Fill and Sign the 1978 is Notified that Such Property May Present Exposure to Lead from Lead Based Paint that May Place Young Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Michigan _____________________ Street Address City State Zip Code WARNING! LEAD FROM PAINT, DUST, AND SOIL CAN BE DANGEROUS IF NOT MANAGED PROPERLY Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The Seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the Seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. Seller's Disclosure (a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): (i) _____ Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). ______________________________________________________________________________________________________________________________________________________________________________________ (ii) _____ Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the seller (check (i) or (ii) below): (i) _____ Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead- based paint hazards in the housing (list documents below).______________________________________________________________________________________________________________________________________________________________________________________ (ii) _____ Seller has no reports or rec
Ourses. (c) a health professional or other person designated by the seller (check (iii) below). (d) a health professional or other person designated by the purchaser (check (i)(h) below) (iii) seller has provided the purchaser with all reports and records relevant to lead-based paint and/or lead-based paint hazards in the housing (list documents below). (i) listing information, including but not limited to: (i) purchaser's name; (ii) purchaser's residential address; (iii) description/address of dwelling; (iv) description of the property; (v) property address within a reasonable driving distance in each case to the purchaser's residence; (vi) description of the neighborhood; (vii) a link to or references to or (ii) property information, including but not limited to: (i) identification and current address of the owner of the residential property; (ii) sale contract number; (iii) description of building; (iv) date of purchase; (v) description of the unit; (vi) building code and inspection certificates; (vii) sales receipt(s) for purchase; (viii) purchaser's name or the last four digits of the purchaser's social security number; (ix) seller's name or the last four digits of the seller's social security number; (x) a description of the unit in general; (xi) the unit type in general; (xii) unit dimensions in general; (xiii) floor plans, if known; (xiv) photographs of the unit, if available, taken within a reasonable time; (xv) if applicable, current utility account information; (xvi) if applicable, landlord/tenant agreement information, including any amendments made to or affecting the agreement; (xvii) if applicable, rental or lease agreement information, including any modifications or amendments made to or affecting the agreement; (xviii) if applicable, prior tax information; (iv) a copy of health history form, if applicable; (v) if applicable, records related to previous owners and/or landlords, including, but not limited to, tax liens or foreclosures or liens or foreclosures for taxes for the previous owner/landlord, and property tax records for prior to the date the seller of the property was added to the owner's or landlord's list of owners