View a sample USA PDF Lead Paint Disclosure
View a sample
USA PDF Lead Paint Disclosure

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Also called:
  • This form also known as: lead paint house, lead paint disclosure form, lead paint disclosure agreement, house with lead paint

USA Lead Paint Disclosure
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PDF Lead Paint Disclosure Form

A Lead Paint Disclosure serves as a legal record of the presence and/or possible presence of lead-based paint hazards in a residential dwelling. It states whether there are any known hazards or records of hazards, and also documents that the purchaser has had the opportunity to inspect the premises. This document meets the requirements of the United States Residential Lead-Based Paint Hazard Reduction Act (1992) which requires disclosure of lead-based paint hazards on houses built prior to 1978 which are being sold or leased.

More about Lead Paint Disclosure legal forms.

  • Proceed through this form, providing as much information as possible.
  • Do not use the '&' (ampersand) and '"' (double-quotation mark) characters.
  • When you are done, click on 'Build Document' at the bottom.

Property Information:

Address:

City:

State:

Zip Code:

Type of Disclosure:

This property is for:

Seller Information:

Landlord Information:

Number of Sellers:

Number of Landlords:

First Seller:

First Landlord:

Second Seller:

Second Landlord:

Buyer Information:

Tenant Information:

Number of Buyers:

Number of Tenants:

First Buyer:

First Tenant:

Second Buyer:

Second Tenant:

Lead Paint Disclosure:

Does the Seller(s) know of any lead or lead-based paint hazards on the property?
 Yes No

Does the Landlord(s) know of any lead or lead-based paint hazards on the property?
 Yes No

Describe the hazards:


Describe the hazards:


Has the Seller(s) given the Purchaser(s) all records/reports (if any) about lead and lead-based paint hazards on the property?
 Yes No

Has the Landlord(s) given the Tenant(s) all records/reports (if any) about lead and lead-based paint hazards on the property?
 Yes No

Describe the records/reports:


Describe the records/reports:


Lead Paint Inspection:

Will the Buyer(s) be conducting a risk assessment or inspection for lead hazards?
 Yes No

Agent Information:

Was an agent involved in selling or renting the property?
 Yes No

Agent's Name:

Date of Signing:

If you do not know the date, leave these fields blank.
Day (e.g. 5):

Month (e.g. November):

Year (e.g. 2006):