Free Lead Paint Disclosure Form Template
The disclosure federal law requires landlords to give tenants before renting most housing built before 1978. The landlord reports any known lead-based paint and hazards, hands over related records, and the tenant acknowledges receiving the EPA lead pamphlet, keeping both parties compliant with 42 U.S.C. 4852d.
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LEAD-BASED PAINT DISCLOSURE
Property address: ________________. Lessor (landlord): ________________. Lessee (tenant): ________________.
Lead Warning Statement. Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and lead-based paint hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.
1. LESSOR'S DISCLOSURE. Presence of lead-based paint or lead-based paint hazards: ________________. Additional information known to the lessor: ________________.
2. RECORDS AND REPORTS. ________________. Details of any available records or reports: ________________.
3. LESSEE'S ACKNOWLEDGMENT. The lessee has received copies of all information listed above and has received the pamphlet "Protect Your Family From Lead in Your Home."
4. CERTIFICATION. The parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate as of ________________.
This is a general template and not legal advice. Federal law requires this disclosure for most housing built before 1978, and state and local rules may add requirements. Review the applicable requirements or have an attorney review this form before use.
How the Lead Paint Disclosure rent ledger generator works
Enter the tenancy details
Rent amount, start month, and tenant info — no account, no setup.
Record the payments
Fill in what was paid and when; the running balance computes itself.
Print or download
Court-ready PDF and CSV free — Excel with Pro.
Questions
Can this replace a rent receipt book?+
Yes — generate and print receipts as needed instead of buying carbon-copy books. Each receipt is numbered by you, and the rent ledger keeps the running history the book's stubs used to.
What is a rent ledger?+
A rent ledger is a month-by-month record of rent charged, payments received, and the running balance for a tenancy. Landlords use it for taxes and bookkeeping; courts ask for it in eviction and security-deposit cases; tenants request it as proof of payment history.
Is this template really free?+
Yes — the generator, printing, and CSV download are free with no signup. A free account lets you save ledgers; Pro adds Excel export and unlimited saved ledgers for multiple properties.
Will this hold up in court?+
Courts want a clear, dated, month-by-month accounting — exactly what this produces: charges, payments, dates, and running balance in a clean layout. Pair it with your lease and payment evidence (bank records, receipts). For legal advice about your specific case, consult an attorney.
Can I record partial payments and late fees?+
Yes. Each month's row has the amount due, the amount actually paid, and a notes field for late fees or partial-payment details — the running balance updates automatically.
Can I use it for multiple tenants or properties?+
You can generate as many ledgers as you like. Pro accounts keep them saved and organized per property and tenant, so monthly updates take seconds.
Is my data private?+
The ledger is built in your browser — nothing is sent to our servers unless you save it to your account, and saved ledgers can be deleted anytime.