emphasizes the health risks associated with lead exposure, particularly for young children and pregnant women, and provides contact information for further assistance.

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