Establishing secure connection…Loading editor…Preparing document…

Lead Paint Disclosure Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

LEAD PAINT DISCLOSURE FORM

This Lead Paint Disclosure and Acknowledgement (the "Disclosure") is made on this date: Month Day Year by and between Seller Name: (Seller) and Buyer Name: (Buyer), concerning real property located at Property Address: .

RECITALS

WHEREAS, Seller is the legal owner of the property identified above and represents that the dwelling was constructed in Year Built: ; and

WHEREAS, federal law requires disclosure of known information concerning the presence of lead-based paint and/or lead-based paint hazards in real property constructed prior to 1978, and requires that purchasers or tenants be provided an opportunity to conduct risk assessments or inspections; and

WHEREAS, the parties desire to record, in writing, the Seller's representations and the Buyer's acknowledgements regarding lead-based paint and any available records or reports.

NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. DISCLOSURE OF KNOWN LEAD-BASED PAINT AND/OR HAZARDS

Seller affirms the following regarding the presence of lead-based paint on the Property:

Seller knows of the presence of lead-based paint and/or lead-based paint hazards: Yes No

2. RECORDS AND REPORTS

Seller has the following records or reports relating to lead-based paint or lead-based paint hazards for the Property:

Records or reports available: Yes No

3. PAMphLET AND INFORMATION PROVIDED

Seller certifies that Buyer has been provided with a copy of the federally approved pamphlet on lead-based paint hazards and that Seller has disclosed all information known to Seller concerning lead-based paint and hazards.

Acknowledgement of receipt of pamphlet: Buyer acknowledges receipt

4. OPPORTUNITY TO CONDUCT RISK ASSESSMENT/INSPECTION

Buyer has been afforded the opportunity to conduct an independent risk assessment or inspection for lead-based paint and/or lead-based paint hazards at the Buyer's expense.

Buyer elected to conduct a risk assessment/inspection within days of receipt of this Disclosure.

Buyer waived the opportunity to conduct a risk assessment/inspection in writing: Waived If waived, Buyer initials:

5. AGENTS AND THIRD PARTIES

6. REPRESENTATIONS, WARRANTIES AND COVENANTS

Seller represents and warrants, to the best of Seller's actual knowledge, that the information set forth in this Disclosure is true and correct. Seller further covenants to notify Buyer in writing of any change in the condition of the Property with respect to lead-based paint or lead-based paint hazards prior to Closing.

Buyer acknowledges that Buyer has read and understands this Disclosure and that Buyer has received the pamphlet required by law.

7. REMEDIES AND INDEMNIFICATION

To the extent permitted by law, Seller agrees to indemnify and hold Buyer harmless from claims, liabilities, costs and expenses arising from Seller's failure to disclose known lead-based paint or lead-based paint hazards. Buyer agrees that any claims arising from the accuracy of Seller's representations shall be subject to the dispute resolution terms of the underlying purchase agreement between the parties.

8. NOTICES

9. MISCELLANEOUS

Governing Law: This Disclosure shall be governed by and construed in accordance with the laws of the state in which the Property is located.

Entire Agreement: This Disclosure constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes any prior oral or written representations concerning lead-based paint disclosures for the Property.

Severability: If any provision of this Disclosure is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

Amendments: Any amendment to this Disclosure must be in writing and signed by both parties.

Waiver: A waiver by either party of any breach of this Disclosure shall not be construed as a waiver of any other breach.

Counterparts: This Disclosure may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

Seller Printed Name:

By:

Date:

Buyer Printed Name:

By:

Date:

Enter text✕

What a Lead Paint Disclosure Form Is

A Lead Paint Disclosure Form is a federally required document for most residential properties built before 1978 that notifies buyers and renters about known lead-based paint hazards on the property and provides available inspection records. Under federal law, sellers and landlords must disclose known information about lead paint, provide the EPA/HUD pamphlet Protect Your Family From Lead in Your Home, and include an attachment describing presence or absence of paint and any known reports. The form records dates, known hazards, and signatures to confirm delivery of required disclosures.

Why the Lead Paint Disclosure Matters

The Lead Paint Disclosure Form protects occupant health, documents compliance with federal lead paint rules for pre-1978 housing, and reduces legal risk for sellers and landlords by creating a signed record. It also ensures buyers and renters receive hazards information and inspection reports before occupancy.

Why the Lead Paint Disclosure Matters

Typical Parties Who Complete or Receive the Form

Sellers and landlords prepare the form; buyers and tenants receive it prior to sale or lease to review lead information.

  • Sellers: disclose known lead-based paint and provide any existing inspection reports at sale.
  • Landlords: deliver disclosures before lease signing and retain a signed copy in tenant file.
  • Buyers/Tenants: review records, acknowledge receipt, and consider professional lead inspection when hazards are suspected.

Agents, property managers, and attorneys may assist; local housing authorities sometimes enforce disclosure compliance consistently.

Roles and Responsibilities for Signatures

Seller / Landlord

The property owner or their authorized agent who must disclose known lead-based paint information for pre-1978 properties. They complete the disclosure, attach available inspection reports, and obtain signatures from buyers or tenants to confirm delivery and acknowledgment of the hazards information.

Buyer / Tenant

A prospective purchaser or renter who must receive the disclosure before completing a transaction. They should review the form, request records or inspections if concerned, and sign to acknowledge receipt; their signature does not waive legal protections regarding lead hazards.

Required Information and Key Fields

Property Address: Street, city, state, ZIP code
Construction Year: Year built (YYYY); highlight pre-1978
Known Lead Presence: Yes/No and description if known
Inspection Reports: Attach test reports and dates
Acknowledgment: Signature block for recipient and date
Disclosure Pamphlet: EPA/HUD pamphlet provided confirmation

Step-by-Step: Complete the Lead Paint Disclosure Form

Follow these steps to complete and deliver a compliant Lead Paint Disclosure Form before sale or lease.

  • 01
    Prepare: Gather property records, test results, and inspection reports.
  • 02
    Complete: Record property details, year built, and known lead information.
  • 03
    Provide Pamphlet: Give EPA/HUD Protect Your Family pamphlet to recipient.
  • 04
    Sign & Retain: Obtain signatures and keep a copy in transaction file.

Configure an Online Workflow for Disclosures

Configure a digital workflow so each disclosure is completed, signed, and stored with an auditable trail. Use conditional fields for pre-1978 properties.

Field Configuration
Conditional Field Show lead questions only if year built is before 1978.
Signature Type Allow electronic signature; support in-person and remote signing.
Authentication Enable email plus SMS code or stronger KBA for high-risk transactions.
Storage Location Save signed PDF and audit trail to secure cloud storage.

Where to File, Send, and Archive the Form

Typical routing for an electronic Lead Paint Disclosure Form, from preparation through signed delivery and record retention.

  • Upload: Upload signed or draft disclosure PDF to the system.
  • Place Fields: Add conditional lead fields, dates, and signature blocks.
  • Send to Signer: Email invite or secure link with consent disclosure included.
  • Archive: Store signed PDF, audit trail, and attachments for retention.

Digital Signing and eSubmission Requirements

Digital signing and eSubmission requirements for Lead Paint Disclosure Forms vary by platform and regulatory needs.

  • File Types: PDF and Word DOCX supported
  • Integrations: Salesforce, NetSuite, Google Workspace integrations
  • Security: TLS 1.2/1.3 in transit and AES-256 at rest

Timing and Critical Deadlines to Observe

Meet disclosure timing rules: provide the disclosure before a lease or sale is finalized so recipients can make informed decisions.

Before Lease/Sale:

Deliver disclosure prior to signing any lease or purchase agreement.

Record Retention:

Keep signed form with transaction records for minimum retention period.

Inspection Timing:

Allow time for lead inspection after disclosure and before closing.

Tenant Receipt:

Landlords must provide disclosure and pamphlet before tenancy begins.

Buyer Acknowledgment:

Obtain buyer signature acknowledging receipt during escrow or closing.

Key Milestones Across the Transaction Lifecycle

Milestones from disclosure creation through long-term retention for a Lead Paint Disclosure Form across the transaction lifecycle.

01

Prepare Disclosure

Collect records, test results, and inspection reports before drafting the form.

02

Deliver to Recipient

Provide pamphlet and disclosure; obtain signature prior to agreement execution.

03

File Signed Copy

Scan and save signed PDF and audit trail in secure storage.

04

Retain per Law

Keep records according to federal and state retention requirements.

Common Preparation Errors to Avoid

  • Failing to disclose known lead paint locations or tests creates legal exposure, can trigger rescission rights, and may result in monetary penalties or claims after possession.
  • Providing incomplete addresses, missing unit numbers, or incorrectly formatted dates can invalidate the form or delay closing and lead to backup withholding or administrative fines.
  • Not giving the EPA/HUD pamphlet or failing to secure a signed acknowledgment before occupancy violates federal requirements and increases enforcement risk.
  • Relying on verbal disclosure without a signed form leaves property owners vulnerable because intent and receipt are difficult to prove in disputes.

Penalties and Potential Legal Risks

Civil Penalties: State and federal fines possible
Criminal Liability: Rare but possible for willful nondisclosure
Civil Litigation: Claims for damages and remediation costs
Rescission Rights: Buyers may cancel closing
Administrative Actions: Local housing authorities enforcement
Insurance Impact: Claims denial or premium increase

eSignature Pricing and Capability Snapshot for Disclosure Workflows

Compare core pricing and capabilities for common eSignature vendors relevant to Lead Paint Disclosure Form processing and high-volume document workflows.

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 Yes — 7-day trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes (tiered) Yes (tiered) Yes (tiered) Yes (tiered) Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Practical Examples from Transactions and Rentals

Representative use cases showing how lead paint disclosures are applied across transactions and workflows in practice.

Brokerage Transaction

A seller in a suburban market disclosed prior lead test results and uploaded inspection reports during listing; the agent attached the federal pamphlet to the transaction packet.

  • Buyer ordered independent lead risk assessment promptly.
  • The signed disclosure and reports were kept in escrow files, which reduced buyer concerns and prevented post-closing disputes. The documentation supported a negotiated remediation escrow and clarified responsibility for any abatement work.

Rental Lease

A small landlord disclosed known chipping paint areas on a pre-1978 duplex, provided the EPA/HUD pamphlet, and attached a contractor's inspection to the lease package.

  • Tenant signed electronically before move-in.
  • Because records were collected and stored electronically, the landlord quickly supplied inspection documentation when the tenant requested remediation. Clear documentation limited dispute escalation and supported a timely contractor response under local housing codes.

Best Practices to Ensure Accurate Disclosures and Compliance

Practical steps to improve accuracy and reduce liability when preparing and delivering Lead Paint Disclosure Forms.

Verify Property Records and History
Confirm construction year, prior lead tests, abatement work, and municipal records before completing the form. Cross-check inspection dates and lab certifications to prevent incomplete or inaccurate disclosures that could be contested after closing.
Provide Federal Pamphlet and Supporting Documents
Always include the EPA/HUD pamphlet and attach test reports. Get written acknowledgments from recipients and store signed copies in a secure, searchable system to demonstrate compliance if disputes or audits arise.
Use Conditional Fields in Digital Forms
Configure fields to appear only when the property is pre-1978. This reduces signer confusion, ensures relevant data collection, and automates required attachments for inspections or remediation certificates.
Confirm Signer Identity and Preserve Audit Trail
Require at minimum email verification and capture timestamps, IP addresses, and consent disclosure to satisfy ESIGN/UETA tests. For high-risk or contested transactions, use stronger authentication or notarization to strengthen enforceability.

Lead Paint Disclosure Form — FAQs and Troubleshooting

Answers to common questions about completing, distributing, and validating Lead Paint Disclosure Forms, including electronic signing and retention concerns.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users