Lead Based Paint Disclosure Form – PDF Template

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A landlord or representative must hand out this federal form to all potential tenants to make them aware of the existence of lead based paint. There is a good chance that a structure built before 1978 has this type of paint which is extremely harmful to children as well as pregnant mothers. Especially if there is noticeable chipping or the paint falling off the walls the property may be in great risk of lead exposure.

To make sure the tenant received a copy of this form he or she must authorize the bottom for the landlord’s records.

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Sample

lead-based-paint-disclosure-form