Fill and Sign the Lead Poisoning in Young Children May Produce Permanent Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Pennsylvania _____________________ 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
Records pertaining to possible lead-based paint or lead- based paint hazards in the housing. (c) notice of the presence of lead-based paint and/or lead- based paint hazards (see examples below) (click on image to enlarge). Example: the following image shows a house that was sold at a foreclosure auction. The notice also confirms that the purchaser has complied with the required warnings. This house was tested from the seller to ensure lead-based paint and/or lead-based paint hazards do not present in the house. The house has been sold to a prospective buyer. Note that the buyer received a lead test report that does not disclose whether the house tested is the house that was sold. The house should have been tested for lead because lead may have been introduced to the house through exterior paint. Further, the buyer does not have reports or records pertaining the type or amount of lead-based paint or lead-based paint hazards in the house prior to the buyer's purchase. Because the buyer does not have such reports, the purchaser is unable to fully understand the potential risks posed by lead-based paint or paint hazards in the house. Example: the following image shows a house that was sold at a foreclosure auction. The notice also confirms that the purchaser has complied with the required warnings. This house was tested from the seller to ensure lead-based paint and/or lead-based paint hazards do not present in the house. The house has been sold to a prospective buyer. Note that the buyer received a lead test report that does not disclose whether the house tested is the house that was sold. The house should have been tested for lead because lead may have been introduced to the house through exterior paint. Further, the buyer does not have reports or records pertaining the type or amount of lead-based paint or lead-based paint hazards in the house prior to the buyer's purchase. Because the buyer does not have such reports, the purchaser is unable to fully understand the potential risks posed by lead-based paint or paint hazards in the house. Sample disclosure (click on image to enlarge) sample disclosure (click on image to enlarge) additional information and resources inspections and testing preliminary inspection a preliminary inspection is an investigation of the property as a whole to determine if all of the following criteria are present: routine maintenance, including a review of the roof exterior ( deck, porch, gutter, sidewalk, etc.) exterior