Lead Based Paint Disclosure Page 2
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1
2Each real estate licensee signing below acknowledges receipt of the above Seller's Disclosure, has informed Seller of Seller's
obligations and is aware of licensee's responsibility to ensure compliance.
Certification of Accuracy
I certify that the statements I have made are accurate to the best of my knowledge.
Seller
Date
Buyer
Date
Seller
Date
Buyer
Date
Real Estate Licensee (Listing)
Date
Real Estate Licensee (Selling)
Date
LP 45-9-12. LEAD-BASED PAINT DISCLOSURE (SALES)
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