Fill and Sign the B Records and Reports Available to the Seller Check I or Ii below Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Arizona _____________________ 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 (explain). (ii) seller has provided the purchaser with all available records and reports from any inspection performed in the housing (explain). (c) address and phone number of seller's point of sale (if known) as well as telephone number of seller's point of sale and/or phone number of seller's local office and/or contact information for a local hazardous material reporting point (i) (d) seller's statement of exposure (a) (i) seller has a "good faith belief” that the material is not hazardous and complies with applicable law. B. Seller is not an immediate family member (including aunts, uncles, nieces, grandfathers, grandmothers, grandchildren, brothers-in- law, sisters-in- law, children, adopted children, foster children, domestic partners and anyone else who is related by blood or marriage) (or) a relative of the buyer, including a landlord tenant. C. Seller is a seller who does not reside in the dwelling and did not directly own the property at the time of sale. (ii) seller was not directly familiar with the lead-based paint hazards and failed to comply with applicable local, state and federal lead-based paint law. (iii) seller knew of the hazards and failed to correct them. (b) (i) seller was a principal in a corporation or business and the owner or employee responsible for, directly or indirectly, controlling or directing operations of the business or corporation for a continuous period of 5 years prior to purchasing the property (check (c) below). D. Seller was in actual or constructive possession of the property at the time of purchase (check (b) below). (ii) the purchaser was the owner, lessee, assignee, director, officer or principal of the corporation or business at the time of sale. E. Seller purchased the property with one of the following: (i) money from an escrow (cash in lieu of a deed, trust deed or other instrument in lieu of a property title), escrow account or other trust account (ii) a mortgage or other lien on the property purchased at the time of sale (check (c) below). (iii) cash or a combination of dollars and letters or checks (check (a) below) payable to seller or mortgagor and received prior to purchase, as a down payment