Get Nyc Lead Paint Disclosure Form

Reset Disclosure of Information on Lead-Based Paint and /or Lead-Based Paint Hazards 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 managed properly. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor s Disclosure a Presence of lead-based paint and/or lead-based paint hazards check i or ii below i Known lead-based paint and/or lead-based paint hazards are present in the housing explain. ii Lessor has no knowledge of lead-based paint and /or lead-based paint hazards in the housing. b Records and reports available to the lessor check i or ii below lead-based paint and/or lead based paint hazards in the housing list documents below. hazards in the housing. Lessee s Acknowledgement initial c Lessee has received copies of all information listed above. Lead exposure is especially harmful to young children and pregnant women* Before renting pre-1978 housing lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention* Lessor s Disclosure a Presence of lead-based paint and/or lead-based paint hazards check i or ii below i Known lead-based paint and/or lead-based paint hazards are present in the housing explain. ii Lessor has no knowledge of lead-based paint and /or lead-based paint hazards in the housing* b Records and reports available to the lessor check i or ii below lead-based paint and/or lead based paint hazards in the housing list documents below. hazards in the housing* Lessee s Acknowledgement initial c Lessee has received copies of all information listed above. Agent s Acknowledgment initial e Agent has informed the lessor of the lessor s obligations under 42 U*S*C. 4852 d and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certify to the best of their knowledge that the information they provided is true and accurate. Lead exposure is especially harmful to young children and pregnant women* Before renting pre-1978 housing lessors must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention* Lessor s Disclosure a Presence of lead-based paint and/or lead-based paint hazards check i or ii below i Known lead-based paint and/or lead-based paint hazards are present in the housing explain. Lessees must also receive a federally approved pamphlet on lead poisoning prevention* Lessor s Disclosure a Presence of lead-based paint and/or lead-based paint hazards check i or ii below i Known lead-based paint and/or lead-based paint hazards are present in the housing explain. ii Lessor has no knowledge of lead-based paint and /or lead-based paint hazards in the housing* b Records and reports available to the lessor check i or ii below lead-based paint and/or lead based paint hazards in the housing list documents below.