Lead Base Paint Form PDF Details

Lead base paint is a common component of home renovations and repairs. It can provide protection from the elements, prevent corrosion, and improve the appearance of your property. However, due to its potential toxicity if it’s not applied correctly, lead-base paint forms need to be filled out whenever you renovate or repair an area that contains lead based paint. Filling out this form requires careful attention to details in order for it to be successfully executed — which could help save time (and money) down the road! In this blog post we will go over what information needs to be included on a lead-base paint form so your assurance that safety requirements are met with ease and accuracy!

QuestionAnswer
Form NameLead Base Paint Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslead paint disclosure ny, ny lead paint disclosure, lead paint pamphlet, lead paint disclosure

Form Preview Example

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’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 assess-

ment 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. 4852(d) 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

How to Edit Lead Base Paint Form Online for Free

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It really is easy to complete the form with our practical tutorial! This is what you should do:

1. It's very important to fill out the based paint statement correctly, hence be careful when filling out the sections including these specific fields:

The way to prepare disclosure lead paint part 1

2. Soon after performing this section, go on to the next stage and fill in all required particulars in these blanks - Agents Acknowledgment initial f, aware of hisher responsibility to, Certification of Accuracy The, Date, Seller Purchaser Agent, Purchaser, Agent, Date, Date, Seller, Date, Date, and Date.

Step no. 2 in submitting disclosure lead paint

It's simple to make an error while completing the Date, hence ensure that you look again before you finalize the form.

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