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 properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, Lessors 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.

Lessor's Disclosure
(a)	Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i)		Known lead-based paint and/or lead-based paint hazards are present in the housing (disclose below any additional information available, such as the basis for the determination that lead-based paint or lead-based paint hazards exist in the housing, their location, and the condition of the painted surfaces).
(ii)		Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. 
(b)	Records and reports available to the Lessor (Check (i) or (ii) below):
(i)		Lessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below):  e.g., lead hazard evaluation, lead risk assessment, lead hazard reduction
(ii)		Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.

Lessee's Acknowledgment (initial)
(c)	     	Lessee has received copies of all information listed above.
(d)	     	Lessee has received the HUD pamphlet Protect Your Family From Lead in Your Home. (Required at move-in or when application is made.)
(e)	     	Lessee has received the EPA pamphlet Renovate Right: Important Lead Hazard Information for Families, Child Care Providers, and Schools. (Required within 30 days of commencement of rehab).

Agent's Acknowledgment (initial)
(f)	     	Agent (i.e. management company representative or realtor) has informed the Lessor of the Lessor's obligations under 42 U.S.C. 4852d and is aware of his/her responsibility to ensure compliance.

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.

	Lessor	Date

	Lessee	Date

	Lessee	Date

	Agent	Date

Note:	The Lessor and any Agent shall retain a copy of this Lead Addendum for no less than 3 years from the commencement of the leasing period.