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Lead-Based Paint Disclosure (Sales) ________________________________________ ___________________ Florida _____________________ 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 including, but not limited to, all documentation for the sale and subsequent inspection.  Alll seller records and reports are in compliance with section (e) above and the purchaser's records and reports are accurate, complete with all information requested. (ii) seller's disclosure of information on lead- based paint and/or lead-based paint hazards (exact wording): item(s) description of information about lead-based paint and/or lead-based paint hazards in the buyer's possession item(s) description of information about lead-based paint and/or lead- based paint hazards in the buyer's possession in accordance with seller's written disclosure (i) seller has disclosed that if a seller, other than the seller of real property, possesses and/or uses lead-based paint, known paint hazards may exist or may have developed in the housing. The seller of property has not, and will not, knowingly or negligently use lead-based paint. (ii) seller's prior disclosure, if any(s): (i) any past sale/inspection documentation and/or written disclosure by seller (a) seller has submitted, and the purchaser has accepted, any written disclosures from seller concerning lead in (a) section b above, b)(i) seller has completed and retained records and reports (for past sale/inspections) to support the disclosure of risk to (a) section b above, c) seller has completed and retained records and reports (for past sales/inspections and/or inspections) to support the disclosure of information about lead- based paint hazards in the dwelling if (i) the seller, if any, was previously notified of the potential risk and (ii), prior to purchase and prior to sale, (1) the seller completed an annual inventory of all material used to paint the dwelling and (2) the seller completed a risk-assessment and reported any identified lead hazards and (3) the seller retained a copy of any risk assessment and completed a lead exposure questionnaire from (a) section b above. (2) seller has maintained any records or reports in compliance with this clause, and the purchaser does not believe that the seller has violated this clause or any portion of the clause as in effect at the time of purchase. (3) seller has provided the purchaser with written documentation for at least two previous sales or inspected/inspected during the 12 consecutive months preceding the current sale or purchase. The seller may provide a.