CLIENT SUPPORT LOG OUT LEAD-BASED PAINT DISCLOSURE If you are unsure of a field, CONTACT US and we will assist you.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Property Address *Who holds ownership of the Property? *SelectIndividual(s)CompanyTrustProbateThe required paperwork will be emailed to each Owner/Owner Representative to sign electronically.Owner Name *FirstLastWill this Owner be signing on their own behalf? *SelectYesNoOwner Email *Will someone else be signing on behalf of this Owner? *SelectYesNoWho will be signing on behalf of this Owner? Enter their Full Name and Email below:Owner Representative *FirstLastEmail *EmailDoes this person have Power of Attorney?` *SelectYesNoIs this Owner deceased? *SelectYesNoIs there another Owner of this property? *SelectYesNoOwner 2 Name *FirstLastWill Owner 2 be signing on their own behalf? *SelectYesNoOwner 2 Email *Will someone else be signing on behalf of Owner 2? *SelectYesNoWho will be signing on behalf of Owner 2? Enter their Full Name and Email below:Owner 2 Representative *FirstLastEmail *EmailDoes this person have Power of Attorney? *SelectYesNoIs Owner 2 deceased? *SelectYesNoAre the any other Owners of this property? *SelectYesNoList the first and last name of all other Owners below along with their email address. *What is the name of the Company? *Enter the Full Name and Email below of the person that has the legal authority to sign on behalf of the Company.Company Signer *FirstLastEmail *EmailWhat is this person's title with the Company? *What is the name of the Trust? *The required paperwork will be emailed to each Trustee to sign electronically.Trustee Name *FirstLastTrustee Email *Is there another Trustee? *SelectYesNoTrustee 2 Name *FirstLastTrustee 2 Email *Are there any other Trustees? *SelectYesNoList the first and last name of all other Trustees and their email addresses below: *What is the name of the Estate? *Enter the Full Name and Email below of the person (Administrator/Executor) that has the legal authority to sign on behalf of the Property in Probate.Probate Signer *FirstLastEmail *Email Does Owner have knowledge of any lead-based paint and/or lead-based paint hazards? * Check One:lbp-nNolbp-yYesIf Yes, Explain: *Does Owner have any records or reports pertaining to lead-based paint and/or lead-based paint hazards? * Check One:report-nNoreport-yYesIf Yes, list documents to be provided to Tenant: *AFTER YOU SUBMIT THIS FORM, YOU WILL BE TAKEN TO A CONFIRMATION PAGE TO CONFIRM WE HAVE RECEIVED THIS DOCUMENT If you are not taken to the confirmation page, it means we did not receive this document.Submit TOOLS & RESOURCES MLS Listing Instructions Real Estate Forms Home Selling Tips Sale Terms TIPS & GUIDES Pricing Your Home to Sell Tips on Writing a Property Description Guide to Showing Your Home Tips For a Successful Open House CLIENT SUPPORT Office/Phone Hours Monday – Friday: 10 am – 6 pm Saturday: 10 am – 2 pm Call/Text: 734-219-5615 Modern Way Realty, LLC | Michigan License #6505410245 © Copyright 2025 ModernWayRealty.com All rights reserved. Michigan REALTORS® | National Association of REALTORS® FAIR HOUSING ACT
