Real Estate RFTA Form

REAL ESTATE RFTA FORM

Parties

Proposed Lease Terms and Financial Terms

Lease Term Start Date:    Lease Term End Date:    Occupancy Limit:

Monthly Contract Rent (Gross Rent to Owner): $    Security Deposit: $

Rent Payment Due Date Each Month: Day    Late Fee Amount: $    Late Fee Applies After Day:

Utilities and Services

Utilities Included in Rent: Heat Water Gas Electricity Trash

Pet Policy

Are pets permitted? Yes No

Required Disclosures and Property Condition

Does the dwelling unit or building contain lead-based paint (structure built before 1978)? Yes No

Known substantial mold, water intrusion, or structural defects: Yes No

Prior material damage or recent major repairs (fire, flood, pest infestation): Yes No

Inspections, Repairs and Housing Standards

Landlord warrants that, to the best of Landlord's knowledge, the unit will meet applicable habitability and housing quality standards at the time of move-in and will remain in compliance with applicable codes. Landlord agrees to permit inspections by authorized program representatives prior to and during tenancy and to complete any required repairs identified by such inspections within a commercially reasonable time consistent with safety and habitability standards.

Certifications and Material Representations

Landlord certifies that the rent amount specified is the actual rent to be charged under the proposed lease and that there are no side agreements or undisclosed charges that would alter the contract rent. Landlord further certifies that the person signing on behalf of Landlord has authority to execute this form and bind the owner(s) of the property.

Tenant(s) certify that the tenant information provided to the Landlord and any administering authority is true and complete to the best of Tenant's knowledge and that Tenant will comply with the terms of the proposed lease and occupancy limits.

Default, Remedies and Governing Law

If either party materially breaches the terms incorporated by this Request for Tenancy Approval and the underlying proposed lease, the non-breaching party may pursue all remedies available at law or in equity. Landlord and Tenant agree that any disputes arising under this form or the resulting tenancy shall be governed by the laws of the state in which the Property is located.

This Request for Tenancy Approval, together with the proposed lease and any addenda executed contemporaneously, constitutes the entire agreement between the parties with respect to the matters described herein and supersedes all prior negotiations, representations, or agreements, whether written or oral.

Acknowledgment

By signing below, Landlord and Tenant acknowledge that they have read and understand the statements and representations contained in this Request for Tenancy Approval and warrant that the information provided is true and complete. The parties recognize that false statements may be grounds for denial of tenancy or other penalties as provided by law.

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