WPC  f}ЮiĨnI Тn"~b-'ׂY*~De<1eƭ$ ע2ZvOK3d7=hk_&$z%JoygiGmhBUy+_[VI*J")|3LATJ nj}[o'`nm1P^Pa޴S ڲzu\J/rI:}nc">"\x J4p?#j6+]7!~*",d&V<U \P #!w>в$I\6DŽHH \5Hg$;lk$ Y^HXsK] #wv@(f_*63t>)nՙ<Y]b9N xCy\ӓ^sUB $㱿UB+`,C$d,*JU*B 0U>U2UJH 0#XUN! %o Mu (y N ^ w 4  m %2A`Arial' LEAD BASED PAINT AND/OR LEAD BASED PAINT HAZARDS DISCLOSURE Dan Adair0Dan Adair .   <lX:Default ParaS\  `&Times New RomanS?%2A`Arial?\  `&Times New Roman $Tw Cen MT2L@ 1`2PopplLaudatio-Regular#|x($XX..       !X X !HP DeskJet 840C/841C/842C/843C0X,,,,0X0(9 Z6Times New Roman Regular Xj[4 Pb3:i+00U !XX..       !X X !  _       XX  v LEADBASEDPAINTAND/ORLEADBASEDPAINTHAZARDSDISCLOSURE X   XXvLeadWarningStatement p  Everytenantofanyinterestinresidentialrealpropertyonwhicharesidentialdwellingwasbuiltprior V to1978isnotifiedthatsuchpropertymaypresentexposuretoleadfromleadbasedpaintthatmay < placeyoungchildrenatriskofdevelopingleadpoisoning.Leadpoisoninginyoungchildrenmay " producepermanentneurologicaldamage,includinglearningdisabilities,reducedintelligencequotient,  behavioralproblems,andimpairedmemory.Leadpoisoningalsoposesaparticularrisktopregnant  women.Thelandlordofanyinterestinresidentialrealpropertyisrequiredtoprovidethetenantwith  | anyinformationonleadbasedpainthazardsfromriskassessmentsorinspectionsinthelandlords  b  possessionandnotifythetenantofanyknownleadbasedpainthazards.Ariskassessmentor  H  inspectionforpossibleleadbasedpainthazardsisrecommendedbeforetakingoccupancy.  .   LandlordsDisclosure (Landlordmustinitialhere:_________) R  (a)Presenceofleadbasedpaintand/orleadbasedpainthazards(check(1)or(2)below):   (1)______knownleadbasedpaintand/orleadbasedpainthazardsarepresentinthehousing  (explain).  ________________________________________________________________________________ x (2)______Landlordhasnoknowledgeofleadbasedpaintand/orleadbasedpainthazardsinthe ^ housing. D (b)Recordsandreportsavailabletothetenant(check(1)or(2)below): * (1)______Landlordhasprovidedthetenantwithallavailablerecordsandreportspertainingtolead h basedpaintand/orleadbasedpainthazardsinthehousing(listdocumentsbelow). N ________________________________________________________________________________ 4 ________________________________________________________________________________  (2)______Landlordhasnoreportsorrecordspertainingtoleadbasedpaintand/orleadbasedpaint t hazardsinthehousing. Z  TenantsAcknowledgment ......ProtectYourFamilyfromLeadinYourHome. ~& (e)Tenanthas(check(1)or(2)below): d   (1)______receiveda10dayopportunity(ormutuallyagreeduponperiod)toconductarisk J ! assessmentorinspectionforthepresenceofleadbasedpaintand/orleadbasedpainthazards. 0!" (2)______waivedtheopportunitytoconductariskassessmentorinspectionforthepresenceof "# leadbasedpaintand/orleadbasedpainthazards. " $  AgentsAcknowledgment (Agentmustinitialhere:_________) $p"& (f)__________Agenthasinformedthelandlordofthelandlordsobligationsunderfederallawandis %V#' awareofhis/herresponsibilitytoensurecompliance. &<$( _____________________________________________________________________ `(&*   X XXXLandlord `  Date   h     Tenant p     Date F)&+ _____________________________________________________________________________ *(-   Tenant   `  Date   h     Tenant p     Date +|). _____________________________________________________________________________ -0+0   Tenant   `  Date   h     Agent p     Date b. ,1   XX4\  X' X 4\XX XX' /-3 Ї  XX