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Form IN -864LT
Residential Lease Agreement, Page 1
INDIANA RESIDENTIAL LEASE AGREEMENT
This Residential Lease Agreement (hereinafter “Lease”) is entered in to this the ____ day of _____________________,
20____, by and between the Lessor: ______________________________________, (hereinafter ref erred to as “Landlord”),
and the Lessee(s): _____________________________________________________________________________________.
All Lessees (hereinafter referred to collectively as “Tenant”), ar e jointly, severally and individually bound by, and liable under,
the terms and conditions of this Lease.
For the valuable consideration described below, the sufficiency of which is hereby acknowledged, Landlord and Tenant do
hereby covenant, contract and agree as follows: 1. GRANT OF LEASE: Landlord does hereby lease unto
Tenant, and Tenant does hereby rent from Landlord, solely
for use as a personal residence, excluding all other uses, the
personal residence located in __________________ County,
Indiana, with address of: ________________________________________________ ________________________________________________ ________________________________________________________________________________________________ ________________________________________________,
including the following items of personal property: ________________________________________________ ________________________________________________
________________________________________________. 2. NATURE OF OCCUPANCY: As a special
consideration and inducement for the granting of this Lease
by the Landlord to the Tenant, the personal residence
described above shall be used and occupied only by the
members of the Tenant’s family or others whose names and
ages are set forth below:
________________________________________________ ________________________________________________________________________________________________
________________________________________________.
3. TERM OF LEASE: This Lease shall commence on
the ____ day of ___________________, 20____, and extend
until its expiration on the ____ day of _________________,
20____, unless renewed or extended pursuant to the terms
herein.
4. SECURITY DEPOSIT: Upon execution of this Lease,
Tenant shall deposit the sum of $___________ to be held by
Landlord as a security deposit for reasonable cleaning of,
and repair of damages to, the premises upon the expiration
or termination of this Lease, or other reasonable damages
resulting from a default by Tenant. Tenant shall be liable to
Landlord for all damages to the leased premises upon the
termination of this Lease, ordinary wear and tear excepted.
Tenant is not entitled to interest on the security deposit.
Tenant may not apply the security deposit to any rent due
under this Lease. If Landlord sells or assigns the leased
premises, Landlord shall have the right to transfer Tenant’s
security deposit to the new owner or assignee to hold under this Lease, and upon so doing Landlord shall be released
from all liability to Tenant for return of said security deposit.
Under Indiana Code, Title 32, Article 31, Chapter 3:
Upon termination of a rental agreement, all of the security
deposit held by the landlord shall be returned to the tenant,
except for any amount applied to:
(1) the payment of accrued rent;
(2) the amount of damages that the landlord has or will
reasonably suffer by reason of the tenant's noncompliance
with law or the rental agreement; and
(3) unpaid utility or sewer charges that the tenant is
obligated to pay under the rental agreement;
All as itemized by the landlord in a written notice delivered
to the tenant together with the amount due within forty-five
(45) days after termination of the rental agreement and
delivery of possession. The landlord is not liable until
supplied by the tenant in writing with a mailing address to wh
ich to deliver the notice and amount prescribed by this
subsection. The tenant is not entitled to apply a security
deposit to rent. 5. RENT PAYMENTS: Tenant agrees to pay rent unto
the Landlord during the term of this Lease in equal monthly
installments of $_____________, said installment for each
month being due and payable on or before the 1st day of the
month, the first full rent payment under this Lease being due
on the 1st day of ____________________, 20____.
Tenant agrees that if rent is not paid in full on or before the
_____ day of the month, Tenant will pay a late charge of
$________ as allowed by applicable Indiana law.
The prorated rent from the commencement of this Lease to
the first day of the following month is $____________,
which amount shall be paid at the execution of this Lease.
Tenant agrees that rent shall be paid in lawful money of the
United States by (indicate those that apply):
[ ] cash, [ ] personal check, [ ] money order, [ ]
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Residential Lease Agreement, Page 2
cashier’s check, [ ] other___________________.
Rent payments shall be made payable to:
________________________________________________
and mailed or delivered to the following address: ________________________________________________
_______________________. All notices from Tenant to
Landlord under this Lease and applicable Indiana law shall
be delivered to the above address.
Tenant agrees that rent monies will not be considered paid
until Landlord or Landlord’s agent receives the rent monies,
either by mail or by delivery to the above address. Tenant
placing rent monies in the mail is not sufficient for rent to be
considered paid, and rent will be considered unpaid until
actual receipt thereof.
If there are multiple Tenants signed to this Lease, all such
Tenants are jointly, severally and individually bound by, and
liable under, the terms and conditions of this Lease. A
judgment entered against one Tenant shall be no bar to an
action against other Tenants.
6. CONSEQUENCES OF BREACH BY TENANT: If
Tenant, by any act or omission, or by the act or omission of
any of Tenant’s family or invitees, licensees, and/or guests,
violates any of the terms or conditions of this Lease or any
other documents made a part hereof by reference or
attachment, Tenant shall be considered in breach of this
Lease (breach by one tenant shall be considered breach by
all tenants where Tenant is more than one person).
(The following lease provisions do not prohibit the Landlord
from instead and/or simultaneously utilizing the Cause of
Action for Enforcement detailed in Indiana Code § 32-31-7-
7, if the Landlord so desires.)
In case of such breach Landlord may deliver a written notice
to the Tenant in breach specifying the acts and omissions
constituting the breach and that the Lease Agreement will
terminate upon a date not less than thirty (30) days after
receipt of the notice if the breach is not remedied within a
reasonable time not in excess of thirty (30) days; and the
Lease Agreement shall terminate and the Tenant shall
surrender possession as provided in the notice subject to the
following:
(a) If the breach is remediable by repairs, the payment of
damages, or otherwise, and the Tenant adequately
remedies the breach prior to the date specified in the notice,
the Lease Agreement shall not terminate;
(b) In the absence of a showing of due care by the Tenant, if
substantially the same act or omission which constituted a
prior noncompliance of which notice was given
recurs within six (6) months, the Landlord party may terminate the Lease Agreement upon at least fourteen (14)
days written notice specifying the breach and the date of
termination of the Lease Agreement;
If the Lease Agreement is terminated, Landlord shall return
all prepaid and unearned rent, and any amount of the
security deposit recoverable by the Tenant.
However, under Indiana Code § 32-31-1-6, if the breach by
the Tenant is
nonpayment of rent , the Landlord shall not be
required to deliver thirty (30) days' written notice as
provided above. In such event, the Landlord may serve
Tenant with a ten (10) day written notice of termination,
whereupon the Tenant must pay the unpaid rent in full or
surrender possession of the premises by the expiration of the
ten (10) day notice period.
Furthermore, the Tenant may be terminated by a three (3)
day written notice delivered by Landlord if the Tenant has
committed a substantial violation of the Lease Agreement or
applicable law that materially affects health and safety.
Tenant expressly agrees and understands that upon
Landlord’s termination of this Lease, the Tenant will be
contractually liable for the remaining unpaid balance of rent,
per what would have been the regular payment schedule,
providing Landlord makes reasonable and ordinary efforts to
mitigate damages by re-renting the premises. If and when the
premises are re- rented to another party, Tenant’s liability
will end.
7. DELIVERY OF NOTICES: Any giving of notice
under this Lease or applicable Indiana law shall be made by
Tenant in writing and delivered to the address noted above
for the payment of rent, either by hand delivery or by mail.
Certified or registered mail is recommended. Delivery by
mail shall not be considered complete until actual receipt by
Landlord or Landlord’s agent.
Any notices from Landlord to Tenant shall be in writing and
shall be deemed sufficiently served upon Tenant, as per
Indiana Code § 32-31-7-7, by hand delivery to the Tenant,
but if the Tenant cannot be found, notice may be served on a
person residing at the premises. The person serving the
notice must explain the contents of the notice to the person
being served. If no one can be found on the premises, notice
may be served by affixing a copy of the notice to a
conspicuous part of the premises (the door). If Tenant is
more than one person, then notice to one shall be sufficient
as notice to all. 8. UTILITIES: Tenant will provide and pay for the
following utilities (indicate those that apply):
[ ] Electric, [ ] Gas, [ ] Telephone, [ ] Cable
Television, [ ] Water, [ ] Garbage pick-up.
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Residential Lease Agreement, Page 3
Landlord will provide and pay for the following utilities
(indicate those that apply):
[ ] Electric, [ ] Gas, [ ] Telephone, [ ] Cable
Television, [ ] Water, [ ] Garbage pick-up.
Tenant shall be responsible for contacting and arranging for
any utility service not provided by the Landlord, and for any
utilities not listed above. Tenant shall be responsible for
having same utilities disconnected on the day Tenant
delivers the leased premises back unto Landlord upon
termination or expiration of this Lease.
9. NOTICE OF INTENT TO SURRENDER: Any other
provision of this lease to the contrary notwithstanding, at
least thirty (30) days prior to the normal expiration of the
term of this Lease as noted under the heading TERM OF
LEASE above, Tenant shall give written notice to Landlord
of Tenant’s i ntention to surrender the residence at the
expiration of the Lease term. If said written notice is not
timely given, the Tenant shall become a month- to-month
tenant as defined by applicable Indiana law, and all
provisions of this Lease will remain in full force and effect,
unless this Lease is extended or renewed for a specific term
by written agreement of Landlord and Tenant.
If Tenant becomes a month- to-month tenant in the manner
described above, Tenant must give a ONE MONTH written
notice to the Landlord of Tenant’s intention to surrender the
residence. At any time during a month- to-month tenancy
Landlord may terminate the month- to-month Lease by
serving Tenant with a ONE MONTH written notice of
termination, or by any other means allowed by applicable
Indiana law. Upon termination, Tenant shall vacate the
premises and deliver same unto Landlord on or before the
expiration of the ONE MONTH period of notice.
10. OBLIGATIONS AND DUTIES OF LANDLORD:
In compliance with Indiana Code 32-31-8-5, Landlord shall:
(1) Deliver the rental premises to a tenant in
compliance with the rental agreement, and in a safe, clean,
and habitable condition.
(2) Comply with all health and housing codes
applicable to the rental premises.
(3) Make all reasonable efforts to keep common areas
of a rental premises in a clean and proper condition.
(4) Provide and maintain the following items in a rental
premises in good and safe working condition, if provided on
the premises at the time the rental agreement is entered into:
(A) Electrical systems.
(B) Plumbing systems sufficient to accommodate a
reasonable supply of hot and cold running water at all times.
(C) Sanitary systems.
(D) Heating, ventilating, and air conditioning
systems. A heating system must be sufficient to adequately supply heat at all times.
(E) Elevators, if provided.
(F) Appliances supplied as an inducement to the
rental agreement.
Provided that any damage or impairment is not a result of the
deliberate or negligent actions of the Tenant or those present
with Tenant’s knowledge or permission, in which case
Tenant must timely reimburse landlord for repair expenses
as covered in Section 14 of this lease, below.
11. OBLIGATIONS AND DUTIES OF TENANT:
In compliance with Indiana Code 32-31-7-5, Tenant shall:
(1) Comply with all obligations imposed primarily on a
tenant by applicable provisions of health and housing codes.
(2) Keep the areas of the rental premises occupied or
used by the tenant reasonably clean.
(3) Use the following in a reasonable manner:
(A) Electrical systems.
(B) Plumbing.
(C) Sanitary systems.
(D) Heating, ventilating, and air conditioning
systems.
(E) Elevators, if provided.
(F) Facilities and appliances of the rental premises.
(4) Refrain from defacing, damaging, destroying,
impairing, or removing any part of the rental premises.
(5) Comply with all reasonable rules and regulations in
existence at the time a rental agreement is entered into. A
tenant shall also comply with amended rules and regulations
as provided in the rental agreement.
Further, Tenant agrees to:
(a) Keep that part of the premises that he occupies and uses
as clean and as safe as the condition of the premises permits;
(b) Dispose from his dwelling unit all ashes, rubbish,
garbage and other waste in a clean and safe manner in
compliance with community standards;
(c) Keep all plumbing fixtures in the dwelling unit used by
the Tenant as clean as their condition permits;
(d) Use in a reasonable manner all electrical, plumbing,
sanitary, heating, ventilating, air conditioning and other
facilities and appliances, including elevators, in the
premises;
(e) Not deliberately or negligently destroy, deface, damage,
impair or remove any part of the premises or knowingly
permit any other person to do so;
(f) Conduct himself and require other persons on the
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Residential Lease Agreement, Page 4
premises with his consent to conduct themselves in a manner
that will not disturb his neighbors' peaceful enjoyment of
their premises;
(g) Inform the Landlord of any condition of which he has
actual knowledge which may cause damage to the premises;
(h) Maintain the dwelling unit in substantially the same
condition, reasonable wear and tear excepted, and comply
with the requirements of applicable building and housing
codes materially affecting health and safety;
(i) Not engage in any illegal activity upon the leased
premises as documented by a law enforcement agency;
Tenant agrees that any violation of these provisions shall be
considered a breach of this Lease.
12. NO ASSIGNMENT: Tenant expressly agrees that the
leased premises nor any portion thereof shall not be assigned
or sub-let by Tenant without the prior written consent of
Landlord.
13. TENANT INSURANCE: Landlord shall not be liable
to Tenant, Tenant’s family or Tenant’s invitees, licensees,
and/or guests for damages not proximately caused by
Landlord or Landlord’s agents. Landlord will not
compensate Tenant or anyone else for damages proximately
caused by any other source whatsoever, or by Acts of God,
and Tenant is therefore strongly encouraged to
independently purchase insurance to protect Tenant,
Tenant’s family, Tenant’s invitees, licensees, and/or guests,
and all personal property on the leased premises and/or in
any common areas from any and all damages.
14. CONDITION OF LEASED PREMISES: Tenant
hereby acknowledges that Tenant has examined the leased
premises prior to the signing of this Lease, or knowingly
waived said examination. Tenant acknowledges that Tenant
has not relied on any representations made by Landlord or
Landlord’s agents regarding the condition of the leased
premises and that Tenant takes premises in its AS-IS
condition with no express or implied warranties or
representations beyond those contained herein or required by
applicable Indiana law. Tenant agrees not to damage the
premises through any act or omission, and to be responsible
for any damages sustained through the acts or omissions of
Tenant, Tenant’s family or Tenant’s invite es, licensees,
and/or guests. If such damages are incurred, Tenant is
required to pay for any resulting repairs at the same time and
in addition to the next month’s rent payment, with
consequences for non-payment identical to those for non-
payment of rent described herein. At the expiration or
termination of the Lease, Tenant shall return the leased
premises in as good condition as when taken by Tenant at
the commencement of the lease, with only normal wear-and- tear excepted. Tenant shall have the right to remove from the
premises Tenant’s fixtures placed thereon by Tenant at his
expense, provided, however, that Tenant in effecting
removal, shall restore the leased premises to as good, safe,
sound, orderly and sightly condition as before the addition of Te
nant’s fixture. Failing this, Tenant shall be obligated to
pay for repairs as stated above.
15. ALTERATIONS: Tenant shall make no alterations,
decorations, additions, or improvements to the leased
premises without first obtaining the express written consent
of Landlord. Any of the above-described work shall become
part of the dwelling. If carried out by independent
contractors, said contractors must be approved by Landlord.
Tenant shall not contract for work to be done without first
placing monies sufficient to satisfy the contract price in an
escrow account approved by Landlord. All work shall be
done at such times and in such manner as Landlord may
designate. If a construction or mechanic’s lien is placed on
the leased premises as a result of the work, such shall be
satisfied by Tenant within ten (10) days thereafter at
Tenant’s sole expense. Tenant shall be considered in breach
of this Lease upon failure to satisfy said lien.
16. NO ILLEGAL USE: Tenant shall not perpetrate,
allow or suffer any acts or omissions contrary to law or
ordinance to be carried out upon the leased premises or in
any common area. Upon obtaining actual knowledge of any
illegal acts or omissions upon the leased premises, Tenant
agrees to immediately inform Landlord and the appropriate
authorities. Tenant shall bear responsibility for any and all
illegal acts or omissions upon the leased premises and shall
be considered in breach of this Lease upon conviction of
Tenant or any of Tenant’s family or invitees, licensees,
and/or guests for any illegal act or omission upon the leased
premises- whether known or unknown to Tenant.
17. NOTICE OF INJURIES: In the event of any
significant injury or damage to Tenant, Tenant’s family, or
Tenant’s invitees, licensees, and/or gue sts, or any personal
property, suffered in the leased premises or in any common
area, written notice of same shall be provided by Tenant to
Landlord at the address designated for delivery of notices
(identical to address for payment of rent) as soon as possible
but not later than five (5) days after said injury or damage.
Failure to provide such notice shall constitute a breach of
this Lease.
18. LANDLORD’S RIGHT TO MORTGAGE: Tenant
agrees to accept the premises subject to and subordinate to
any existing or future mortgage or other lien, and Landlord
reserves the right to subject premises to same. Tenant agrees
to and hereby irrevocably grants Landlord power of attorney
for Tenant for the sole purpose of executing and delivering
in the name of the Tenant any document(s) related to the
Landlord’s right to subject the premises to a mortgage or
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Residential Lease Agreement, Page 5
other lien.
19. DELAY IN REPAIRS: Tenant agrees that if any
repairs to be made by Landlord are delayed by reasons
beyond Landlords control, and such delay (1) is not for an
unreasonable period, and (2) does not cause undue hardship,
that there shall be no effect on the obligations of Tenant
under this Lease.
20. ABANDONMENT:
As per Indiana Code 32-31-5-6, a dwelling unit is considered
abandoned if:
(1) the tenants have failed to:
(A) pay; or
(B) offer to pay;
rent due under the rental agreement; and
(2) the circumstances are such that a reasonable person
would conclude that the tenants have surrendered possession
of the dwelling unit.
In case of abandonment, Tenant will be considered in breach
of the lease, and Landlord or Landlord’s agents may
immediately or any time thereafter enter and re-take the
leased premises as provided by applicable Indiana law, and
terminate this Lease without notice to Tenant.
21. NOTICE OF ABSENCE FROM PREMISES: If
Tenant is to be absent from the leased premises for seven (7)
or more consecutive days, written notice of such should be
served upon Landlord. If such absences are to be customary
or frequent, the expected frequency and duration of absence
should be summarily noted here: ______________________ ________________________________________________
________________________________________________
Tenant expressly agrees and understands that absence from
the premises, with or without notice, in no way obviates the
requirement to pay rent and other monies as stated herein, or
the consequences of failure to timely pay same.
22. POSSESSION OF PREMISES: Tenant shall not be
entitled to possession of the premises designated for lease
until the security deposit and first month’s rent (or prorated
portion thereof), less any applicable promotional discount, is
paid in full.
23. DELAY OF POSSESSION: Tenant expressly agrees
that if by reason of the premises being unready for
occupancy, or by reason of the previous tenant or occupant
of the dwelling holding over, or as a result of any other cause
whatsoever, Tenant is unable to enter and occupy the
premises, Landlord shall not be liable to Tenant in damages,
but shall abate the rent for the period in which the Tenant is
unable to occupy the premises. In this case, Tenant may, at
Tenant’s option, either wait for the premises to become
available or void this lease.
24. MATERIALITY OF APPLICATION TO RENT:
All representations made by Tenant(s) on the Application to
Rent (or like-titled document) are material to the grant of
this Lease, and the Lease is granted only on condition of the
truthfulness and accuracy of said representations. If a failure
to disclose or lack of truthfulness is discovered on said
Application, Landlord may deem Tenant to be in breach of
this Lease.
25. MODIFICATION OF THIS LEASE: Any
modification of this lease shall not be binding upon Landlord
unless in wri ting and signed by Landlord or Landlord’s
authorized agent. No oral representation shall be effective to
modify this Lease. If, as per the terms of this paragraph, any
provision of this lease is newly added, modified, or stricken
out, the remainder of this Lease shall remain in full force
and effect.
26. REMEDIES NOT EXCLUSIVE: The remedies and
rights contained in and conveyed by this Lease are
cumulative, and are not exclusive of other rights, remedies
and benefits allowed by applicable Indiana law.
27. SEVERABILITY: If any provision herein, or any
portion thereof, is rendered invalid by operation of law,
judgment, or court order, the remaining provisions and/or
portions of provisions shall remain valid and enforceable and
shall be construed to so remain.
28. NO WAIVER: The failure of Landlord to insist upon
the strict performance of the terms, covenants, and
agreements herein shall not be construed as a waiver or
relinquishment of Landlord's right thereafter to enforce any
such term, covenant, or condition, but the same shall
continue in full force and effect. No act or omission of
Landlord shall be considered a waiver of any of the terms or
conditions of this Lease, nor excuse any conduct contrary to
the terms and conditions of this Lease, nor be considered to
create a pattern of conduct between the Landlord and Tenant
upon which Tenant might rely upon if contrary to the terms
and conditions of this Lease.
29. ATTORNEY FEES: In the event that Landlord
employees an attorney to collect any rents or other charges
due hereunder by Tenant or to enforce any of Tenant's
covenants herein or to protect the interest of the Landlord
hereunder, Tenant agrees to pay a reasonable attorney's fee
and all expenses and costs incurred thereby.
30. HEIRS AND ASSIGNS: It is agreed and understood
that all covenants of this lease shall succeed to and be
binding upon the respective heirs, executors, administrators,
successors and, except as provided herein, assigns of the
parties hereto, but nothing contained herein shall be
construed so as to allow the Tenant to transfer or assign this
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Residential Lease Agreement, Page 6
lease in violation of any term hereof.
31. DESTRUCTION OF PREMISES: In the event the
leased premises shall be destroyed or rendered totally
untenable by fire, windstorm, or any other cause beyond the
control of Landlord, then this Lease shall cease and
terminate as of the date of such destruction, and the rent
shall then be accounted for between Landlord and Tenant up
to the time of such damage or destruction of said premises as
if being prorated as of that date. In the event the leased
premises are damaged by fire, windstorm or other cause
beyond the control of Landlord so as to render the same
partially untenable, but repairable within a reasonable time,
then this lease shall remain in force and effect and the
Landlord shall, within said reasonable time, restore said
premises to substantially the condition the premises were in
prior to said damage, and there shall be an abatement in rent
in proportion to the relationship the damaged portion of the
leased premises bears to the whole of said premises.
32. EMINENT DOMAIN: In the event that the leased
premises shall be taken by eminent domain, the rent shall be
prorated to the date of taking and this Lease shall terminate
on that date. 33. LANDLORD ENTRY: In addition to the rights
provided by applicable Indiana law, Landlord shall have the
right to enter the leased premises at all reasonable times for
the purpose of inspecting the same and/or showing the same
to prospective tenants or purchasers, and to make such
reasonable repairs and alterations as may be deemed
necessary by Landlord for the preservation of the leased
premises or the building and to remove any alterations,
additions, fixtures, and any other objects which may be
affixed or erected in violation of the terms of this Lease.
Landlord shall give reasonable notice of intent to enter
premises except in the case of an emergency. 34. GOVERNING LAW: This Lease is governed by the
statutory and case law of the State of Indiana.
35. LEAD-BASED 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 LEAD-BASED PAINT HAZARDS IN THE
DWELLING. LEASEES MUST ALSO RECEIVE A
FEDERALLY APPROVED PAMPHLET ON LEAD
POISONING PREVENTION.
Landlord states as follows: [Landlord check one]
The leased premises was constructed in 1978 or later.
The leased premises was constructed prior to 1978. Landlord has conformed with all federal requirements
regarding lead-based paint disclosure including the
completion and mutual signing with Tenant and any
agents, of the Lead-Based Paint Disclosure Form
attached hereto and incorporated into this lease as a part
hereof. All associated information required by the
Disclosure form (if any) was furnished to Tenant, and
Tenant received the EPA pamphlet “ Protect Your
Family from Lead in Your Home. ”
36. ADDITIONAL PROVISIONS:
________________________________________________
________________________________________________ ________________________________________________________________________________________________
________________________________________________________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________
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WITNESS THE SIGNATURES OF THE PARTIES TO THIS RESIDENTIAL LEASE AGREEMENT:
LANDLORD
Sign: ___________________________________ Print: __________________________________ Date: ______________
TENANT
Sign: ___________________________________ Print: __________________________________ Date: ______________
TENANT
Sign: ___________________________________ Print: __________________________________ Date: ______________
TENANT
Sign: ___________________________________ Print: __________________________________ Date: ______________
TENANT
Sign: ___________________________________ Print: __________________________________ Date: ______________
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Form IN -864LT
THIS IS A SEPARATE INSTRUCTION PAGE REGARDING LEAD-BASED PAINT DISCLOSURE
THIS PAGE IS NOT PART OF THE LEASE. IT IS PROVIDED BY USLF TO AID THE
LANDLORD IN COMPLYING WITH FEDERAL LEAD-BASED PAINT DISCLOSURE
LAW, FOR DWELLING UNITS BUILT PRIOR TO 1978.
IMPORTANT!!! NOTES CONCERNING LEAD-PAINT DISCLOSURE REQUIREMENTS
Introduction: If the rental dwelling unit was constructed PRIOR TO 1978, federal law RE QUIRES a Lead-
Based Paint Disclosure Form to be attached to the lease, completed and signed by the lessor/landlord a nd
lessee/tenant. If the rental dwelling was constructed in 1978 or later, this form is not required. If in doubt about
the timing of construction, use the disclosure form. Whenever the form is use d, the landlord must also give the
tenant the EPA lead-based paint pamphlet discussed below. Landlords must retain a copy of the signed
disclosure form for no less than three years from the date the lease begins.
Background: To protect families from exposure to lead from paint, dust, and soil, Congress passed the
Residential Lead-Based Paint Hazard Reduction Act of 1992. HUD and EPA re quire the disclosure of known
information on lead-based paint and related hazards before the lease of most housing built before 1978.
Requirements: Before the lease is signed and agreed to, landlords must fully comply with lead-paint disc losure
law. Compliance is accomplished by:
(1) Fully completing and delivering to the tenants, as an attachment to the lease, the LEA D-BASED PAINT
DISCLOSURE form (the lessees/renters also initial and sign this form), and
(2) Giving the tenants the EPA pamphlet entitled "Protect Your Family From Lead In Your Home." (See the
download link for the pamphlet, below.)
Purchase the Disclosure Form: If you need to purchase a Lead-Based Paint Disclosure Form, you can easily
do so using USLF.
http://www.uslegalforms.com/lead-paint-disclosure-forms.htm Click this link (or copy it into
the address window of you internet browser) and select your state. Two forms will be accessed. You wa nt the
“LEAD2” form, for rental transacti ons (not the “LEAD1” form for sales). Click the “Information and Preview”
link for more info on the form, and then order the form.
The Free EPA Pamphlet: The landlord must give the tenants the EPA-approved information pamphlet on
identifying and controlling lead-based paint hazards entitled "Protect Your Family From Lead In Your Home."
You may obtain and print this pamphlet free by clicking the following download link (or copying the link i nto
the address window of your internet browser):
http://www.epa.gov/lead/pubs/leadpdfe.pdf
The form is in .pdf format and you will need the free Adobe Acrobat Reader to view the form. In the unlikely
circumstance that the Adobe Acrobat Reader is not installed on your computer, you can download it free from
http://www.adobe.com/products/acrobat/readstep2.html . The download is quick and easy.
~ Thank you for using USLF ~
U.S. Legal Forms, Inc. http://www.uslegalforms.com
Form IN -864LT
Thank you for downloading our
Residential Lease Agreement
For Landlords who already have a Lease Agreement form, our database also offers
our Supplemental Lease Forms Package for your state – without the Lease – to
ensure you have all the forms necessary to complete your transaction.
The Supplemental Lease Forms Package contains the following state-specific forms:
1. Residential Lease Application
2. Consent to Background and Reference Check
3. Salary Verification for Potential Lease or Loan
4. Lead Based Paint Disclosure (Rental)
5. Inventory and Condition of Leased Premises: Pre-Lease
6. Inventory and Condition of Leased Premises: Post-Lease
7. Tenant Welcome Letter
8. Warning Notice for Failure to Pay Rent
9. Notice to Pay Rent or Lease Terminates (Residence)
10. Landlord Tenant Closing Statement
Save time, money and hassle by having these forms at your fingertips.
