Resident Lease Acknowledgment

RESIDENT LEASE ACKNOWLEDGMENT

Parties and Property

Landlord/Agent:

Resident(s):

Property Identification

Unit/Apartment:     Parcel/APN:

Lease Information

Lease Term Start Date:     Lease Term End Date:

Term (months):     Possession Date:

Rent Due Day Each Month:     Late Fee:     Returned Check Fee:

Acknowledgments and Disclosures

Receipt of Lease: Resident acknowledges receipt of a fully executed copy of the Lease and agrees that the Lease governs the tenancy and terms between the parties. Resident initials:

Appliances/Furnishings Provided (list):

Lead-Based Paint: Yes No

Known Mold or Water Intrusion: Yes No

Prior Structural Damage or Repairs: Yes No

Rules, Utilities and Maintenance

Pets Allowed: Yes No     Pet Policy/Restrictions:

Utilities Responsibility:

Maintenance Responsibilities: Landlord is responsible for major systems and structural repairs. Resident is responsible for routine cleanliness and minor repairs as specified in the Lease. Additional specifics:

Alterations/Subletting: Alterations and subletting require prior written consent of Landlord consistent with Lease provisions. Resident acknowledges that unauthorized alterations or assignment may constitute a default.

Renter's Insurance Required: Yes No     If required, minimum liability coverage:

Default, Remedies and Legal Provisions

Default and Remedies: Resident acknowledges that failure to pay rent, maintain the Premises, or comply with Lease terms constitutes a breach entitling Landlord to remedies set forth in the Lease, including termination, damages and recovery of costs and attorneys' fees to the extent permitted by law.

Notices: All formal notices under the Lease shall be sent to the addresses below unless updated in writing.

Certification

By signing below, Resident acknowledges that they have read and understand the Lease, the disclosures and policies summarized in this acknowledgment, and that Resident has received any required disclosures. Resident further certifies that all information provided to Landlord in connection with tenancy is true and correct to the best of Resident's knowledge.

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