Your Email
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What is Tenants first and last name as it appears on their drivers license?
First Name
Last Name
What is name of the Property Owner ( How it appears on the Deed)
First Name
Last Name
What is the full address of the Property being leased?
What is the legal description of property?
What county is the property located?
What non-real property are provided ? ( refrigerator, washer, dryer, etc )
What is the Commencement Date of this lease?
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Month
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Day
Year
Date
What is the Expiration Date of this lease?
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Month
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Day
Year
Date
Lease Automatically Renews unless given notice for 30 days before expiration date or how many days ?
Under Paragraph 4B, which option is selected for the effective date of termination notice in a month-to-month renewal:
The last day of the month following the month in which notice is given
The date designated in the notice but not sooner than 30 days after notice is given
Under Paragraph 5A, what is the monthly rent amount Tenant will pay Landlord?
Under Paragraph 5A, by what date must the first full month’s rent be paid?
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Month
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Day
Year
Date
Under Paragraph 5A, which payment methods are acceptable for the first full month’s rent (e.g., cashier’s check, electronic payment, money order, personal check, or other means)?
Under Paragraph 5A, what day is rent due? First of every month ? other Specified day?
Under Paragraph 5B, what is the prorated rent amount Tenant will pay Landlord for the period from the Commencement Date through the last day of the month in which the lease begins?
Under Paragraph 5B, by what date must the prorated rent be paid?
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Year
Date
Under Paragraph 5C, what is the name and address of the person or entity to whom Tenant will remit all payments under this lease?
Under Paragraph 5D(3), which payment methods are acceptable for all rent payments (e.g., cashier’s check, electronic payment, money order, personal check, or other means)?
Under Paragraph 5D(3), will Landlord charge a reasonable fee to process or accept payment by any selected methods? If yes, which methods?
Under Paragraph 5D(4), does Landlord require Tenant(s) to pay monthly rents by one payment?
Under Paragraph 6A, what day is grace period over ? ( 3rd usually )
Under Paragraph 6A(1), what is the initial late charge amount:
(a) a fixed dollar amount
(b) a percentage of one month’s rent
If (a), what is the dollar amount?
If (b), what is the percentage?
Under Paragraph 6A(2), what is the additional late charge amount per day after the initial late charge?
Under Paragraph 7, what is the fee Tenant will pay Landlord for each returned or dishonored payment?
Under Paragraph 9B(2), what is the initial amount Landlord may charge Tenant as additional rent for violating pet restrictions? If there is a pet agreement leave blank.
Under Paragraph 9B(2), what is the daily amount per pet Landlord may charge Tenant for each day the pet violation continues?
Under Paragraph 10A, what is the security deposit amount Tenant will pay Landlord?
Under Paragraph 10A, which payment methods are acceptable for the security deposit (e.g., cashier’s check, electronic payment, money order, personal check, or other means)?
Under Paragraph 11A, which utilities, if any, will Landlord pay for the Property?
Under Paragraph 12A, what are the names and ages of all occupants under the age of 18 permitted to reside on the Property during the term of this lease?
Under Paragraph 12E, how many days are guest allowed to stay without written permission?
Under Paragraph 13, how many vehicles is Tenant permitted to have on the Property unless otherwise authorized by Landlord in writing?
Under Paragraph 14C, what is the trip charge amount Landlord may charge Tenant if access to the Property is denied after prior arrangements?
Under Paragraph 14D1 , how many day before lease ends does tenant authorize landlord to place keybox on property
Under Paragraph 14D(2), what is the fee amount Tenant must pay Landlord to withdraw authorization for a keybox?
Under Paragraph 15B, within how many days after the Commencement Date must Tenant deliver the Inventory and Condition Form to Landlord?
Under Paragraph 17B(3), at what specific times (e.g., frequency or schedule) must Tenant water the yard, unless prohibited by ordinance or law?
Under Paragraph 17B(3), how will the yard be maintained other than watering:
(a) by Landlord at Landlord’s expense
(b) by Tenant at Tenant’s expense
(c) by Tenant through a scheduled yard maintenance contract
If c), with whom (e.g., a contractor’s name)
Under Paragraph 17C, is there a pool or spa on the Property requiring a Pool/Spa Maintenance Addendum? If yes, what are the specific terms?
Under Paragraph 17F, is smoking permitted or not permitted on the Property?
Under Paragraph 18A, what is the emergency contact phone number for Landlord or the property manager?
Please enter a valid phone number.
Format: (000) 000-0000.
Under Paragraph 18D(2)(f), which specific items or appliances will Landlord not pay to repair?
Under Paragraph 28B(4)(a)(i), if Tenant procures an assignee, subtenant, or replacement tenant, what flat fee must Tenant pay Landlord?
Under Paragraph 31, which specific addenda are incorporated into this lease (e.g., Lead-Based Paint, inventory condition form, landlords parking rules, Pet agreement, Mold Protection, lease Guaranty, Brokers Agreement, Land lords rules and regulations, Owner association rules, Pool and spa addendum, Lease application, Bed Bug Addendum
Under Paragraph 32, what are the specific address, email addresses and fax numbers for Tenant and Landlord to receive notices?
Under Paragraph 34F, who is the person named to access the Property and receive the security deposit refund in the event of the death of all occupants over 18, and what are their phone number, address, and email?
Under Paragraph 34I, will Landlord’s broker act as the property manager? If not, who will manage the Property (Landlord or a named property manager), and what are their name, phone number, address, and email?
What are the names and license numbers of the Broker’s Associate and Broker representing Landlord?
Under "For Landlord’s Use," on what date was a copy of the signed lease provided to Tenant, and by what method (mail, email, fax, or in person)?
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Month
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Landlord Signature
Date
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Date
Second Landlord Signature
Date
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Month
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Year
Date
Tenant 1 Signature
Date
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Month
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Day
Year
Date
Tenant 2 Signature
Date
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Month
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Day
Year
Date
Tenant 3 Signature
Date
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Month
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Day
Year
Date
Tenant 4 Signature
Date
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Month
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Day
Year
Date
If signed by a representative under a property management agreement or power of attorney, what is the representative’s name?
Representative Signature
Date
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Address of property
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tenant represents:
Tenant is unaware and represents there is non evidence of bed bugs in current residence or personal property.
Tenant is aware of bed bugs in current residence and or personal property.
Landlord Signature
Date
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Month
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Day
Year
Date
Landlord 2 Signature
Date
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Month
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Day
Year
Date
Tenant 1 Signature
Date
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Month
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Day
Year
Date
Tenant 2 Signature
Date
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Month
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Day
Year
Date
Tenant 3 Signature
Date
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Month
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Day
Year
Date
Tenant 4 Signature
Date
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Month
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Day
Year
Date
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Address of Property
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord is aware or not aware of property being located in 100 year floodplain.
Aware
Not Aware
Landlord is aware or unaware of property damage from flood within the last 5 years.
Aware
Not Aware
Landlord Signature
Date
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Month
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Day
Year
Date
Landlord 2 Signature
Date
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Month
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Day
Year
Date
Tenant 1 Signature
Date
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Year
Date
Tenant 2 Signature
Date
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Year
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Tenant 3 Signature
Date
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Was this property built in 1978 or before?
Yes
No
What is the full address of the Property this addendum concerns?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
DISCLOSURE:
Land lord knows of lead base paint hazards
Land lord does not know of any lead base paint hazards.
What records and reports pertaining to lead-based paint and/or lead-based paint hazards in the Property has the Landlord provided to the Tenant
Landlord has no records pertaining to lead base paint hazards
Has the Tenant received copies of all information listed in Paragraph B?
Yes
No
Has the Tenant received the pamphlet entitled Protect Your Family from Lead in Your Home?
Yes
No
What is the Landlord’s full name?
What date will they sign this addendum?
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Date
What is the Tenant’s full name?
What date will they sign this addendum?
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Date
What is the full name of the Listing Broker/Agent or Property Manager?
What date will they sign this addendum?
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Month
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Day
Year
Date
What is the full name of the Other Broker/Agent?
What date will they sign this addendum?
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Month
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Day
Year
Date
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