Fill and Sign the Neurological Damage Including Learning Disabilities Reduced Intelligence Quotient Behavioral Problems and Form

Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ New Jersey _____________________ 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
Ations available that relate to lead-based paint and/or lead-based paint hazards. (c) inspection reports available to seller (check (i) or (ii) below): (i) seller has provided all available inspection reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below). (ii) seller has no inspection reports or records in its possession that describe or reflect a lead-based paint hazard under conditions that existed during its inspection and sale of residential property. (d) record/report requirements and procedures (see (b) above). Lead warning statement (sales) new jersey street address city state zip code warning! Lead from paint, dust, and soil may be harmful or expensive to a family's health or property. For example, in some cases, lead exposure may result in: a child having difficulty learning because of damage to the brain or developing lead poisoning; a child not being able to focus at school, which may result in the child dropping out of school, getting a worse grade, or having lower standardized test scores and thus lower chance of getting a good job; a parent not being able to do things like take the child to the doctor; a child not being able to sleep well or getting sick; a child being more irritable and having more headaches; a parent not being able to hold down a job, or not being able to hold a job because the child doesn't have the work ethic to fit the role; a child's behavior or conduct becoming aggressive, or a child not being able to play with friends; a parent having more child support payments, or a child not getting the help needed from a parent. In addition to exposing the child to lead, lead from lead-based paint might cause or worsen other health problems, including: kidney, liver, or nervous system problems; damage to the heart, brain, or other nervous system organs; a higher risk of developing schizophrenia and/or bipolar disorder. Lead warning statement (sales) New Jersey street address city state zip code warning! This statement is intended to give all potential buyers a strong warning about potential lead hazards that may result from exposure to lead-based paint as part of building a dwelling. In addition, this statement will give potential buyers an opportunity to obtain a copy of the seller's inspection and report. If any seller documents regarding potential lead-based paint hazards are not available,