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Lead-Based Paint Disclosure Form

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LEAD-BASED PAINT DISCLOSURE FORM

Property Identification

Property Address:

Parties

Disclosure of Lead-Based Paint and Hazards

1. Age of Dwelling (if known):

2. Known Presence of Lead-Based Paint:

3. Known Lead-Based Paint Hazards (peeling paint, dust-lead hazards, contaminated soil):

Records and Reports

4. Seller/Landlord has provided the following records or reports pertaining to lead-based paint or lead hazards:

Buyer / Tenant Acknowledgment and Rights

5. Buyer/Tenant acknowledges receipt of the information above and of any records and reports listed:

6. Buyer/Tenant has been given a copy of a lead hazard information pamphlet and an opportunity to inspect for lead-based paint and hazards:

7. Buyer/Tenant inspection option exercised:

Seller / Landlord Certification

The undersigned Seller or Landlord certifies, to the best of Seller's / Landlord's knowledge, that the information in this Disclosure is true and accurate. Seller / Landlord acknowledges the duty to disclose any known lead-based paint or lead hazard conditions in the dwelling and to provide all known records and reports regarding lead-based paint and lead hazards.

Buyer / Tenant Acknowledgment

The undersigned Buyer or Tenant acknowledges receipt of the foregoing disclosures, acknowledges receipt of any records and reports listed above, and acknowledges the opportunity to obtain an independent inspection for lead-based paint and lead hazards. Buyer / Tenant further acknowledges that by signing this Disclosure Buyer / Tenant is relying on the representations contained herein in entering into the purchase or lease transaction.

Health and Safety Notice

Lead exposure from lead-based paint, lead-contaminated dust, and lead-contaminated soil can cause serious health problems, especially for pregnant women and young children. Appropriate steps should be taken to avoid exposure and to address identified lead hazards.

Signatures

Seller / Landlord:

By:

Date:

Buyer / Tenant:

By:

Date:

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What the Lead-Based Paint Disclosure Form Is and when it applies

The Lead-Based Paint Disclosure Form documents whether a residential property built before 1978 may contain lead-based paint and confirms delivery of the EPA/HUD pamphlet 'Protect Your Family From Lead in Your Home.' Federal law (Residential Lead-Based Paint Hazard Reduction Act, Title X) requires this disclosure for most sales and leases of target housing. The form records known information about lead hazards, any available inspection or risk assessment results, and signatures from sellers, lessors, and buyers or tenants to acknowledge receipt and disclosure.

Why this disclosure matters for sellers, landlords, and agents

The Lead-Based Paint Disclosure Form protects buyers and tenants by ensuring they receive required information about possible lead hazards and the EPA/HUD pamphlet. For sellers and lessors, it documents compliance with federal disclosure obligations and reduces risk of later claims tied to nondisclosure.

Why this disclosure matters for sellers, landlords, and agents

Who completes and signs the disclosure

Common users complete the Lead-Based Paint Disclosure Form when a covered property is offered for sale or lease; several parties typically interact with the form.

  • Sellers and lessors: Provide known information about lead-based paint and sign to confirm disclosure.
  • Buyers and tenants: Acknowledge receipt of the disclosure and the EPA/HUD pamphlet prior to contract or lease execution.
  • Real estate agents and property managers: Facilitate delivery, recordkeeping, and retention of the signed form.

Accurate completion prevents compliance gaps and documents that required information and pamphlets were provided before closing or move-in.

Step-by-step: completing the Lead-Based Paint Disclosure Form

Follow these steps to prepare and document the disclosure clearly and consistently.

  • 01
    Identify property: Enter full address and year built to confirm whether the home is target housing.
  • 02
    Seller disclosure: Detail known lead-based paint or hazard information and note absence of knowledge if applicable.
  • 03
    Attach reports: Include any inspection or risk assessment results, with dates and author information.
  • 04
    Sign and date: All parties sign and date; retain copies for required retention periods.

Digitally completing and sharing the form — platform considerations

Electronic completion is common; ensure the chosen platform supports required file formats, audit trails, and integrations with your transaction systems.

  • Integrations: Salesforce, Microsoft 365, NetSuite supported
  • File formats: PDF, DOCX, HTML supported
  • Security: TLS and AES-256 encryption

Choose a platform that preserves a complete audit trail, stores signed copies in a retrievable format, and integrates with your closing or property-management workflow.

Common eSignature pricing and feature comparison

Signatures for the Lead-Based Paint Disclosure Form can be handled by many eSignature providers; below is a concise price and feature snapshot with signNow listed first.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial, no card Free trial available Free trial available Free trial available Free trial available
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Essential security and compliance controls

Encryption: TLS 1.2/1.3; AES-256 at rest
Audit Trail: Timestamps, IP, action log
Access Controls: Role-based permissions
BAA Availability: HIPAA BAA offered
Regulatory Compliance: ESIGN and UETA compliance
Certifications: SOC 2 Type II and ISO 27001

Risks and consequences of incomplete or missing disclosure

Civil Liability: Buyer/tenant may seek damages and rescission
Regulatory Action: EPA/HUD enforcement possible
Contract Delays: Closings or lease starts may be postponed
Increased Costs: Late remediation or legal fees
Insurance Exposure: Potential denial of claims
Reputational Risk: Agent or owner trust reduced

Practical tips for accurate and efficient disclosure

Apply consistent practices to reduce errors and create a reliable audit trail for each transaction.

Confirm year built via records
Verify construction year from tax, appraisal, or deed records. Accurate year determines whether the federal disclosure requirement applies and prevents unnecessary disclosures.
Attach inspection reports
Include any lead inspection or risk assessment as an exhibit. A dated report with inspector credentials provides objective evidence of known hazards or absence thereof.
Use a single stored template
Maintain a standardized disclosure template and store completed versions in transaction folders to speed processing and ensure consistency across listings or leases.
Record delivery of pamphlet
Document the date and method of EPA/HUD pamphlet delivery. Proof of pamphlet receipt is a critical element of federal compliance.

Real-world examples of electronic disclosure in property transactions

Two brief examples show how electronic workflows are used in practice for lead-based paint disclosures.

Martin Properties

Tim Martin, Founder

  • I can process and execute all of these documents online with 100% compliance and built-in security.
  • Martin Properties uses online execution to collect disclosures and retain signed files centrally so closings proceed without in-person signatures, improving reliability and turnaround.

Optica Ventures LLC

Brian Fitzgibbons, COO

  • The interface is simple and easy-to-use for our team; more importantly, it is just as easy for our customers.
  • Optica Ventures integrates electronic disclosures into its closing checklist so buyers receive the EPA pamphlet and sign the disclosure before final walkthroughs.

Where to deliver and file completed disclosures

Document routing should ensure each party receives a signed copy and a retained record is stored with closing or rental files.

  • To buyer/tenant: Provide a signed copy to the buyer or tenant before contract execution or move-in.
  • To seller/lessor: Seller or lessor retains an executed copy in transaction records.
  • Attach to closing file: Include disclosure and inspections with closing documents or lease agreement.
  • Store electronically: Keep a retrievable signed PDF with audit trail for the applicable retention period.

Core elements every professional disclosure should include

A complete Lead-Based Paint Disclosure Form combines property facts, hazard statements, supporting reports, and clear acknowledgements from all parties.

Property details

Full address, unit number if applicable, and year built so applicability is determined and records match closing or lease documents.

Seller statement

A concise declaration of known lead-based paint or lack of knowledge, noting locations and prior abatement if any.

EPA/HUD pamphlet

Acknowledgment that the federally required pamphlet was provided and the date of delivery.

Inspection results

Attach any test or risk-assessment reports with inspector name, credentials, and date for transparency.

Buyer/tenant acknowledgement

Signature block where buyer or tenant confirms receipt of disclosure and pamphlet prior to execution.

Record of delivery

Space to note how and when the disclosure and pamphlet were delivered (electronic, mail, in person).

FAQs: common questions and practical answers

Answers to frequently asked questions about completing, signing, and storing the Lead-Based Paint Disclosure Form.


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