Iowa Lead Form PDF Details

Are you an Iowa home or business owner looking for a safe and environmentally friendly way to mitigate your lead exposure risk? If so, the Lead Form from the Iowa Department of Public Health is essential for ensuring that your property remains safe. This form, which serves as both an assessment tool and reporting resource, identifies potential hazards and evaluates whether they pose any health risks. This blog post will discuss why this form is important and how it can help protect you and those who use your property. Read on to learn more!

QuestionAnswer
Form NameIowa Lead Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesiowa lead paint pamplet, iowa lead based paint disclosure, iowa lead based paint, printable lead based paint disclosure rental

Form Preview Example

Lead-Based Paint Disclosure (Sales)

________________________________________________________________________________Iowa____________________________

Street AddressCityStateZip

W ARNING! LEAD FRO M PAINT, DUST , AND SO IL CAN BE DANGERO US

IF NO T MANAGED PRO PERLY

Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint H azards

Lead W arning 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 (initial)

(f)________ Agent has informed the seller of the seller' obligations under 42 U.S.C. 4852(d) and is aware of his/her responsibility to ensure compliance.

Seller Initials: ________ ___________ Buyer Initials: _________ ___________ Agent Initials: ________ _______

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. Penalties for failure to comply with Federal Lead-Based Paint Disclosure Laws include treble (3 times) damages, attorney fees, costs, and a penalty up to $10,000 for each violation.

___________________________________________________

_______________________________________________

Seller

Date

Buyer

Date

___________________________________________________

_______________________________________________

Seller

Date

Buyer

Date

____________________________________________________

_______________________________________________

Agent

Date

Agent

Date

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iowa lead based disclosure conclusion process detailed (step 1)

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