LP46912 THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING LEADBASED PAINT DISCLOSURE Rentals Attachment to Residential Lease or Re ntal Agreement for the Premises known as Stree ID: 18680
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pproved by the Colorado Real Estate Commission. ( CONSULT LEGAL AND TAX OR OTHER Street Address City State Zip include treble (3 times) damages, attorney fees, costs, and a base penalty up to $11,000 (plus adjustment 1. Landlord acknowledges that Landlord has been informed of Landlord's obligations. Landlord is aware that Landlord must retaia copy of this disclosure for not less than thr Landlord has no knowledge of lead-based paint and/ Landlord has knowledge of lead-based 3. Landlord has no reports or records pert Landlord has provided Tenant with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): 4. Tenant has read the Lead Warning Statement above and understands its contents. 5. Tenant has received copies of all information, including any records phlet "Protect Your Family From Lead in Your Home." Certification of Accuracy LP46-9-12. LEAD-BASED PAINT DISCLOSURE (RENTALS) Page 1 of 2 LP46-9-12. LEAD-BASED PAINT DISCLOSURE (RENTALS) Page 2 of 2 I certify that the statements I have made are accurate to the best of my knowledge. Landlord Date Date Landlord Date Date Date Date