Lead-Based Paint Disclosure (Pre-1978 Property)
Federally required disclosure for pre-1978 housing — sale or lease — under 42 U.S.C. §4852d.
Live preview
LEAD-BASED PAINT / LEAD-BASED PAINT HAZARDS DISCLOSURE (Pre-1978 Housing — federally required by 42 U.S.C. §4852d and 24 CFR Part 35 Subpart A) ═══════════════════════════════════════════════════════════════════════ Transaction: Lease Property: 482 Elm Street, Apt 3B, Portland, OR 97214 Year built: 1962 Seller / Lessor: Riverside Holdings LLC Buyer / Lessee: Jordan Alex Taylor Agent (if any): Maya Chen, Pacific Realty ═══════════════════════════════════════════════════════════════════════ LEAD WARNING STATEMENT (FEDERAL TEMPLATE LANGUAGE) Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological damage, including learning disabilities, reduced intelligence quotient, behavioural problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The seller of any interest in residential real property is required to provide the buyer with any information on lead-based paint hazards from risk assessments or inspections in the seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or inspection for possible lead-based paint hazards is recommended prior to purchase. ═══════════════════════════════════════════════════════════════════════ LESSOR / SELLER DISCLOSURE (a) Presence of lead-based paint and/or lead-based paint hazards (check one): ► No knowledge of lead-based paint or hazards Description (if known): Not applicable — no known lead-based paint or hazards. (If known: describe location, condition, and any prior testing or abatement.) (b) Records and reports available to the lessee/buyer (check one): ► No reports available Not applicable — no reports available. (If applicable: list each report by title and date, and provide copies as attachments.) ═══════════════════════════════════════════════════════════════════════ LESSEE / BUYER ACKNOWLEDGEMENT Lessee acknowledges receipt of: (a) the EPA pamphlet "Protect Your Family From Lead in Your Home" (or current equivalent), and (b) the disclosure information above. For SALE transactions only: Buyer was offered a 10-day opportunity to conduct a risk assessment or inspection for lead-based paint hazards. (Buyer may waive in writing; many do.) For SALE transactions, Buyer's 10-day inspection election: ► N/A — lease transaction ═══════════════════════════════════════════════════════════════════════ CERTIFICATIONS The undersigned have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. Agent has informed Seller / Lessor of obligations under 42 U.S.C. §4852d. Seller / Lessor: _______________________________ Date: May 4, 2026 Riverside Holdings LLC Buyer / Lessee: _______________________________ Date: May 4, 2026 Jordan Alex Taylor Agent (if applicable): _______________________________ Date: May 4, 2026 Maya Chen, Pacific Realty
About this template
The federal Lead-Based Paint Disclosure (sometimes called the Title X disclosure, after the law that created it — 42 U.S.C. §4852d, Title X of the Housing and Community Development Act of 1992) is required for nearly every sale or lease of housing built before 1978. The 1978 cut-off matches the federal ban on lead-based paint in residential applications. The required elements: (1) provide the EPA pamphlet "Protect Your Family From Lead in Your Home"; (2) disclose the seller/lessor's knowledge of any lead-based paint or hazards; (3) provide any reports or records the seller has; (4) for SALES only, offer the buyer a 10-day opportunity to conduct a risk assessment or inspection (the buyer may waive); (5) collect signed certifications from all parties. Failure to comply carries serious penalties — civil fines up to three times the actual damages, plus per-violation civil penalties. Most enforcement comes through buyer/tenant lawsuits after the fact (often involving lead-poisoned children), where missing or incorrect disclosures support significant damage claims. Exemptions: zero-bedroom dwellings (efficiency, studio with no separate bedroom — though most state laws don't honour this exemption), housing for the elderly (no children under 6 expected), short-term rentals under 100 days, and properties that have been certified lead-free after EPA-approved inspection. State laws often add disclosure requirements on top — Massachusetts Lead Law, Maryland Reduction of Lead Risk in Housing Act, and many others impose stricter rules and longer notice periods. Always check state requirements; the federal floor is rarely the only floor.
When to use it
- Selling a house, condo, or co-op built before 1978.
- Leasing a residential rental unit in a pre-1978 building.
- Renewing a lease (technically the disclosure travels with each new lease).
- Subletting a pre-1978 unit (sublessor steps into landlord role).
- Lease assignment or transfer.
What to include
- Property address and year built.
- Seller/lessor and buyer/lessee identification.
- Presence-of-lead disclosure with description.
- Records availability with list.
- Lessee/buyer acknowledgement of pamphlet receipt.
- For sales: 10-day inspection election.