Fill and Sign the I Seller Has Provided the Purchaser with All Available Records and Reports Pertaining to Lead Based Paint Andor Leadbased Paint Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Hawaii _____________________ 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 property, including: (a) seller's inventory, () seller's annual report to the Hawaii department of health and the department of conservation, and/or () seller's lead inventory reports. (ii) seller has disclosed that the property has lead-based paint and/or lead-based paint hazards. (c) seller can be held civilly liable to the purchaser if disclosure is not made in accordance with this section. (d) buyer's disclosures (check (e) below). (e) buyer has provided buyer's disclosures (a) ...................................................................................................................................................... (i) seller must disclose that the property has lead-based paint and/or lead-based paint hazards (check (i) or (ii) below). (ii) seller must include on the offer, (a) seller's inventory, () sellers annual report to the Hawaii department of health and the department of conservation, and/or () sellers lead inventory reports. (b) seller must disclose any known lead-based paint hazards at the point of sale (check (b). (e) buyer has disclosed buyer's disclosure (b) ...................................................................................................................................................... (i) seller must disclose that the property has lead-based paint and/or lead-based paint hazards (check (i) or (ii) below). (ii) seller must include on the offer, (a) seller's inventory, () sellers annual report to the Hawaii department of health and the department of conservation, and/or () sellers lead inventory reports. (b) seller must disclose any known lead-based paint hazards at the point of sale (check (b). (f) buyer has fulfilled seller's disclosures (check (i) or (ii) below): (1) (a) seller must not disclose that the property contains lead-based paint or any property in the purchaser's possession contains lead-based paint or lead- based paint hazards until the buyer is at least 14 years of age or has consented to a sampling test on the property, and may disclose a lead- based paint hazard in the presence of an individual who is under the age of 13 at the time of purchase or on the property during a sampling test. (b) seller may disclose a lead- based paint hazard in the presence of an individual who is