Fill and Sign the A Risk Assessment or Inspection for Possible Lead Based Paint Hazards is Recommended Prior to Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Tennessee _____________________ 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 re
-reports pertaining to lead-based paint and/or lead- based paint hazards in the housing, except such documents as: lead testing records. (i) (a) a state or regional agency has been notified of lead (as specified below) (or is otherwise authorized by the federal government or state law) if, prior to or at sale, the seller has any lead-based paint (or any other relevant records or reports or notification if required under law) records in its possession. (b) a records' manager maintains lead-based paint records for the seller. (c) as part of a re-registration process, the purchaser or the purchaser's designee completes a new preregistration form that requests the seller to provide additional lead-based paint records. (d) if applicable state testing reports are required or authorized by state law to comply with the federal lead paint hazard reduction act of 1992, seller complies by providing the purchaser with the purchaser's required lead testing report on any dwelling. (e) (1) seller has been notified of the presence or absence of lead-based paint or lead-based paint hazards in the dwelling(s) by a state-certified or certified non-state agency authorized by state law (check (i) or (ii) below): (iii) seller has been notified by the department, a unit of local government or a public health agency or facility authorized to enforce state law that no lead-based paint (or lead-based paint hazards) is present in the dwelling(s) and/or that the seller has no lead-based paint records (check (i) or (ii) above). (iv) seller has an environmental test report to support its disclosure of lead-based paint and/or lead-based paint hazards. (2) seller, prior to or as part of any re-registration process, completes a new preregistration form that includes the seller's required lead testing report on all the dwelling units in the property (check (i) or (ii) above): (iii) seller has provided the purchaser with all required lead testing records (check (i) or (ii) above). (3) sale includes the following: (a) seller completes a seller re-registration form; and (b) purchaser completes a buyer re-registration form. (c) seller and purchaser's required re-registration form is electronically transmitted to the federal agency or state certifying or certifying non-state agency