The printed portions of this form except differentiated additions, have been approved by the Colorado Real Estate Commission. (LP45-9-12) THIS FORM HAS IMPORTANT LEGAL CONSEQUENCES AND THE PARTIES SHOULD CONSULT LEGAL AND TAX OR OTHER COUNSEL BEFORE SIGNING. LEAD-BASED PAINT DISCLOSURE (Sales) Attachment to Contract to Buy and Sell Real Estate for the Property known as: Street AddressSeller's Disclosure to Buyer and Real Estate Licensee(s) and Seller has no knowledge of any lead-based paint and/or lead-based paint hazards present in the housing. Seller has knowledge of lead-based paint and/or lead-based paint hazards present in the housing (explain): 3. Records and reports available to Seller (check one box below): Seller has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Seller has provided Buyer with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): Obtain a risk assessment or an inspection of the Property for the presence of lead-based paint and/or lead-based paint hazards, within the time limit and under the terms of 247 10 of the Contract to Buy and Sell Real Estate; or Waive the opportunity to conduct a risk assessment or inspection for the presence of lead-based paint and/or lead-based paint hazards. Real Estate Licensee's AcknowledgmentLP 45-9-12. LEAD-BASED PAINT DISCLOSURE (SALES) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com LP 45-9-12. LEAD-BASED PAINT DISCLOSURE (SALES) Page 2 of 2 Each 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 American LegalNet, Inc. www.FormsWorkFlow.com