Lead Paint Disclosure Statement
  • About this Disclosure
    • General Information
    • Lease Details
  • Complete the Document
    • Format & Signatures

General Information

  • Who signs this lead paint disclosure statement?

  • Indicate the Landlord's full name:

    !

    A landlord could either be an individual, or a legal entity.

  • Indicate the full name of the property manager:

  • Indicate the full name of a tenant who rents out the property:

  • Select the date on which this lead paint disclosure statement is signed:

Lease Details

  • Indicate the full address of the rental property:

  • Is the Landlord aware of the presence of any lead-based paint or lead-based paint hazards in the rental property?

  • Provide a list of any known examples of lead-based paint hazards present on the rental property:

  • List all available records and reports related to lead-based paint or lead-based paint hazards in the rental property:

  • Select the state where the rental property is located:

Select a template's format:

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