I Every purchaser of ar
1i.,,"tffi^1ftTH;#f#",'"ffiafr#.1"fl,;iil:iHi,l i,::',f;;fr::y?H:.,,:: bu , pro.. 1e7B s n.,ned,ha, 'reduced intelligence quotient, behavioral on9-1 'u, produce permanent ;lr,i.,"n,Jrittg children at risk of deveroping reJ pregnant women. The.serer "irrv'i'rt""lf ?br""' and impaired 1e1orv. r-"J;;,r;,f,q:;JT:3::t#;f_;:fi,:th ,ead-based paint hazards r,o, ,"is[ i*.;ffi:i::,i;ffiJ:l#:,,ffi:TY,JjXx:""1jli,.fl.r"rn, b,y";;il;;i,}o,,ution on based paint hazards' a ,.ist atte-ssffi"J;L"ction for o;il;'r"u-o-br"*o paint hazards ,l ::lt-,F r*o;i"; known read- Seller,s Disclosure yorrrt rraZoros ls recommended prior tb purchase. (a) Presence ot,":tb_r::d paint and/or tead_based paint hazaro
.(i)-xnownre,o.[,.:#,p,,1;I:,*"'reao-uaseJ.p#ffi1.,Iffising(explain):
Seller has
(b) Records and reports al (i)serer hae ^.^:.1'::'.".to the seller rsr,eq&o-el[0-bel9,,tl, x],am,;j".i,T.5*,:fiIffj,[:trm*1J,m|n!.renortspertainingtolead.based paint and/orreao-oaseo-pli"ir'J=,rfi r#ffi xx,y#.?jiir13r5#isffi :r,r,
Name of Document(s)
Author Date
V,!jl#,*,ler has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.
Purchaser's Acknowledgment (initial)
(c) __- purchaser has received copies of a, information listed above. (d) --- Purchaser has (e) _ purchaser nr, ttt"''"d the pamphlet protect your Famity from Lead in your Home (i) =,""" ""ffi.Tll1rlv^-rgl""o uron period) to conduct a for the presence or r"io-u'as"Jiir'*i'Jn*", read-based paint'hazards; or risk assessment or inspection (ii) _- waived the opportunity to conduct a risk assessment and/or lead-based p"ihi na.uiir'" vv': ruuu. rrsK or inspection for the presence of lead-based paint lqpt'" Acknowtedgment (initiat) Ilt*,fif[iHil3,.J;il5;:"-'orthe setrer's obrigations under 42 u.s.c. 4.sz(d)and is aware or his/her
Certification of Accuracy ,|,ffi,liii,yj$fff;:?T;?["'J:y?,"i:,,"#t::Tfl:?! above and certiry, to the best or their knowredse, that the ,s
Date
Purchaser
il,rtT& Agent
Date
Address or eroper.t/Uiit
