The disclosure summary for the lease of residential or commercial property shall be in the following format:
CONSUMER NOTICE THIS IS NOT A CONTRACT
(LICENSEE) HEREBY STATES THAT WITH RESPECT TO THIS PROPERTY, (DESCRIBE PROPERTY) I AM ACTING IN THE
FOLLOWING CAPACITY: (CHECK ONE)
I ACKNOWLEDGE THAT I HAVE RECEIVED THIS NOTICE:
DATE: ____________ ____________
PRINT (CONSUMER) PRINT (CONSUMER)
____________ ____________
SIGNED (CONSUMER) SIGNED (CONSUMER)
ADDRESS (OPTIONAL): ADDRESS (OPTIONAL):
PHONE NUMBER PHONE NUMBER (OPTIONAL): (OPTIONAL):
______________________________________
I CERTIFY THAT I HAVE PROVIDED THIS NOTICE:
____________ ____________
(LICENSEE) (DATE)
49 Pa. Code § 35.337
The provisions of this §35.337 issued under sections 404, 606-606.6 and 608-608.3 of the Real Estate Licensing and Registration Act (63 P.S. §§ 455.404, 455.606-455.606f and 455.608-455.608c).
This section cited in 49 Pa. Code § 35.284 (relating to disclosures of business relationships); 49 Pa. Code § 35.286 (relating to retention and production of records); and 49 Pa. Code § 35.331 (relating to written agreements generally).