Texas Lead-Based Paint Disclosure Addendum

Property Address:
City:
State:
Zip:
1. Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards
Year Property Built:
Seller has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.
Seller has knowledge of lead-based paint and/or lead-based paint hazards in the housing.
Explanation:
2. Records and Reports
Seller has provided the purchaser with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing.
Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.
List Documents Provided:
3. Purchaser's Acknowledgment
Purchaser has received copies of all information listed above.
Purchaser has received the pamphlet "Protect Your Family From Lead in Your Home".
4. Agent's Acknowledgment
Agent has informed the seller of the seller's obligations under 42 U.S.C. 4852d and is aware of their responsibility.
5. Certification of Accuracy
The following parties have reviewed the information above and certify, to the best of their knowledge, that the information provided is true and accurate.
Seller:
Date:
Seller:
Date:
Purchaser:
Date:
Purchaser:
Date:
Agent:
Date:
Agent:
Date: