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9074 Federal Register / Vol. 61, No. 45 / Wednesday, March 6, 1996 / Rules and Regulations 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 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 lead-based paint and/or lead-based paint hazards in the housing. Purchaser =s Acknowledgment (initial) (c) ----- Purchaser has received copies of all information listed above. (d) ----- Purchaser has received the pamphlet Protect Your Family from Lead in Your Home.
(e) ----- Purchaser has (check (i) or (ii) below): (i) ---- received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards; or (ii) ---- waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards . Agent =s Acknowledgment (initial) (f) ----- Agent has informed the seller of the seller =s obligations under 42 U.S.C. 4852d and is aware of his/her
responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. _________________ Seller Date Seller Date _________________ Purchaser Date Purchaser Date _________________ Agent Date Agent Date 10-1-03 2 Federal Register / Vol. 61, No. 45 / Wednesday, March 6, 1996 / Rules and Regulations 9075 Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards Lead Warning Statement Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre- 1978 housing, lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor =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) ---- Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the lessor (check (i) or (ii) below): (i) ---- Lessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below). _________________________________________________________________________________ (ii) ---- Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Lessee =s Acknowledgment (initial) (c) ----- Lessee has received copies of all information listed above. (d) ----- Lessee has received the pamphlet Protect Your Family from Lead in Your Home. Agent =s Acknowledgment (initial) (e) ----- Agent has informed the lessor of the lessor =s obligations under 42 U.S.C. 4852d and is aware of his/her
responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. _________________ Lessor Date Lessor Date _________________ Lessee Date Lessee Date _________________ Agent Date Agent Date 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
