U.S. Legal Forms, Inc. http://www.uslegalforms.com Form MA -864 -1LT
Residential Lease Agreement, Page 1
MASSACHUSETTS RESIDENTIAL LEASE AGREEMENT
MONTH TO MONTH
This Residential Lease Agreement (hereinafter “Lease” ) is entered into this the ____ day of _____________________,
20____, by and between the Lessor: ______________________________________, (hereinafter referred to as “Landlord”),
and the Lessee(s): ___________________________________________________________ ___________________________.
All Lessees (hereinafter referred to collectively as “Tenant”), are 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 her eby rent from Landlord, solely
for use as a personal residence, excluding all other uses, the
personal residence located in __________________ County,
Massachusetts, with address of:
________________________________________________
_______________________ _________________________
________________________________________________
________________________________________________
________________________________________________,
including the following items of personal property:
_________________________________ _______________
____________________________________________ ____
________________________________________________
________________________________________________.
2. NATURE OF OCCUPANCY: As a special
consideration and inducement for the granting of th is 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
from month to month until:
a. Either Landlord or Tenant gives the other written thirty
(30) day Notice of Termination of Lease Agreement. This
Notice of Termination need not be of any “cause”, but
rather is solely “ at the will” of the party giving notice.
b. Either Landlord or Tenant gives the other a written Notice
of Default, wherein the noticed party must either cure the
breach (if cure is an option) or be terminated and vacate the
premises on or before the end o f the notice period, the length
of which period will be dictated by the conditions of the
Lease or applicable law.
4. SECURITY DEPOSIT: Upon execution of this Lease,
Tenant shall deposit the sum of $___________ to be held by
Landlord as a security depo sit 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 premi ses 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
prem ises, 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.
In complianc e with Massachusetts General Laws 186 -15B:
Landlord shall provide Tenant with a written statement of
the present condition of the premises to be leased, listing any
damage then existing. Tenant shall determine whether the
statement is correct, and sign i f so. If not correct in Tenant’s
opinion, then Tenant shall make corrections and/or additions
to Landlord’s statement and sign same.
The security deposit shall be placed, within 30 days of its
receipt by L andlord, in a separate interest bearing bank
account, and a receipt given to Tenant reflecting the account
information. Interest shall be paid to Tenant on a yearly
basis for the amount of interest made by the deposit for each
year, or the portion of the year prior to termination of the
Lease.
Within 30 days of the termination of the Lease, Landlord
shall return to the Tenant the security deposit less any
deductions therefrom, including any unpaid rent and/or any
reasonable amount necessary to repair an y damage caused to
the dwelling unit by the Tenant or other for who the Tenant
was responsible (reasonable wear and tear excluded). A
statement of damages shall be mailed, along with any refund,
to Tenant’s forwarding address, which shall be provided by
Tenant within seven (7) days of Tenant’s moving out, or
Tenant forfeits any claim on the security deposit.
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Residential Lease Agreement, Page 2
5. RENT PAYMENTS: Tenant agrees to pay rent unto the
Landlord during the term of this Lease in equal monthly
installments of $_____________, said i nstallment 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____.
The prorated rent from the commencement of this Lease to
the fir st 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,
[ ] 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 Massachusetts law
shall be delivered to the above address.
Tenant agrees that rent monies will not be considered paid
until Landlord or Landlord’s agent re ceives 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 Te nants 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. CONSEQ UENCES 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 re ference 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).
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 t hirty
(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.
Under Massachusetts General Laws 186 -11:
If the breac h 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, fourteen
days' notice to quit, given in writing by the landlord to the
tenant, shall be sufficient to te rminate the lease, unless the
tenant, on or before the day the answer is due, in an action
by the landlord to recover possession of the premises, pays
or tenders to the landlord or to his attorney all rent then due,
with interest and costs of suit. If fail ure to pay the rent due
was caused by a failure or delay of the federal government,
the commonwealth or any municipality, or any departments,
agencies or authorities thereof, in the mailing or delivery of
any subsistence or rental payment, check or voucher other
than a salary payment to either the tenant or the landlord,
the court in any such action shall continue the hearing not
less than seven days in order to furnish notice of such action
to the appropriate agency and shall, if all rent due with
interest and costs of suit has been tendered to the landlord
within such time, treat the Lease as not having been
terminated.
Tenant understands and specifically agrees, that
notwithstanding any of the above provisions relating to
the breach of the Lease, Landlor d may, without any cause
whatsoever , terminate the Lease by giving the Tenant a
written thirty (30) day Notice of Termination, whereby,
on or before the conclusion of the thirty (30) day period
of notice, Tenant must vacate the premises and
surrender same to Landlord.
7. DELIVERY OF NOTICES: Any giving of notice
under this Lease or applicable Massachusetts 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
mai l. Certified or registered mail is recommended. Delivery
by mail shall not be considered complete until actual receipt
by Landlord or Landlord’s agent.
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Residential Lease Agreement, Page 3
Any notices from Landlord to Tenant shall be in writing and
shall be deemed sufficiently served upon Tenant when
deposited in the mail addressed to the leased premises, or
addressed to Tenant’s last known post office address, or
hand delivered, or placed in Tenant’s mailbox. 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.
Landlord will provide a nd 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 serv ice 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 writt en notice to Landlord
of Tenant’s intention 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 Massachusetts law, and all
pro visions 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 gi ve a thirty (30) day 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 written notice of termination, or by
any other means allowed by applicable Massachusetts law.
Upon termination, Tenant shall vacate the premises and
deliver same unto Landlord on or before the expiration of the
period of notice.
10. OBLIGATIONS AND DUTIES OF LANDLORD:
Landlord shall:
(a) Comply with the requirements of applicable building and
housing codes materially affecting health and safety;
(b) Maintain the dwelling unit, its plumbing, heating and/or
cooling system, in substantially the same condition as at the
inception of the lease, reasonable wear and tear excluded,
unless the dwelling unit, its plumbing, heating and/or cooling
system is damaged or impaired as a result of the deliberate or
negligent actions of the Tenant or those present with
Tenant’s know ledge or permission.
11. OBLIGATIONS AND DUTIES OF TENANT:
Tenant shall:
(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, rubbis h,
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, plum bing,
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 a ny other person to do so;
(f) Conduct himself and require other persons on the
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 conditi on of which he has
actual knowledge which may cause damage to the premises;
(h) To the extent of his legal obligation, 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 wr itten consent of
Landlord.
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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
comp ensate 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. DAMAGE TO LEASED PREMISES: 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 invitees,
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 mont h’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 com mencement 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 lease d premises to as good, safe,
sound, orderly and sightly condition as before the addition of
Tenant’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 appr oved 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
desig nate. 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 failu re 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
illeg al 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 bre ach 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
signif icant injury or damage to Tenant, Tenant’s family, or
Tenant’s invitees, licensees, and/or guests, 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 addres s 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 RIG HT 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 o f 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
other lien.
19. 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 he re: _____________________
________________________________________________
________________________________________________
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.
20. 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 and the premises designated for lease is vacated
by the prior tenant.
21. MATERIALITY OF APPLICATION TO RENT:
All representations made by Tenant(s) on the App lication 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.
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Residential Lease Agreement, Page 5
22. MODIFICATION OF THIS LEASE: Any
modification of this lease shall not be binding upon Landlord
unless in writing 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.
23. 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 Massachusetts law.
24. 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.
25. NO WA IVER: 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 th e 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 may rely upon if contrary to the terms
and conditions of this Lease.
26. 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
lease in violation of any term hereof.
27. 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 t he 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, win dstorm 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.
28. EMINENT DOMA IN: 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.
29. L ANDLORD ENTRY: Landlord shall have the right
to enter the leased premises a t all reasonable times to inspect
the premises, to make repairs thereto or to show the same to
a prospective tenant, purchaser, mortgagee or its agents.
Landlord shall give reasonable notice of intent to enter
premises except in the case of an emergency. Landlord may
also enter the premises: in accordance with a court order; if
the premises appear to have been abandoned by the lessee;
or to inspect, within the last thirty days of the tenancy or
after either party has given notice to the other of intention to
terminate the tenancy, the premises for the purpose of
determining the amount of damage, if any, to the premises
which would be cause for deduction from any security
deposit held by the Landlord.
30. G OVERNING LAW: This Lease is governed by the
statu tory and case law of the State of Massachusetts.
31. L EAD -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
POI SONING PREVENTION.
Landlord states as follows: [Landlord check one]
The leased premises was constructed in 19 78 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 pamp hlet “ Protect Your
Family from Lead in Your Home. ”
32. A DDITIONAL PROVISIONS:
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Residential Lease Agreement, Page 6
________________________________________________
________________________________________________
________________________________________________
_____________________________ ___________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
_____________________________________________ ___
________________________________________________
________________________________________________
________________________________________________
________________________________________________
***********************
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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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Instructions for RECEIPT FOR SECURITY DEPOSIT
The following form is not part of the Lease, but must be completed and given to Tenant upon Tenant ’s
payment of a security deposit.
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RECEIPT FOR SECURITY DEPOSIT
Amount of such security deposit: _______________________
The date on which security deposit is received: _____________________
A description (address) identifying the premises leased or rented:
___________________________________________________________________________________________
Name(s) of Tenant(s) from whom security deposit is received:
___________________________________________________________________________________________
Name of the person receiving security deposit: _________________________________
In the case of an agent, the name of the lessor for whom such security deposit is received:
________________________________________
______________________________________________________
Signature of the person receiving the security deposit
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Instructions for CONDITION STATEMENT
This form is not part of the Lease, but must be separately completed and given to the Tenant upon
receipt of a security deposit, or within ten days after commencement of the tenancy, whichever is
later .
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CONDITION STATEMENT
per Massachusetts General Laws Chapter 186, § 15B(2)(c)
“This is a statement of the condition of the premises you have leased or rented. You should read it
carefully in order to see if it is correct. If it is correct you must sign it. This will show that you agree
that the list is correct and complete. If it is not correct, you must attach a separate signed list of any
damage which you believe exists in the premises. This statement must be returned to the lessor or
his agent within fifteen days after you receive this list or within fifteen days after you move in,
whichever is later. If you do not return this list, within the specified time period, a court may later
view your failure to return the list as your agreement that the list is complete and correct in any
suit which you may bring to recover the security de posit.”
Any lessor of residential real property, or his agent, who accept s a security deposit from a tenant or prospective
tenant shall, upon receipt of such security deposit, or within ten days after commencement of the tenancy, whichever
is later, furnish to such tenant or prospective tenant a separate written statement of th e present condition of the
premises to be leased or rented. Such written statement shall also contain a comprehensive listing of any damage
then existing in the premises, including, but not limited to, any violations of the state sanitary or state building codes
certified by a local board of health or building official or adjudicated by a court and then existing in the premises.
(1) Written statement of the present condition of the premises to be leased or rented:
(2) Comprehensive listing of any dama ge then existing in the premises:
(3) Identify any violations of the state sanitary or state building codes certified by a local board of health or building
official or adjudicated by a court and then existing in the premises:
___________________________________________
Signature of the lessor or his /her agent
___________________________________________
Signature of tenant, in acknowledgement of tenant’s agreement with correctness of CONDITION STATEMENT
(If the tenant submi ts to the lessor or his agent a signed, separate list of damages, the lessor or his agent shall, within
fifteen days of receiving said separate list, return a copy of said list to the tenant with either such lessor's signed
agreement with the content there of or a clear statement of disagreement attached.)
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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 DISCLOS URE
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 REQUIRES a Lead -
Based Paint Disclosure Form to be attached to the lease, completed and signed by the lessor/landlord and
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 used, 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 require 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 disclosure
law. Compliance is accomplished by:
(1) Fully completing and delivering to the tenants, as an attachm ent to the lease, the LEAD -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 a ccessed. You want the
“LEAD2” form, for rental transactions ( 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 -ap proved 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 into
the add ress window of your internet browser):
http://www.epa.gov/lead/pubs/leadpdfe.pdf
Th e 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 MA -864 -1LT
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 – w ithout 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 Failur e 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 .
