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DISCLOSURE OF INFORMATION ON LEAD-BASED PAINT
AND LEAD-BASED PAINT HAZARDS (RENTALS)
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 taken care of properly. Lead exposure is especially harmful to young children and
pregnant women. Lead poisoning in young children may produce permanent neurological damage, including learning
disabilities, reduced intelligence quotient, behavioral problems, and impaired memory. Before renting pre-1978 housing,
landlords must disclose the presence of known lead-based paint and lead-based paint hazards in the dwelling. Tenants
must also receive a federally-approved pamphlet on lead poisoning prevention.
LANDLORD'S DISCLOSURE (Landlord must complete and initial sections A, B and C below)
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