Lead-Based Paint Disclosure

If your rental property was built before 1978, please read the Lead Disclosure Rule.

Protect Your Family from Lead in Your Home – PDF English

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):
If (i) is chosen please explain.
(b) Records and reports available to the lessor (check (i) or (ii) below):
If (i) is chosen please list documents below.
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. 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.
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Lead-Based Paint Disclosure

Lead Warning Statement

Lessor’s Disclosure

Lessee’s Acknowledgment (initial)

Agent’s Acknowledgment (initial)

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.