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Sample Rental Agreement Form



Lead Based Paint Addendum to Rental Agreement

This Lead Based Paint Addendum to residential lease concerning the property at:

Address: ____________________________________________________________________

City: __________________________________________ State: ________ Zip: ____________

Lead Based Paint Warning Statement:

Housing buildings that were built before 1978 may contain paint within the dwelling that is lead-based. Lead from paint, paint chips, and dust can cause health hazards if the lead is not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors (landlords) must disclose the presence of known lead-based paint and / or lead-based paint hazards in the dwelling. Lessees (tenants) must also receive a federally approved pamphlet on lead poisoning prevention.

Disclosure:

Presence of lead-based paint and / or lead-based paint hazards. (Check (a) or (b)).

___ (a) Landlord knows of the following lead-based paint and / or lead-based paint hazards in the Property: _________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

___ (b) Landlord has no knowledge of lead-based paint and / or lead-based paint hazards in the Property.

(2) Records and reports available to Landlord. (Check (a) or (b)).

___ (a) Landlord has provided Tenant with all available records and reports pertaining to lead-based paint and / or lead-based paint hazards in the Property which are listed here:

____________________________________________________________________________

____________________________________________________________________________

___(b) Landlord has no reports or records that pertain to lead-based paint and / or lead-based paint hazards in the Property.

Tenantís Acknowledgement:

___ (1) Tenant has received copies of all information listed in the Disclosure section above.

___ (2) Tenant has received the pamphlet entitled Protect Your Family from Lead in Your Home.

Agentís Notice to the Landlord and Acknowledgement:

The brokers and agents to the lease notify the Landlord and the Landlord must: (a) provide the Tenant with the EPA-approved pamphlet on lead poisoning prevention; (b) complete this Lead Based Paint Addendum; (c) disclose any known lead-based paint and / or lead-based paint hazard in the Property; (d) deliver all records and reports to Tenant pertaining lead-based paint and / or lead-based paint hazards in the Property; (e) retain a copy of this addendum for at least three years.

The brokers and agents to the lease advised the Landlord of the Landlordís obligations and hare hereby fully aware of his / her responsibility to ensure compliance.

Certification of Accuracy: The undersigned has reviewed the information above and hereby certify to the best of their knowledge that the information they have provided is true and correct.

Landlord: ___________________________________________________ Date: ____________

Landlord: ___________________________________________________ Date: ____________

Tenant: ____________________________________________________ Date: ____________

Tenant: ____________________________________________________ Date: ____________

Tenant: ____________________________________________________ Date: ____________

Listing Broker: _______________________________________________ Date: ____________

Other Broker / Agent: _________________________________________ Date: ____________



Download Template



Rental Agreement & Addendum

Example of Lease Addendums
Sample Addendum Letter
Lease Renewal Form
Lease Extension Addendum
Early Occupancy Addendum
Lead Based Paint Addendum
Pet Addendum to Lease
Bed Bug Addendum to Lease
Smoke Free Addendum
Rent & Late Payment
Addendum to Contract
Mold Addendum to Lease



More Rental Agreements
Vacation Rental Agreement
Sublease Agreement
Roommate Agreement

Rental Letters
Landlord Complaint

Security Deposit Forms
Agreement For Lease
Deposit Refund Form






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