WISCONSIN REALTORS® ASSOCIATION
4801 Forest Run Road
Madison, Wisconsin 53704
OFFER ADDENDUM S - LEAD BASED PAINT
DISCLOSURES AND ACKNOWLEDGMENTS
Page 1 of 3
LEAD WARNING STATEMENT: Every purchaser of any interest in residential real property on which a
residential dwelling was built prior to 1978 is notified that such property may present exposure to lead from
lead-based paint that may place young children at risk of developing lead poisoning. Lead poisoning in
young children may produce permanent neurological damage, including learning disabilities, reduced
intelligence quotient, behavioral problems, and impaired memory. Lead poisoning also poses a particular
risk to pregnant women. The seller of any interest in residential real property is required to provide the
buyer with any information on lead-based paint hazards from risk assessments or inspections in the
seller's possession and notify the buyer of any known lead-based paint hazards. A risk assessment or
inspection for possible lead-based paint hazards is recommended prior to purchase.
Disclosures and Acknowledgments made with respect to the Property at
SELLER DISCLOSURE AND CERTIFICATION. Note: See Seller Obligations at lines 27 - 54 and 55 - 112.
SELLER DISCLOSURES: (a) Seller hereby represents that Seller has no knowledge of any lead-based paint or
lead-based paint hazards (collectively referred to as LBP) present in or on the Property except:
(Explain the information known to Seller, including any additional information available about the basis for the determination
that LBP exists in or on the Property, the location of any LBP, and the condition of painted surfaces, or indicate "none.")
(b) Seller hereby confirms that Seller has provided the Buyer with the following records and reports which comprise all
of the reports and records available to Seller pertaining to lead-based paint or lead-based paint hazards (LBP) in or on the Property:
(Identify the LBP record(s) and report(s) (e.g. LBP abatements,
inspections, reductions, risk assessments, etc., as defined at lines 89 - 107) provided to Buyer, or indicate "none available.")
SELLER CERTIFICATION: The undersigned Seller has reviewed the information above and certifies, to the best of their
knowledge, that the information provided by them is true and accurate.
(ALL Sellers' signatures) Print Names Here (Date)
Seller Obligations under the Federal Lead-Based Paint Disclosure Rules
(Based upon 40 CFR Chapter 1, Part 745, Subpart F, §§745.103, 745.107, 745.110, 745.113 & 745.115; and 24 CFR subtitle A,
Part 35, Subpart H, §§35.86, 35.88, 35.90, 35.92 & 35.94, which all are collectively referred to in this Addendum as Federal LBP Law.)
DISCLOSURE REQUIREMENTS FOR SELLERS. (a) The following activities shall be completed before the Buyer is obligated
under any contract to purchase target housing that is not otherwise an exempt transaction pursuant to Federal Law. Nothing in this
section implies a positive obligation on the Seller to conduct any risk assessment and/or inspection or any reduction activities.
(1) Provide LBP Pamphlet to Buyer. The Seller shall provide the Buyer with an EPA-approved lead hazard information
pamphlet. Such pamphlets include the EPA document entitled Protect Your Family From Lead In Your Home (EPA
#747-K-99-001) or an equivalent pamphlet that has been approved for use in this state by EPA.
(2) Disclosure of Known LBP to Buyer. The Seller shall disclose to the Buyer the presence of any known lead-based
paint and/or lead-based paint hazards in the target housing being sold. The Seller shall also disclose any additional
information available concerning the known lead-based paint and/or lead-based paint hazards, such as the basis for the
determination that lead-based paint and/or lead-based paint hazards exist, the location of lead-based paint and/or lead-based
paint hazards, and the condition of painted surfaces (chipping, cracked, peeling).
(3) Disclosure of Known LBP & LBP Records to Agent. The Seller shall disclose to each agent the presence of any
known lead-based paint and/or lead-based paint hazards in the target housing being sold and the existence of any available
records or reports pertaining to lead-based paint and/or lead-based paint hazards. The Seller shall also disclose any
additional information available concerning the known lead-based paint and/or lead-based paint hazards, such as the basis
for the determination that lead-based paint and/or lead-based paint hazards exist, the location of lead-based paint and/or
lead-based paint hazards, and the condition of the painted surfaces (chipping, cracked, peeling).
47 (4) Provision of Available LBP Records & Reports to Buyer. The Seller shall provide the Buyer with any records or reports
available (see line 88) to the Seller pertaining to lead-based paint and/or lead-based paint hazards in the target housing being sold.
This requirement includes records or reports regarding common areas. This requirement also includes records or reports
regarding other residential dwellings in multifamily target housing, provided that such information is part of a risk assessment and/or
inspection or a reduction of lead-based paint and/or lead-based paint hazards in the target housing as a whole.
(b) Disclosure Prior to Acceptance of Offer. If any of the disclosure activities identified in lines 30-51 occurs after the Buyer
has provided an offer to purchase the housing, the Seller shall complete the required disclosure activities prior to accepting
the Buyer's offer and allow the Buyer an opportunity to review the information and possibly amend the offer.
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N3509 Tipperary Rd, Poynette WI 53955
Jack Peterson, Jennifer Peterson
EXP Realty, 309 Dewitt St Portage WI 53901
(608)697-4098 Cory Otto N3509 Tipperary
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