Real Estate Apartment Lease

APARTMENT LEASE 1. Parties and Dwelling Unit: Landlords name: Rodney Jackson Tenants name(s): Tenant and spouse, child______________ The Landlord leases to the Tenant The apartment located at Location, New Jersey. 2. Use of Property. Only the Tenant(s) named above may use the Apartment, and only as a private residence. No other party may occupy the Apartment without the Landlord’s prior written consent. It shall be deemed a breach of this Lease Agreement and a substantial violation of the Landlord's Rules and Regulations if any other person is found to reside in the Unit. The Apartment shall not be used for any business purposes whatsoever, but only as a private residence. 3. Term. (a) The term of this lease is for 1 year starting on Start Date The Tenant must notify the Landlord of the Tenant's decision to stay or to leave at least thirty (30) days before the end of any term. (b) Delay in Occupancy. If the Landlord cannot deliver possession to the Tenant on the date when the term of the lease is to begin, Landlord shall not be liable for such failure and the rent shall be apportioned and abated until the Landlord is able to deliver possession. If the Landlord is unable to deliver possession to the Tenant within sixty (60) days from the beginning date set forth above, the Tenant may cancel and terminate this lease, in writing. 4. Rent. The Tenant agrees to pay $RENT.00 as rent per month, due on or before the 1st day of each month. There is no grace period for late payments. There is a $35 later fee if the rent is paid after the 5th of the month. Demand may be made at any time after the first if rent is not paid on time. The Tenant must pay an administrative late charge of $35.00 as additional rent for each payment that is late. This administrative late charge is due with the monthly rent payment. The Tenant must also pay a fee of $50.00 as additional rent for any dishonored check. There shall be a $20.00 charge for the first refusal of the tenant to allow access to workmen or repairmen with appointments into the apartment or to break an appointment for repairs without first giving Landlord at least 24 hours notice. There shall be a $50.00 charge for any subsequent refusal or breaking of an appointment without first giving Landlord at least 24 hours notice, said charges will be added to the Tenant's rent as additional rent and are due with the following monthly rent payment. These charges are for expenses incurred by Landlord to have these workmen come to the premises. 5. Rent Security Rules. (a) Rent security in the amount of $SECURITY is acknowledged and it will be deposited in the SOVEREIGN BANK__ Bank, located at SCOTCH PLAINS, NJ (b) At no time will Tenant be allowed to use rent security for the payment of rent. (c) Tenant shall pay all monies necessary to keep the security deposit account equal to a full one and onehalf month's rent. (d) Landlord has the right to apply any rent money received from the Tenant toward the Tenant's rent security to keep the security deposit account at 1 ½ times the current rent. Tenant understands this would cause the actual rent to be in arrears and Tenant will immediately reimburse landlord for any shortfall. (e) Rent security will be returned to the Tenant in accordance with New Jersey law, but only after Tenant vacates apartment and only after all of the following conditions are satisfied: (i) One month written notice before the 1st day of the previous month must be given to Landlord, that the Tenant will move on or before the first of the following month. (ii) The apartment must be returned in the same condition as when Tenant started occupying it, less reasonable wear and tear. (iii) (iv) Rent must be paid in full and no damage incurred by Tenant during the rental period. Keys must be returned to Landlord. (v) No personal property or furniture of any kind may be left in apartment. The Apartment must be left in broom clean condition by Tenant. If Landlord has to clean the apartment, the cost will be deducted from the security deposit. (f) Simultaneously with the execution of this Lease, Tenant will deliver an executed W-9 to the Landlord. If Tenant fails or refuses to deliver a W-9, Tenant understands it will be subject to backup withholding taxes of 30% of the interest earned on the security deposit. Furthermore, Tenant understands that the failure to provide a W-9 may cause a portion of the original principal balance of the security deposit to be applied to cover any fees, expenses or backup withholding taxes, should the accumulated interest be insufficient to cover those costs. 6. Insurance. (a) In compliance with P.L. 1974, Chapter 48 (C.46:8-36, et seq.), Tenant is advised that crime insurance through the Federal Crime Insurance Program of Title 6 of the Housing & Urban Development Act of 1970 is available to the Tenant. Tenant may make application for such insurance from its own insurance agent or directly from New Jersey's Servicing Company, Aetna Casualty. A crime insurance policy, at an affordable cost, will protect Tenant against losses of up to $10,000.00 resulting from robbery or burglary of Tenant's apartment. (b) Each tenant is required to obtain "Renters" insurance. Tenant agrees to hold both the Landlord and Managing Agent and their employees harmless from suit due to personal injury by the Tenant, Tenant's family and Tenant's guests while in the building or on the grounds, and Landlord shall be named as an additional insured party on any insurance Policy(s) procured by the Tenant relative to the demised premises. Furthermore, Tenant must obtain its own insurance coverage for its personal property and belongings. Those items are not covered by Landlord’s insurance policy. 7. Utilities. The Landlord will pay for or provide the following utilities: ( ) hot water ( ) gas ( ) electricity ( ) cold water ( ) heat The Tenant will pay for the following directly to the utility company or as additional rent: ( ) cold water ( ) heat ( ) hot water ( ) gas ( ) electricity 8. Eviction. a) The Landlord may evict the Tenant if the Tenant does not comply with all of the terms of this Lease and for all other causes allowed by law. The Tenant must also pay all costs, including reasonable attorneys' fees, related to an eviction and the collection of any monies owed the Landlord, along with the cost of re-entering, re-renting, cleaning and repairing the apartment. All costs shall be considered additional rent. (b) If the Tenant defaults under this lease agreement and the Landlord retains the service of an attorney to enforce this Lease or to evict the Tenant, the Tenant agrees to reimburse the Landlord for all such costs and same shall be considered additional rent under this Lease. 9. (a) Keys and Locks. Tenant agrees that Landlord will retain a pass key to the demised premises. The Tenant agrees not to install additional or different locks or gates on any doors, windows or mailbox of the unit without the prior written permission of the Landlord. If the Landlord approves the Tenant's request to install such locks, the Tenant agrees to provide the Landlord with a key for each lock. When this agreement ends, the Tenant agrees to return all keys to the dwelling unit to the Landlord. The Landlord may charge the Tenant $50.00 if the unit keys are lost or not returned. Should Tenants lock themselves out of their dwelling and be unable to gain access through their own resources, they may call upon a professional locksmith or the manager to let them in. In either case, they are responsible for payment of the charges and/or damages involved. Management charges a fee of $50 for providing this service between the hours of 8 a.m. and 6 p.m., Monday through Saturday, excepting holidays, and a fee of $100 at other times. This fee is due and payable when the service is provided, and is chargeable to the Tenant as additional rent. (b) Child Protection Window Guards. Tenant can have window guards installed in their apartment and the public halls as follows: (1) by making a written request to the Landlord, (2) if a child 10 years of age or younger resides in the apartment, and (3) the apartment is above the first floor. Landlord may, at its option, recoup the costs associated with installation of the window guards by billing the Tenant for the costs of the guards and the installation. 10. Maintenance. (a) The Tenant agrees: (1) To keep the unit clean and shall not sweep or throw, or permit to be swept or thrown from the premises, any dirt, garbage or other substance into any of the corridors, halls, or stairways of the building. Under no circumstances shall garbage be left to accumulate in apartments, halls, stairways, or public areas. (2) To not litter the grounds or common areas of the project. (3) To not throw anything whatsoever or to allow anything to fall out of the windows or doors. Nothing shall be hung from the windows or balconies, or placed upon windowsills. Furthermore no table cloths, bedding clothing, curtains or rugs may be shaken or hung from any of the windows or doors (4) To remove garbage and other waste from the unit in a clean and safe manner and to dispose of garbage and refuse in accordance with the prevailing recycling law and rules in effect. (5) To be responsible for payment of any fines and penalties imposed by any governmental authority due to failure to comply with the obligation to keep the premises clean. Further, Tenant shall pay as additional rent a service fee of $25.00 if Landlord or its agents determine that Tenant is not complying with this Paragraph. (6) To not destroy, deface, damage or remove any part of the unit, common areas, or project grounds. No sign, advertisement, illumination, aerial or other projection shall be erected or exposed on any window, balcony, or other part of the building, except such as shall be approved in writing in advance by the Landlord; neither shall anything be placed upon or projected out of any window or upon the roof of the building in which the demised premises are located without such advance written consent. (7) To use all appliances, fixtures and equipment in a safe manner and only for the purposes for which they were intended. (8) To not obstruct the public elevators, halls, stairways and sidewalks, nor shall those areas be used as play areas for children, nor used for any other purpose than for ingress to, and egress from the apartments. The obstruction of stairs and exits is a menace to life and is prohibited by the Fire Department. No garbage cans, ice boxes, milk crates, bottles, mats or other articles shall be placed in the halls or on stairway landings. No baby carriages or bicycles shall be allowed to stand in the halls, loggias, elevators, passageways, areas or courts of the buildings. (9) To not use the toilets and other water apparatus for any purpose other than those for which they were constructed, nor shall any sweepings, rubbish, rags, or any other improper articles be thrown into the same; and any damage resulting from misuse thereof shall be borne by the Tenant by whom or upon whose premises it shall have been caused, the cost to repair any damage shall be considered additional rent. (10) That under no circumstances shall any dishwashing machine, clothes washing machine, or clothes dryer be installed or operated in the apartment. No air conditioner may be installed or operated in the apartment or in any window of the apartment without Landlord’s prior written consent. (11) To replace the battery in the smoke detector in the apartment as needed. If the smoke detector is damaged, its repair/replacement cost shall be borne by the Tenant and the cost will be charged to the Tenant as additional rent. (12) To give the Landlord prompt notice of any defects in the plumbing, fixtures, windows, appliances, heating and cooling equipment or any other part of the apartment or related facilities. (13) It is obligated to report all complaints to the Landlord including all water leaks from plumbing fixtures, leaks from ceilings, floor, etc., even if it does not directly affect the living conditions, and even if it is not the Tenant’s fault or doing. Failure of the Tenant to report and follow up on repairs will be considered gross negligence on Tenant’s part and Tenant will be responsible for damage caused by such gross negligence, and shall be subject to a three (3) day written notice to vacate the apartment. (14) (15) To paint the apartment whenever painting is required, using only off-white colored paint. To furnish the Landlord with the telephone number of the apartment within 5 days of its availability. (16) To maintain any utility service to the apartment Tenant is obligated to pay for. The Tenant agrees that the absence of utility services to the apartment will cause damage and destruction to the premises. Tenant further agrees that if the absence of utility services is directly attributable to any act or omission of the Tenant, same shall be considered willful or gross negligence as defined in N.J.S.A. 2A:18-61.1. (b) Interruption of Services. The Landlord is not responsible for any inconvenience or interruption of services due to repairs, improvements or for any reason beyond the Landlord's control. 11. Damages. Whenever damage is caused to the premises maliciously, criminally, by abnormal or unusual use, or by carelessness, misuse, or neglect, the Tenant agrees to pay as additional rent: (a) the cost of all repairs and do so within 30 days after receipt of the Landlord's demand for the repair charges; and (b) rent for the period the unit is damaged whether or not the unit is habitable. Tenant shall reimburse the Landlord for any damage or injuries to the grounds or to trees, shrubs and plants in the development, caused by any member of Tenant’s family, friends or contractors. The Tenant agrees that the Landlord may add any actual damage charge incurred to the Tenant's rent, and same shall be considered as additional rent. For purposes of this Paragraph, damages include but are not limited to clogged plumbing fixtures. Moreover, at Landlord’s election, Landlord may serve notice upon the Tenant to vacate the apartment due to the damages incurred and to seek to evict the Tenant because of the damages. 12. Restrictions on Alterations. The Tenant agrees not to do any of the following without first obtaining the Landlord's written permission: (a) change or remove any part of the appliances, fixtures or equipment in the unit; (b) install wall paper or contact paper in the unit; (c) attach awnings or window guards in the unit; (d) attach or place any fixtures signs or fences on the buildings, the common areas, or the project grounds; (e) attach any shelves, screen doors, or other permanent improvements in the unit; (f) install washing machines, dryers, fans, heaters or air conditioners in the unit; (g) place any aerials, antennas or other electrical connections on the unit; (h) drill or nail or screw any objects into the walls, ceilings, partitions or floors without the prior written consent of Landlord. Tenant shall be liable for any damages and the cost of restoring same; (i) install venetian blinds, shades, awnings or window guards. 13. General Restrictions. The Tenant agrees not to: (a) sublet or assign the unit, or any part of the unit; (b) use the unit for unlawful purposes; (c) engage in or permit unlawful activities in the unit, in the common areas or on the project grounds; (d) conduct any form of commercial business on the demised premises or park any commercial vehicle or work truck in any parking area without permission from the Landlord; (e) have pets or animals of any kind in the unit without the prior written permission of the Landlord (if Landlord agrees to permit any one pet in the apartment, Tenant will first be obligated to execute a Pet Rider to this Lease, in the form as provided by the Landlord and will be further required to pay a one time non-refundable fee to the Landlord for the pet. The pet fee shall be used, not as security but as reimbursement to the Landlord for the added wear and tear upon the apartment because of the pet); (f) make or permit any disturbing noises in the building by himself, his family, friends or employees; nor do or permit anything to be done by such persons that will interfere with the rights, comforts or conveniences of other Tenants; (g) play upon or allow to be played upon any musical instrument, radio or television in the demised premises between the hours of ten o'clock p.m. and the following eight o'clock a.m. if the same shall disturb or annoy other Tenants in the building; (h) enter upon or attempt to enter upon the roof of the building; (i) permit children to play in the public halls, stairways, elevators or any of the exterior landscaped areas; except those areas designated by the Landlord as play areas, if any; (j) encumber nor obstruct the sidewalks, driveways, yards, entrances, hallways, and stairs, and shall keep and maintain same in a clean condition, free from debris, trash and refuse, and use same only for going into and going out of the apartment; (k) leave baby carriages, bicycles or other wheeled objects in the halls, passageways, yards or grounds of the building; (1) block the fire escapes or place any object so that it shall project out of any window; (m) permit the plumbing facilities, toilets, or other water apparatus to be used for any other purpose other than those for which they were constructed, nor shall any sweepings, rubbish, rags nor any other improper articles be placed into same; (n) waste water or any utility furnished by Landlord; (o) do anything or permit anything to be done which will increase the rate of any insurance of the building; (p) keep in the apartment any explosives or volatile or inflammable materials, or keep the apartment in an unclean or unsanitary condition; (q) lounge in the public halls, or in any common areaways, so as to prevent the flow of public or vehicular traffic; (r) leave open any window or door at any time that the apartment is unoccupied during any heating season; (s) fail to permit Landlord to exhibit the apartment to any other person or persons during the hours of 9 a.m. and 9 p.m. with one hour notification by Landlord of Landlord’s intent to do so; (t) fail to permit reasonable entry to the apartment at reasonable hours to permit inspections, to make repairs, with entry at any hour in case of emergency; (v) change any locks to any door without the consent of Landlord or give keys to the apartment to anyone other than those occupying the apartment; (w) maintain a water bed in the apartment; (x) smoke or permit smoking in the hallways, stairways or common areas; (y) have loud or large guest parties; 14. Mold Avoidance. To minimize the occurrence and growth of mold in the apartment, Tenant agrees as follows: (a) To remove any moisture or water accumulation in the apartment, including but not limited to on the walls, windows, floors, ceilings and bathroom fixtures and to mop up spills and thoroughly dry affected areas as soon as possible after occurrence. (b) To clean and dust the apartment regularly and to keep the leased premises, particularly the kitchen and bath clean. (c) To promptly notify management of the presence of any water leaks, excessive moisture or standing water in any area of the apartment or the building, including any common areas, and to also notify management of any mold growth which the Tenant cannot easily remove. (d) To be responsible and liable for all damages which may be sustained to any person, the apartment, the building or to any property of the owner or other tenants resulting from Tenant’s failure to comply with this paragraph. 15. Floors/Floor Covering. Tenant acknowledges and agrees that the apartment is being supplied with wood floors. In the event Landlord has provided floor covering, (i.e. linoleum or carpeting) Tenant shall maintain/replace any damaged covering at Tenant's sole cost and expense with the approval of color/style by the Landlord. 16. Megan’s Law. Under New Jersey law, the county prosecutor determines whether and how to provide notice of the presence of convicted sex offenders in the area. In their professional capacity, real estate licensees are not entitled to notification by the county prosecutor under Megan’s Law and are unable to obtain such information for prospective tenants. Furthermore, the Landlord is not permitted to make any disclosure to prospective tenants with respect to Megan’s Law. Upon execution of this Lease and occupancy of the apartment, the county prosecutor may be contacted for such further information as may be disclosable to you, as Tenant. 17. Rent Control. If the apartment should become affected by any rent control or rent leveling laws or ordinances, which permit rent increases of pass-throughs, Tenant agrees to pay Landlord any and all rent increases and pass-throughs which may be permitted, whether automatic or upon Landlord's application. 18. Eminent Domain. Eminent domain is the right of a governmental body to take private property for public use. If any part of the apartment or building is taken by eminent domain, Landlord may cancel this Lease on thirty (30) days notice to the Tenant. The entire payment for the governmental taking shall belong to the Landlord. The Tenant shall make no claim for the value of the remaining part of the Term. 19. Vacating Notice. If at the end of the term of this Lease, Tenant intends to vacate the premises, Tenant must provide notice in writing to the Landlord and must serve the notice upon the Landlord at least one calendar month prior to the date which Tenant intends to vacate the premises. 20. Drug Related Crimes. Engaging in distribution, possession, or use of controlled substances (“C.D.S.”) as defined in N.J.S.A. 24:21, et seq. in the unit or premises shall be deemed conclusively to impair the physical and social environment of the unit and premises and is a substantial violation of the Tenant's obligation to use its dwelling unit "solely for residence by the family." It is also a violation of the New Jersey Housing Law and subjects Tenant to eviction on 3 day's notice pursuant to N.J.S.A. 2A:18-61.1. 21. Condition and Care of the Apartment. The Tenant has examined the apartment, including the living quarters, all facilities, furniture and appliances, if any, and is satisfied with its present physical condition. The Tenant agrees to maintain the property in as good condition as it is at the start of this Lease except for ordinary wear and tear. The Tenant must pay for all repairs, replacements and damages caused by the act or neglect of the Tenant, the Tenant's household members or their visitors. The Tenant will remove all of the Tenant's property at the end of this Lease. Any property that is left becomes the property of the Landlord and may be thrown out. Any cost incurred by the Landlord to clean Tenant's unit may be charged to the Tenant as additional rent. 22. Destruction of Premises. If the premises shall be wrecked or destroyed by fire or by the elements or other causes so as to render them unfit for occupancy, or if the furnishings, if any, of Landlord be so damaged or destroyed as to be rendered unfit for use, this lease may thereupon be terminated, at the option of Landlord; but should the Landlord elect to repair or reconstruct said premises, and replace or repair said furnishings, landlord shall proceed on a timely basis. Should the damage be so extensive as to render the premises untenable, then the rent or a just and proportionate part thereof, according to the nature and extent of the damage, shall cease until the same shall be repaired by Landlord, but the Tenant shall in no case be entitled to compensation or damage on account of any annoyance or inconvenience in making said repairs, or on account of such destruction. 23. No Waiver by Landlord. The Landlord does not give up any rights by accepting rent or by failing to enforce any terms of this Lease, at any time. 24. Landlord's Other Rights. Landlord's rights and remedies under this Lease are in addition to and not instead of any other rights and remedies provided by law. Landlord may exercise any or all of the rights and remedies provided by law, as well as those provided under this Lease. 25. Broker. The Tenant represents to the Landlord it dealt with no real estate broker with respect to this Lease except as follows: N/A _______________________________. Tenant agrees to be responsible for any real estate commissions associated with this Lease. 26. Attorney Review (delete if not applicable). If the within Lease was prepared by a real estate broker, the Landlord and Tenant will have three days from receipt of the fully executed Lease to consult an attorney to review this Lease. If the attorney is not satisfied with the Lease, the attorney may cancel this Lease during the attorney review period. The attorney will cancel this Lease by notifying the other named party as well as any realtors by certified mail return receipt requested or by personally delivering the notice of cancellation to those parties on or before the expiration of the review period. 27. Non-liability of Landlord. Landlord shall not be liable for any damage occasioned by failure to keep the premises in repair, and shall not be liable for any damage done or occasioned by or from plumbing, gas, water, steam or other pipes or sewerage, or the bursting, leaking or running of any pipe, tank, wash stand, water closet or waste pipe, in, above, upon or about said building or premises, nor for damage occasioned by water, snow or ice being upon or coming through the roof, sky-light, trap-door or otherwise, nor for any damage arising from the acts or neglects of co-tenants, or other occupants of the same building, or any owners or occupants of adjacent or contiguous properties. 28. Housing Code Violations. In the event Landlord is assessed fines or penalties for a violation of any housing code ordinance or law which is directly attributable to the acts or omissions of Tenant, Tenant shall be liable to Landlord for the actual costs and expenses incurred by Landlord and same shall be considered as additional rent and due with Tenant's following monthly rent payment. 29. Subordination. This Lease and the Tenant's rights are subject and subordinate to present and future mortgages on the premises which include the apartment. The Landlord may execute any papers on the Tenant's behalf as the Tenant's attorney in fact to accomplish this. 30. Recording. This Lease may not be recorded. 31. Contents of this Agreement. This agreement and its attachments, if any, make up the entire agreement between the Tenant and the Landlord regarding the unit. If any Court declares a particular provision of this agreement to be invalid or illegal, all other terms of this agreement will remain in effect and both the Landlord and the Tenant will continue to be bound by them. 32. Attachments to the Agreement. The Tenant certifies that he/she has received a copy of this agreement and a copy of the following documents: #1: Ownership Registration Statement #2: EPA Lead Paint Advisory Pamphlet and the Lead Paint Disclosure 33. Paragraph Headings. Section headings are for reference purposes only and shall not in any way affect the meaning or interpretation of any provision of this agreement. 34. Tenant’s Acknowledgment. Tenant has examined and knows the contents of this Lease agreement and agrees to be bound by it. Tenant acknowledges that he/she had an opportunity to have this document reviewed by an attorney of their choice. All promises made by the Landlord are in this Lease. The Tenant has inspected the dwelling and its contents and agrees that they are in satisfactory condition. The Tenant also agrees that the Landlord has made no promises to decorate, alter, repair or improve the unit. 35. Signatures. ____/_____/____ Date Signed TENANT(s) __________________________ ___________________________ LANDLORD__________________________ ___/____/______ Date Signed Additional Rent Charges ALL APPLICATIONS WILL BE $30 per person (MAY BE WAIVED ONLY WITH OWNER'S PERMISSION ONLY IF APPLICANT PROVIDES TWO PHOTO IDs & PROOF OF INCOME LISTING SOCIAL SECURITY NUMBER FOR LAST EIGHT WEEKS) Applications require one full day to be verified. Please call after then. LATE CHARGE IS $35 when rent ARRIVES after the fifth of the month or even one day late under a stipulation (payment plan). NSF, Returned, stopped, or bad checks WILL incur $50 + our actual bank charges. A late fee may also apply. LOCKOUT CHARGES WILL BE $50, plus actual costs of locksmith and/or constable. RE-ENTRY fee is $50 when keys are misplaced or one is locked out. KEY DEPOSIT is $30 for a set of keys, with a $10 minimum. Key replacement or new cylinders are additional. COURT FILING fee starts at $23 and WILL BE CHARGED AT FILING FEE COST ATTORNEYS’ FEES are $250 per Hearing, Trial, or Motion. Letters of employment reference & Notarized letters will be charged at $5 per original, with a free copy. Faxing is $1/2.50 per page local/long distance. Mail is free. According to The Law N.J.S.A. 55:13A-7.13 et seq and N.J.S.A. 5:10-27.1-6 the landlord is required to furnish upon written request by the Tenant, child protection window guards on the windows of each dwelling unit above the first floor in which a child or children 10 years of age or under reside and on any windows in halls of multiple dwelling in which an child or children 10 years of age or under have access without having to go out of the building. The law allows the Landlord to recoup the cost through increased rent. In controlled municipalities, the cost of the window guards I sto be treated as a capital improvement. LEAD PAINT DISCLOSURE: Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-based paint and/or leadbased hazards in the dwelling. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor's Disclosure: (a)Presence of lead-based paint & lead paint hazards, Check (i) or (ii) below: ___ (i) Known lead-based paint &/or lead-based paint hazards are present in the housing (explain): _X__ (ii) Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. (b) Records and reports available to the lessor. Check (i) or (ii) below: ___ (i) Lessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below): _____________________________________________________ _x__ (ii) Lessor has no reports or records pertaining to lead-based paint or lead-based paint hazards in the housing. (SIGN YOUR INTIALS BELOW HERE) Lessee's Acknowledgment (c)_______ Lessee has received copies of all information listed above. (d)_______ Lessee received pamphlet “Protect Your Family from Lead in Your Home” Agent's Acknowledgment (initial) (e)_X______ Agent has informed the lessor of the lessor's obligations under 42 USC 4852d and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above & certify, to the best of their knowledge, that the information they provided is true and accurate. _______________ ________________ ____________ _________& PRINT YOUR NAME: Lessor Agent SIGN Lessee DATE & ADDRESS: