Fill and Sign the Lead Based Paint Disclosure Sales Legal Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Washington _____________________ 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 r
Eports pertaining to lead-based paint and/or lead-based paint hazards in the housing available. (c) lead hazard status in the housing (check (i) or (ii) below): (i) known and/or documented lead hazards have been identified and mitigated by the seller, (check (d) below) (ii) seller has identified no lead-based paint hazard in the housing. Seller's disclosure on lead-based paint and/or lead-based paint hazards (lead warning clause): sellers must provide the customer with a written disclosure with the property description that includes the following information: 1) presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below). 2) seller has no knowledge of lead-based paint and/or lead-based paint hazards in the dwelling. 3) seller has identified no lead-based paint hazardous conditions in the dwelling. 4) this document provides information concerning a known and documented lead hazard (explain). A hazard is a known exposure source or condition to which someone has been exposed (or which someone has been shown to be potential for additional exposures) that may, under the conditions at the time of exposure, cause measurable or clinically significant health effects. Hazard does not include known sources related to lead paint. 3. Sale is made solely for residential purposes of real property which were the subject of a full risk assessment or inspection by the state of California, a county, city, or other governmental agency prior to the property's purchase. Lead-based paint hazard status in the dwelling: (check box below): 1. Known and/or documented lead hazard in the dwelling (check box below). Lead hazard status may be disclosed to the consumer when a potential risk is identified by the seller. Hazard status must be indicated on the property description as follows (noted on the following pages: 1, 2, 3, 4, 5): 1) presence of lead-based paint (check box below): 2. Lead hazard status in the dwelling (check box below): 3. Disclosure of lead hazard status (check box below): 4. Lead hazard status (check boxes below): 1-2 — known and documented health effects attributable to lead exposure which may exist and/or may be anticipated to exist in a household with children under age 5; 3-4 — known health effects attributable to lead exposure which may exist but no known or predicted time, place, or extent of exposure exists; 5-