Common use of LEAD-BASED PAINT DISCLOSURE Clause in Contracts

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge that they have received a copy of this lease disclosure before becoming obligated under the lease.

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge acknowledges that they have received a copy of this lease disclosure before becoming obligated under the lease.

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA______ Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge that they have received a copy of this lease disclosure before becoming obligated under the lease.

LEAD-BASED PAINT DISCLOSURE. LEAD WARNING STATEMENT 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 propertyproperly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords Lessor must disclose the presence of known lead-lead- based paint and/or lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Presence of Intact lead-based paint and/or lead-based paint hazards (check only one box) ¨ paid that is in good condition is not necessarily a hazard, See the EPA Pamphlet “Protect Your Family from Lead in Your Home” for more information. Lessor’s Disclosure: Lessor (Landlord) has no knowledge of lead-based paint and/or lead-lead- based paint hazards in the housing x housing. Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no not reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports Lessee Acknowledgement: By initialing this provision Lessees acknowledge that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ Applicant has received copies of all information listed above. ________ Applicant has they have received the pamphlet “Protect Your Family From from Lead In in Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in EnglishHome” , and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents thatAgent’s Acknowledgement: (1) agent Agent has informed the lessor Lessor of the lessor’s Lessees’ obligations under 42 U.S.C.4852 (d); U.S.C. 4582(d) and (2) agent is aware of agent’s his/her responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accuratecompliance. The person who signs for covenants, conditions, and agreements made and entered into by the LESSOR may be (1) the owner himself or herself; (2) an employeeparties hereto are also declared binding on their respective heirs, officer or partner of the owner; or (3) a representative of the owner’s management companysuccessors, real estate agent or locator service if such person is authorized to sign for the lessorand assigns. The person who signs for undersigned have read and understand the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner terms herein and intend to become legally bound upon execution of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge that they this document and have received a copy of this lease disclosure before becoming obligated under the lease.document. DATED: SIGNED: LESSEE’S SIGNATURE: DATE: LESSEE’S PRINTED NAME: LESSEE’S SOCIAL SECURITY NUMBER: LESSEE’S PERMANENT ADDRESS: LESSEE’S CELL PHONE: LESSEE’S PERMANENT E-MAIL ADDRESS: LESSEE’S PERSONAL CONTACT IN CASE OF AN EMERGENCY: NAME: RELATIONSHIP: TELEPHONE:

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ NA Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge acknowledges that they have received a copy of this lease disclosure before becoming obligated under the lease.

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA______ Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge acknowledges that he/she/they have received a copy of this lease disclosure before becoming obligated under the lease.

LEAD-BASED PAINT DISCLOSURE. LEAD WARNING STATEMENT 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 propertyproperly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords Lessor 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. Presence of Intact lead-based paint and/or lead-based paint hazards (check only one box) ¨ paid that is in good condition is not necessarily a hazard, See the EPA Pamphlet “Protect Your Family from Lead in Your Home” for more information. Lessor’s Disclosure: Lessor (Landlord) has no knowledge of lead-based paint and/or lead-lead- based paint hazards in the housing x housing. Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no not reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports Lessee Acknowledgement: By initialing this provision Lessees acknowledge that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ Applicant has received copies of all information listed above. ________ Applicant has they have received the pamphlet “Protect Your Family From from Lead In in Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in EnglishHome” , and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents thatAgent’s Acknowledgement: (1) agent Agent has informed the lessor Lessor of the lessor’s Lessees’ obligations under 42 U.S.C.4852 (d); U.S.C. 4582(d) and (2) agent is aware of agent’s his/her responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accuratecompliance. The person who signs for covenants, conditions, and agreements made and entered into by the LESSOR may be (1) the owner himself or herself; (2) an employeeparties hereto are also declared binding on their respective heirs, officer or partner of the owner; or (3) a representative of the owner’s management companysuccessors, real estate agent or locator service if such person is authorized to sign for the lessorand assigns. The person who signs for undersigned have read and understand the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner terms herein and intend to become legally bound upon execution of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge that they this document and have received a copy of this lease disclosure before becoming obligated under the lease.document. DATED: SIGNED: LESSEE’S PRINTED NAME: LESSEE’S SOCIAL SECURITY NUMBER: LESSEE’S PERMANENT ADDRESS: LESSEE’S CELL PHONE: LESSEE’S PERMANENT E-MAIL ADDRESS: LESSEE’S PERSONAL CONTACT IN CASE OF AN EMERGENCY: NAME: RELATIONSHIP: TELEPHONE:

LEAD-BASED PAINT DISCLOSURE. 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 property. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors/Landlords 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. Presence of lead-based paint and/or lead-based paint hazards (check only one box) ¨ Lessor (Landlord) has no knowledge of lead-based paint and/or lead-based paint hazards in the housing x Lessor (Landlord) knows that lead-based paint and/or lead-based paint hazards are present in the housing (explain) Agent was verbally informed by previous property management company that the property does contain lead based paint. Records and reports available to Lessor (check only one box) x Lessor (Landlord) has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. ¨ Lessor (Landlord) has reports or records indicating the presence of some lead-based paint and/or lead-based paint hazards in the housing, and has provided the Prospective Resident/Applicant with all such records and reports that are available to lessor (list documents) Applicants’ Acknowledgment (Initial) NA_____ Applicant has received copies of all information listed above. ________ Applicant has received the pamphlet Protect Your Family From Lead In Your Home (“the pamphlet”). Applicant further acknowledges that the pamphlet is written in English, and that Applicant speaks, reads, and understands the English Language. AGENT’S STATEMENT If another person or entity is involved in leasing the dwelling as an agent of the lessor (i.e., as a management company, real estate agent or locator service acting for the owner), such agent represents that: (1) agent has informed the lessor of the lessor’s obligations under 42 U.S.C.4852 (d); and (2) agent is aware of agent’s responsibility to ensure that lessor complies with such disclosure laws. Such compliance may b through lessor himself or herself, or through lessor’s employees, officers or agents. Lessor’s obligations include those in 24 CFR Sections 35.88 and 35.92 and 40 CFR Sections 745.107 and 745.113. Agent’s obligations include those in 24 CFR Section 35.94 and 40 CFR Section 745.115. ACCURACY CERTIFICATIONS and APPLICANT”S ACKNOWLEDGMENT Lessor and any agent named below certify that to the best of their knowledge the above information and statements made or provided by them, respectively, are true and accurate. The person who signs for the LESSOR may be (1) the owner himself or herself; (2) an employee, officer or partner of the owner; or (3) a representative of the owner’s management company, real estate agent or locator service if such person is authorized to sign for the lessor. The person who signs for the AGENT may be: (1) the agent himself or herself; or (2) an employee, officer or partner of the agent if such person is authorized to sign for the agent. The Prospective Resident/Applicant by signing below acknowledge acknowledges that he/she/they have received a copy of this lease disclosure before becoming obligated under the lease.