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. . . LEAD-BASED PAINT ADDENDUM TO SALES CONTRACT - PROPERTY BUILT BEFORE 1978 FHA CASE NO. ________ PROPERTY ADDRESS: 209_LH:ttlvt.~~~o~.!L______________ _Maund.s._Y.i.eJal~ MN 551.12________ NOTE TO PURCHASERS, REAL ESTATE BROKERS AND AGENTS. This addendum is mandatory for any property built before 1978 and consists of four parts. Part A, Disclosure of Information on Lead-Based Paint and/or Lead-Based paint Hazards, Part B, Sales Contract Lead-Based Paint Contingency, Part C, Owner-Occupant Certification, and Part D, Purchaser's Addendum to the Sales Contract - Release of Lead-Based Paint Evaluation Contingency. All parts must be completed as shown. This Lead-Based Paint Addendum must be completed on or before the date of the Sales Contract, and forwarded to HUD with the Sales Contract for any property built before 1978. Sales Contracts without this Addendum will not be accepted by HUD. This Addendum survives the closing of the sale. PART A DISCLOSURE OF INFORMATION ON LEAD-BASED PAINT AND/OR LEAD-BASED PAINT HAZARDS LEAD WARNING STATEMENT. 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, behavioral problems, and impaired memory. Lead poisoning also poses a particular risk to pregnant women. The sale of any interest in residential 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. SELLER'S DISCLOSURE A. Presence of lead-based paint hazards (check one below): 1. _ Known lead-based paint and/or lead-based paint hazards are present in the property (explain): 2_ X Seller has no actual knowledge of lead-based paint and/or lead-based paint hazards in the property. B. Records and reports available to the seller (check one below): 1. ___ Seller provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the property (list documents below). 2. X Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the property. PURCHASER'S ACKNOWLEDGEMENT (initial) C. _ Purchaser has received copies of all information listed above. D. ~ Purchaser has received the pamphlet Protect Your Family from Lead in Your Home. E. Purchaser has (check one below): 1. _Requested a ____ day opportunity to conduct a risk assessment or inspection for the presence of lead- based paint and/or lead-based paint hazards; or 2. ~ Waived the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead based paint hazards. BROKER/AGENT ACKNOWLEDGEMENT (initial): F. X Broker/agent has informed the seller of the seller's obligations under 42_U.S.C. 4852d and is aware of his/her responsibility to ensure compliance. N/A HUD owned. - CERTIFICATION OF ACCURACY The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate. S~lIer -" -~~~~ Pure aser Date "!';'V ! ,. / .., ~ ~.' - - ----'---- Date Date ~u~~~------- /9-2(".01 Broker/Agent Date PART B Page 1 of 4 (10/99) ,