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MERCY HOUSE - REGINA 1
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MERCY HOUSE - REGINA 1
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Last modified
8/23/2021 1:00:25 PM
Creation date
8/15/2003 3:23:27 PM
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Contracts
Company Name
Mercy House - Joseph & Regina
Contract #
A-2003-057
Agency
Community Development
Council Approval Date
4/7/2003
Expiration Date
6/30/2004
Insurance Exp Date
5/2/2004
Destruction Year
2009
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Sample Disclosure Format for Target Housing Sales <br />Disclosure of Information on Lead -Based Paint and Lead -Based Paint Hazards <br />pLead Warning Statement <br />Every purchaser of any interest in residential real property on which a residential dwelling was built prior to 1978 <br />is notified that such property may present exposure to lead from lead -based paint that may place young children <br />at risk of developing lead poisoning. Lead poisoning in young children may produce permanent neurological <br />damage, including learning disabilities, reduced intelligence quotien4 behavioral problems, and impaired memory. <br />Lead poisoning also poses a particular dsk to pregnant women. The seller of any interest in residential real property <br />is required to provide the buyer with any information on lead -based paint hazards from risk assessments or <br />inspections in the seller's possession and notify the buyer of any known lead -based paint hazards. A risk <br />assessment or inspection forpossible lead -based paint hazards is recommended prior to purchase. <br />Seller's Disclosure (initial) <br />(a) Presence of lead -based paint and/or lead -based paint hazards (check one below): <br />10 <br />Known lead -based paint and/or lead -based paint hazards are present in the housing (explain). <br />Seller has no knowledge of lead -based paint and/or lead -based paint hazards in the housing. <br />(b) Records and reports available to the seller (check one below): <br />Cj Seller has provided the purchaser with all available records andeports pertaining to lead -based paint <br />and/or lead -based paint hazards in the hoeing (list documents below). <br />Seller has no reports or re ords pertaining to lead -based painiand/or lead -based paint hazards in the <br />housing. <br />Purchaser's Acknowledgment (initial) <br />(c) Purchaser has received copies of all information listed above. <br />(d) Purchaser has received the pamphletProtect Your Family from Lead in Your Home. <br />(e) Purchaser has (check one below): <br />Received a 10-day opportunity (or mutually agreed upon period) to conduct a risk assessmentro <br />inspection for the presence of lead -based paint and/or lead -based paint hazards; or <br />Waived the opportunity to conduct a risk assessment or inspectiotDr the presence of lead -based paint <br />and/or lead -based paint hazards. <br />Agent's Acknowledgment (initial) <br />(f) Agent has informed the seller of the seller's obligations under 42 6$.C. 4852(d) and is aware of his/her <br />responsibility to ensure compliance. <br />Certification of Accuracy <br />The following parties have reviewed the information above and certify, to the best of their knowledge, thatdh <br />information provided by the signatory is true and accurate. <br />Seller <br />Date Seller <br />gent Date <br />!Purchaser Date <br />Date <br />Agent Date <br />Purchaser Date <br />
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