Search
 
Assistant
 
Ask A Question
 
Business Forms
 
Business Directory


Sign up for free to add a business, receive our monthly newsletter and remove all advertising.



Lead Paint Disclosure Form

In 1992 Congress passed the Residential Lead-Based Paint Hazard Reduction Act and is also referred to as Title X. Title X was designed to protect families from exposure to lead from paint, dust and soil. Title X directs HUD and the EPA to require that there is full disclosure of all known information regarding lead-based paint and any lead-based paint hazards before the sale or lease of housing that was built before 1978. A sample of this required disclosure is found below.











Business Network Members
  1. CHL Development & Services C
  2. Allied Storage Containers
  3. Depolcyn
  4. Moore's Real Estate Investin


Lead Paint Template

Word   PDF  



Lead Paint Disclosure Agreement


Effective Date: ____/____/______

Tenant [Legal Name] (AKA, "The Lessee")

Located at [Address]

[City], [State] [Zip Code]

&

Landlord [Legal Name](AKA, "The Lessor")

Located at [Address]

[City], [State] [Zip Code]

The above mentioned parties do hereby agree as follows:

Statement of Warning for Lead:

Housing that was built before 1978 may contain paint that is lead-based. If not managed properly lead from paint, paint chips, and dust can pose health hazards. Lead exposure is especially harmful to young children and pregnant women. Lessors must disclose the presence of paint that is lead-based and / or lead-based paint hazards that are present in the dwelling before renting. A federally approved pamphlet on lead poisoning prevention must also be given to all Lessees.

Lessor's Disclosure:

Presence of lead-based paint and / or lead-based paint hazards:

[__] There are known lead-based paint and / or lead based paint hazards in the housing unit.

Details: _____________________________________________________

______________________________________________________________

[__] The Lessor has no knowledge of any lead-based paint and / or any lead-based paint hazards in the housing unit.

Records and reports that were made available to the Lessor:

[__] The Lessor has provided the Lessee with all available records and reports that pertain to lead based paint and / or lead-based paint hazards in the housing unit.

Documents provided: __________________________________________

______________________________________________________________

______________________________________________________________

[__] The Lessor has no knowledge of any lead-based paint and / or any lead-based paint hazards in the housing unit.

Lessee's Acknowledgment:

______ (Initial) Lessee has received copies of all information listed above.

______ (Initial) Lessee has received the pamphlet Protect Your Family from Lead in Your Home.

Agent's Acknowledgement:

______ (Initial) Agent has informed the Lessor of the Lessor's obligations under 42 U.S.C. 4852d and is aware of his / her responsibility to ensure compliance.

The following parties signed below have reviewed the above information and hereby certify to the best of their knowledge that the information that they have provided is accurate and true.


______________________________________________________________
Signature of the Lessee



______________________________________________________________
Signature of the Lessor









Business Network Members
  1. Encompass Design Build
  2. US Hygienics
  3. DCM Consulting
  4. Jacoby Enterprises






Agreements & Notices

Independent Agreements
Letter of Agreement
Public Notary Forms
Finder's Fee Contract
Shareholder Agreement
Agreement of Sale
Sublease Agreement
Vacation Rental Agreement
Photo Copyright Release
Audit Engagement Letter
Roommate Rental Agreement
Sworn Affidavit Agreement
Certificate of Title
Money Wire Transfer Form
Last Will And Testament
Escrow Agreement

Change Contracts
Letter To Terminate A Contract
Change Of Contract Terms
Addendum To An Existing Contract
Notice of Cancellation of Contract
Breach of Contract Forms
Letters to End a Contract
Addendum To Agreement of Sale

Power Of Attorney
Power Of Attorney Template
Revoke Power Of Attorney
Limited Power Of Attorney
Durable Power Of Attorney
Medical Power Of Attorney
Financial Power Of Attorney
Guardianship Power Of Attorney
Special Power Of Attorney
Lasting Power Of Attorney
Certification of Trust
Power of Attorney Assortment

Contractor Agreements
Independent Contractor
Lawyer Retainer
Consulting Retainer
Model Release
Photography Release
Application for Contractor Approval



Business Operations
Change Of Address Form
Business Closure Letter
Franchise Disclosure
Invention Disclosure

Rental Equipment
Equipment Maintenance
Equipment Lease Forms
DJ Equipment Rental Contract
Car Rental Agreement
Rental Lease Agreement *
Tenant Screening Form *
Key Receipt *
Short Lease Agreement *

Environmental Disclosures
Mold Addendum Lease Terms
Mold Disclosure Agreement
Lead Paint Disclosure Agreement
Asbestos Disclosure Agreement

Warranty & Liability
Business Liabilities Worksheet
Free Liability Release Forms
Warranty Agreement
Stop Notice Agreement
Contract of Indemnity
Volunteer Waiver
Cosigner Agreement
Cease Collection Letter
Prevent Identity Theft
Business Fraud Checklist
Subpoena Form
Small Claims Court Forms

Lien Notices
Preliminary Lien Notice
Release of Lien Agreement
Claim of Lien Notice
Proof of Service
Mechanics Lien Agreement
Mechanic's Lien Waiver
Attorney Lien






Home - Sign In - Contact - Privacy Policy - Business Assistant - Ask A Question - Business Directory - Marketing Trends - Business Forms - Starting A Business - Business Ideas - Service Contracts - Agreements & Notices - Vehicle & Transportation - Attendance & Scheduling - Organize & Communicate - Hiring An Employee - Employee Performance - Training & Coaching - Continuous Improvement - Sales, Bids & Estimates - Payroll & Accounting - Purchasing & Receiving

© Copyright 2014