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Lead-Based Paint Disclosure

Prepare the federal lead-based paint disclosure for a pre-1978 rental or home sale, with the warning statement and signed acknowledgments. Preview first.

Guided questions Preview before you download PDF and editable Word (DOCX)

What this document does

Landlords and home sellers use this form to give a tenant or buyer of housing built before 1978 the federal lead-based paint disclosure: the Lead Warning Statement, what the owner knows about lead-based paint and hazards, the records provided, the tenant's or buyer's acknowledgments, any agent's acknowledgment, and signed certifications. It is not a lease or a purchase contract and does not cover any state or local lead disclosure, inspection, or notice requirement; it is attached to the lease or contract.

What it covers

  • Parties and Housing
  • Lead Warning Statement
  • Agent's Acknowledgment
  • Additional Statements
  • About This Disclosure

A template you fill in yourself from your own answers. LeaseCraft is not a law firm and does not give legal advice; for advice about your situation, talk to a lawyer.

How it works

1

Answer the questions

Plain-language questions about the people, dates and terms.

2

Preview it free

Read the document built from your answers and change anything before you download.

3

Download PDF and Word

Included with LeaseCraft Annual ($19.99/year).

Questions about the Lead-Based Paint Disclosure

Federal law (42 U.S.C. 4852d and 40 CFR 745 subpart F) calls for this disclosure when most housing built before 1978 is leased or sold. It is signed and attached to the lease or purchase contract before the tenant or buyer is bound by it.

The Lead Warning Statement for a lease or a sale, the owner's statement of any known lead-based paint or hazards (or that none are known), a list of the records and reports provided, the tenant's or buyer's acknowledgment of the information and the EPA pamphlet, a buyer's statement about the inspection opportunity for a sale, any agent's acknowledgment, and dated signatures for everyone.

Yes. The warning statement is worded differently, and for a sale the buyer also states whether they received a 10-day opportunity (or another agreed period) to have the home checked for lead, or waived it. You choose lease or sale at the start and the form follows that choice.

The federal rule does not generally require the disclosure for housing built in 1978 or later, zero-bedroom units, housing for the elderly or persons with disabilities with no young child, short-term leases of 100 days or less, where no lease renewal or extension can occur, leases of housing found to be lead-based paint free by a certified inspector, or sales at foreclosure. The wizard asks about these, and you may still give the disclosure voluntarily.

No. This form covers the federal disclosure only. Some states and cities have their own lead inspection, certificate, or notice requirements, which this form does not address.

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