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Lead Program Interest Form

  1. Is this property Owner Occupied?*

  2. Is this property being purchased through a Contract Sale?*

  3. Is this property a Rental?*

  4. Do you have children under the age of 6?*

  5. Is anyone in your home expecting a baby?*

  6. Acknowledgement*

    This is only an interest form for the Lead based Paint Hazard Control Reduction Grant and is not a complete application. Eligibility is not determined based on preliminary information.

  7. Leave This Blank:

  8. This field is not part of the form submission.