This form is used to confirm a landlord’s knowledge of the presence or absence of asbestos in the property being leased, as required by 29 C.F.R. §§ 1910.1001 et seq., 1926.1101 et seq.
Asbestos Disclosure Notice
[Lease]
Date:
Landlord’s Name and Address:
Tenant’s Name and Address:
Description of Property:
This Asbestos Disclosure Notice (“Notice”) is a disclosure of knowledge of the condition of the property as of the date signed and is not a substitute for any inspections or warranties that may be desired. This Notice is not a warranty of any kind.
Landlord’s Disclosure
1.Presence of asbestos-containing or presumed asbestos-containing material (check one):
|
|
¨ |
Known asbestos-containing material is present in the Property (explain). |
|
|
|
|
|
|
¨ |
The Property was constructed before 1981, and presumed asbestos- containing material is present in the Property (explain). |
|
|
|
|
|
|
¨ |
The Property was constructed after 1980, and Landlord has no knowledge of asbestos-containing material in the Property. |
2.Records and reports available to Tenant (check one):
|
|
¨ |
Landlord has provided Tenant with all available records and reports pertaining to asbestos-containing material in the Property (list documents below). |
|
|
|
____________________________________________________________ |
|
|
¨ |
Landlord has no records or reports pertaining to asbestos-containing material in the Property. |
Tenant’s Acknowledgment
Tenant has received copies of all information listed above. Tenant is aware of Tenant’s responsibility to ensure compliance with 15 U.S.C. sections 2641 through 2656 and 29 C.F.R. sections 1910.1001 et seq. and 1926.1101 et seq.
Landlord Date
Tenant Date