Are you selling or leasing a property? Are you selling or leasing a property? SellingLeasing Federal law requires this form if the property was built before 1978. Are you aware of any lead-based paint on the property? Are you aware of any lead-based paint on the property? YesNo If your property was built before 1978, you need to disclose the possibility of the presence of lead-based paint even if you aren't certain. Explain its condition: Properly managed lead-based paint poses little risk, but deteriorating or chipping lead-based paint is a health hazard. Do you have any relevant reports for the buyer? Do you have any relevant reports for the buyer? YesNo Reports can be from testing, cleaning, or any other work done on the property related to lead-based paint. Do you have any relevant reports for the tenant? Do you have any relevant reports for the tenant? YesNo Reports can be from testing, cleaning, or any other work done on the property related to lead-based paint. List reports: Does the buyer waive the right to conduct an inspection? Does the buyer waive the right to conduct an inspection? YesNo The buyer, not the seller, can waive this right. If you're not sure, select no. How many days does the buyer have to conduct an inspection? The minimum number of days, per federal law, is 10. What's the seller's name? What's the buyer's name? What's the landlord's name? What's the tenant's name? Does the seller have an agent? Does the seller have an agent? YesNo Does the landlord have an agent? Does the landlord have an agent? YesNo Do you want to input the property's address? Do you want to input the property's address? YesNo - will do this later Street Address Address Line 2 City Please SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming State ZIP Code Federal law requires the below brochure to be attached to this form. Federal law requires the below brochure to be attached to this form. I understand. Brochure: Protect Your Family From Lead in Your HomeClick here for versions in Spanish, Arabic, French, Chinese Simplified and Traditional, Russian, Somali, Tagalog, and Vietnamese. Next Save Save and finish later
