California Mold Disclosure

Information you will need

• Lease or Other
• Other
• Agreement Date
• Property Street Address
• Property Unit/Apartment
• Property City
• Property State
• Property ZIP Code
• Landlord Name
• Tenant Name
• Previously Treated
• Tenant (2) Signature Date
• Tenant (1) Signature Date
• Tenant (1) Name
• Tenant (2) Name
• Buyers Initials
• Sellers Initials
• Reviewed By
• Review Date
• Tenant (3) Signature Date
• Tenant (3) Name
• Landlord Signature Date

Completed by the tenant and the landlord and the agent.

The form includes 4 signature lines.