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Click ‘Get Form’ to open the lead paint pamphlet in the editor.
Begin with the Lead Warning Statement. Read through the information carefully, as it outlines the risks associated with lead-based paint, especially for young children and pregnant women.
In the Seller’s Disclosure section, check either (i) or (ii) to indicate whether known lead-based paint hazards are present. If applicable, provide an explanation in the space provided.
Next, indicate if you have records and reports available regarding lead-based paint hazards by checking (i) or (ii). If you have documents, list them in the designated area.
For Purchaser’s Acknowledgment, initial next to each statement confirming receipt of information and pamphlets. Choose between options (i) or (ii) regarding your opportunity for a risk assessment.
Complete the Agent’s Acknowledgment by having your agent initial that they have informed you of your obligations under federal law.
Finally, all parties must sign and date at the bottom of the form to certify accuracy.
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