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THIS LEAD PAINT DISCLOSURE (the "Disclosure") is entered into on this, ______________ _____, ________.







This Lead Paint Disclosure is in regard to the located at , (the "Premises").
Every purchaser or renter of any interest in residential real estate 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, reduce intelligence quotient, behavioral problems and impared memory. Lead poisoning also poses a particular risk to pregnant woman.

The Seller of any interest in residential real estate property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the Sellers possession, and notify the buyer of any known lead-based paint hazards. A risk assesment or inspection for possible lead-based hazards is recommended, although not required, prior to purchase.


    BUYERS ACKNOWLEDGEMENT: (Please initial)

    1. _______ if any documents or reports are listed above, the buyer has recieved copies of it.
    2. _______Buyer has recieved the pamphlet Protect Your Family from Lead in your Home.

    Sellers Initials: _______

    Buyers Initials: _______

    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 $10,000.00 for each violation.

    United States Environmental Protection Agency
    United States Consumer Product Safety Commission
    United States Department of Housing and Urban Development

    Simple Steps To Protect Your Family From Lead Hazards
    If you think your home has high levels of lead:
    • Get your young children tested for lead, even if they seem healthy.
    • Wash children's hands, bottles, pacifiers, and toys often.
    • Make sure children eat healthy, low-fat foods.
    • Get your home checked for hazards.
    • Regularly clean floors, window sills, and other surfaces.
    • Wipe off shoes before entering the house.
    • Talk to your landlord about fixing surfaces with peeling or chipping paint.
    • Take precautions to avoid exposure to lead dust when remodeling or renovating (call 1-800-424-LEAD for guidelines)
    • Don't use a belt-sander, propane torch, high temperature heat gun, scraper, or sandpaper on paint surfaces that may contain lead.
    • Don't try to remove lead-based paint yourself.
    Are You Planning To Buy, Rent, or Renovate a Home Built Before 1978?
    Many houses and apartments built before 1978 have paint that contains high levels of lead (called lead based paint). Lead from paint, chips and dust can pose serious health hazards if not taken care of properly.
    OWNERS, BUYERS and RENTERS are encouraged to check for lead (see page 2) before renting, buying or renovating pre-1978 housing.
    Federal law requires that individuals receive certain information before renting, buying, or renovating pre-1978 housing.
    LANDLORDS have to disclose known information on lead-based paint and lead-based paint hazards before leases take effect. Leases must include a disclosure about lead-based paint.
    SELLERS have to disclose know information on lead-based paint and lead-based paint hazards before selling a house. Sales contracts must include a disclosure about lead-based paint. Buyers have up to 10 days to check for lead.
    RENOVATORS disturbing more that 2 square feet of painted surfaces have to give you this pamphlet before starting work.
    Lead From Paint, Dust and Soil Can Be Dangerous If Not Managed Properly
    • FACT: Lead exposure can harm young children and babies even before they are born.
    • FACT: Even children who seem healthy can have high levels of lead in their bodies.
    • FACT: People can get lead in their bodies by breathing or swallowing lead dust, or by easting soil or chips containing lead.
    • FACT: People have many options for reducing lead hazards. In most cases, lead-based paint that is in good condition is not a hazard.
    • FACT: Removing lead-based paint improperly can increase the danger to your family. If you think your home might have lead hazards, read this pamphlet to learn some simple steps to protect your family.
    Lead Gets in the Body in Many Ways
    People can get lead in their body if they:
    • Breathe in lead dust (especially during renovations that disturb painted surfaces).
    • Put their hands or other objects covered with lead dust in their mouths.
    • Eat paint chips or soil that contains lead.

    Lead is even more dangerous to children under the age of 6:
    • At this age children's brains and nervous systems are more sensitive to the damaging effects of lead.
    • Children's growing bodies absorb more lead.
    • Babies and young children often put their hands and other objects in their mouths. These objects have lead dust on them.
    • Lead is also dangerous to women of childbearing age.
    • Women with a high lead level in their system prior to pregnancy would expose a fetus to lead through the placenta during fetal development.
    Childhood lead poisoning remains a major environmental health problem in the U.S. Even children who appear healthy can have dangerous levels of lead in their bodies.
    Lead's Effects
    It is important to know that even exposure to low levels of lead can severely harm children.
    In children, lead can cause:
    • Nervous system and kidney damage.
    • Learning disabilities, attention deficit disorder, and decreased intelligence.
    • Speech, language, and behavior problems.
    • Poor muscle coordination.
    • Decreased muscle and bone growth.
    • Hearing damage.
    While low-lead exposure is most common, exposure to high levels of lead can have devastating effects on children, including seizures, unconsciousness, and, in some cases, death.
    Although children are especially susceptible t lead exposure, lead can be dangerous for adults too.
    In adults, lead can cause:
    • Increased chance of illness during pregnancy.
    • Harm to a fetus, including brain damage or death.
    • Fertility problems (in men and women).
    • High blood pressure.
    • Digestive problems.
    • Nerve disorders.
    • Memory and concentration problems.
    • Muscle and joint pain.
    Lead affects the body in many ways: Brain or Nerve Damage, Slowed Growth, Hearing Problems, Reproductive Problems (adults), Digestive Problems.
    Where Lead-Based Paint is Found
    Many homes built before 1978 have lead-based paint. The federal government banned lead-based paint in housing in 1978. Some states stopped its use earlier.

    Lead can be found:
    • In homes in the city, country, or suburbs.
    • In apartments, single family homes, and both private and public housing.
    • Inside and outside of the house.
    • In soil around a home. (Soil can pick up lead from exterior paint or other sources such as past use of leaded gas bars.)
    In general, the older your home, the more likely it has lead-based paint.
    Checking Your Family for Lead
    To reduce your child's exposure to lead, get your child checked, have your home tested (especially if your home has paint in poor condition and was built before 1978), and fix any hazards you may have.
    Children's blood lead levels tend to increase rapidly from 6 to 12 months of age, and tend to peak at 18 months of age. Consult your doctor for advice on testing your children. A simple blood test can detect high levels of lead. Blood tests are usually recommended for:
    • Children at ages 1 and 2.
    • Children or other family members who have been exposed to high levels of lead.
    • Children who should be tested under your state or local health screening plan. Your doctor can explain what the test results mean and if more testing will be needed.
    Get your children and home tested if you think your home has high levels of lead.
    Identifying Lead Hazards
    Lead-based paint is usually not a hazard if it is in good condition, and it is not on an impact or friction surface like a window. It is defined by the federal government as paint with lead levels greater that or equal to 1.0 milligram per square centimeter, or more than 0.5% by weight.
    Deteriorating lead-based paint (peeling, chipping, chalking, cracking or damaged) is a hazard and needs immediate attention. It may also be a hazard when found on surfaces that children can chew or that get a lot of wear-and-tear, such as:
    • Windows and window sills.
    • Doors and door frames.
    • Stairs, railings, banisters, and porches.

    Lead dust can form when lead-based paint is scraped, sanded, or heated. Dust also forms when paint surfaces bump or rub together. Lead chips and dust can get on surfaces and objects that people touch. Settled lead dust can re-enter the air when people vacuum, sweep, or walk through it. The following two federal standards have been se for lead hazards in dust:
    • 40 micrograms per square foot (mg/ft squared) and higher for floors, including carpeted floors.
    • 250 mg/ft squared and higher for interior window sills. Lead in soil can be a hazard when children play in bare soil or when people bring soil into the house on their shoes.
    The following two federal standards have been set for lead hazards in residential soil:
    • 400 parts per million (ppm) and higher in play areas of bare soil.
    • 1,200 ppm (average) and higher in bare soil in the remainder of the yard.
    The only way to find out if paint, dust and soil lead hazards exist is to test for them. The next page describes the most common methods used.
    Lead from paint chips, which you can see, and lead dust, which you can't always see, can both be serious hazards.
    Checking Your Home for Lead
    You can get your home tested for lead in several different ways:
    • A paint inspection tells you whether your home has lead-based paint and where it is located. It won't tell you whether or not your home currently has lead hazards.
    • A risk assessment tells you if your home currently has any lead hazards from lead in paint, dust or soil and also tells you what actions to take to address any hazards.
    • A combination risk assessment and inspection tells you if your home has any lead hazards and if your home has any lead-based paint, and where the lead-based paint is located. Hire a trained and certified testing professional who will use a range of reliable methods when testing your home.
    • Visual inspection of paint condition and location.
    • A portable x-ray fluorescence (XRF) machine.
    • Lab tests of paint, dust and soil samples.
    There are state and federal programs in place to ensure that testing is done safely, reliably, and effectively. Contact your state or local agency for more information, or call 1-800-424-LEAD (5323) for a list of contacts in your area.
    Home test kits for lead are available, but may not always be accurate. Consumer should not rely on these kits before doing renovations or to assure safety.
    Just knowing that a home has lead based paint may not tell you if there is a hazard.
    What You Can Do Now To Protect Your Family
    If you suspect that your house has lead hazards, you can take some immediate steps to reduce your family's risk:
    • If you rent, notify your landlord of peeling or chipping paint.
    • Clean up paint chips immediately.
    • Clean floors, window frames, window sills, and other surfaces weekly. Use a mop or sponge with warm water and a general all-purpose cleaner or a cleaner made specifically for lead. REMEMBER: NEVER MIX AMMONIA AND BLEACH PRODUCTS TOGETHER SINCE THEY CAN FORM A DANGEROUS GAS.
    • Thoroughly rinse sponges and mop heads after cleaning dirty or dusty areas.
    • Wash children's hands often, especially before they eat and before nap time and bed time.
    • Keep play areas clean. Wash bottles, pacifiers, toys, and stuffed animals regularly.
    • Keep children from chewing window sills or other painted surfaces.
    • Clean or remove shoes before entering your home to avoid tracking in lead from soil.
    • Make sure children eat nutritious, low-fat meals high in iron and calcium, such as spinach and products. Children with good diets absorb less lead.
    Reducing Lead Hazards In the Home In addition to day-to-day cleaning and food nutrition:
    • You can temporarily reduce lead hazards by taking actions such as repairing damaged painted surfaces and planting grass to cover soil with high lead levels. These actions (called "interim controls") are not permanent solutions and will need ongoing attention.
    • To permanently remove lead hazards, you should hire a certified lead "abatement" contractor. Abatement (or permanent hazard elimination) methods include removing, sealing, or enclosing lead-based paint with special materials. Just painting over the hazard with regular paint is not permanent removal.
    • Always hire a person with special training for correcting lead problems - someone who knows how to do this work safely and has the proper equipment to clean up thoroughly. Certified contractors will employ qualified workers and follow strict safety rules as set by their state or by the federal government.
    • Once the work is completed, dust cleanup activities must be repeated until testing indicates that lead levels are below the following:
    • 40 micrograms per square foot (mg/ft squared) for floors, including carpeted floors;
    • 250 mg/ft squared for interior window sills; and
    • 400 mg/ft squared for window troughs.

    Call your state or local agency for help in locating certified professionals in your area and see if financial assistance is available.
    Removing lead improperly can increase the hazard to your family by spreading even more lead dust around the house. Always use a professional who is trained to remove lead hazards safely.
    Remodeling or Renovating a Home With Lead-Based Paint
    Take precautions before your contractor or you begin remodeling or renovating anything that disturbs painted surfaces (such as scraping off paint or tearing out walls):
    • Have the area tested for lead-based paint.
    • Do not use a belt-sander, propane torch, high temperature heat gun, dry scraper, or dry sandpaper to remove lead-based paint. These actions create large amounts of lead dust and fumes. Lead dust can remain in your home long after the work is done.
    • Temporarily move your family (especially children and pregnant women) out of the apartment or house until the work is done and the area is properly cleaned. If you can't move your family, at least completely seal off the work area.
    • Follow other safety measures to reduce lead hazards. You can find out about other safety measurements by calling: 1-800-424-LEAD. Ask for the brochure "Reducing Lead Hazards When Remodeling You Home". This brochure explains what to do before, during and after renovations.
    If you have already completed renovations or remodeling that could have released lead-based paint or dust, get your young children tested and follow the steps outlined in this brochure.
    If not conducted properly, certain types of renovations can release lead from paint and dust into the air.
    Other Sources of Lead
    • Drinking water. Your home might have plumbing with lead or lead solder. Call your local health department or water supplier to find out about testing your water. You cannot see, smell, or taste lead and boiling your water will not get rid of lead. If you think your plumbing might have lead in it: - Use only cold water for drinking and cooking.
      - Run water for 15 to 30 seconds before drinking it, especially if you have not used you water for a few hours.
    • The job. I you work with lead, you could bring it home on your hands or clothes. Shower and change clothes before coming home. Launder your work clothes separately from the rest of your family's clothes.
    • Old painted toys and furniture.
    • Food and liquids stored in lead crystal or lead-glazed pottery or porcelain.
    • Lead smelters or other industries that release lead into the air.
    • Hobbies that use lead, such as making pottery or stained glass or refinishing furniture.
    • Folk remedies that contain lead, such as "greta" and "azarcon" used to treat upset stomach.
    While paint, dust, and soil are the most common sources of lead, other sources exist.
    For More Information
    The National Lead Information Center
    • Call 1-800-424- LEAD (424-5323) to learn how to protect children from lead poisoning and for information on lead hazards. To access lead information via the web, visit: or
    EPA'S Safe Drinking Water Hotline
    • Call 1-800-426-4791 for information about lead in drinking water.
    Consumer Product Safety Commission (CPSC) Hotline
    • To request information on lead in consumer products, or to report an unsafe consumer product or a product related injury call: 1-800-638-2772 or visit CPSC's web site at:
    Health and Environmental Agencies
    Some cities, states and tribes have their own rules for lead-based paint activities. Check with your agency to see which laws apply to you. Most agencies can also provide information on finding an abatement firm in your area, and possible sources of financial aid for reducing lead hazards. Receive up-to-date address and phone information for your local contacts on the internet at or contact the National Lead Information Center at: 1-800-424-LEAD.

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