Seller Lead Paint Disclosure Form

Looking for a standard lead paint disclosure form and lead paint pamphlet to sell your house? Then look no further - grab your free copies right here.

What You Should Know Before Using Our Lead Paint Disclosure Forms

Am I selling a residential property in the U.S.?" and "Is that property built before 1978?"

If you answered "Yes" to both questions, then you are required by law to give your buyer two lead paint forms - a lead paint disclosure form and a lead paint pamphlet.

First let's talk about the lead based paint pamphlet. Since it has to be EPA approved, there is just one correct version: "Protect Your Family from Lead in Your Home." - Click here for the official HUD Lead Paint Pamphlet.

Next let's move on to your lead paint disclosure. Home sellers are required by federal law (that means all states) to reveal any known information regarding the existence and condition of lead paint in the house. The magic word here is "known", meaning the seller only has to reveal details that he or she already knows (so there's no need to hire a lead paint inspector).

Once you're done filling in the blanks, attach both the lead paint disclosure form and pamphlet to your Real Estate Purchase Contract. You must give the buyer 10 days to carry out a lead paint inspection, unless the buyer is kind / casual enough to waive this right.

Oh yes don't forget about your other real estate disclosures - More than 30 states have slapped on laws requiring home sellers to expose other defects and uglies on their property. To find out more, Click here for our Real Estate Disclosure Form.

Lead Paint Disclosure Form

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 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

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 Name: _________________________

Seller Signature: _________________________

Date: _______________


Buyer Name: _________________________

Buyer Signature: _________________________

Date: _______________


Agent Name: _________________________

Agent Signature: _________________________

Date: _______________

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