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Form AK-864LT
ALASKA RESIDENTIAL LEASE AGREEMENT
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 hereby rent from
Landlord, solely for use as a personal residence,
excluding all other uses, the personal residence
located in __________________ County, Alaska,
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 Alaska Statute 34.03.070, upon termination
of the Lease, the security deposit may be applied to
the payment of accrued rent and the amount of
damages that the landlord has suffered by reason of
the tenant's noncompliance with Alaska Statute
34.03.120. The accrued rent and damages must be
itemized by the landlord in a written notice mailed
to the tenant's last known address within thirty (30)
days, together with the amount due the tenant.
All money paid to the landlord by the tenant as a
security deposit shall be promptly deposited by the
landlord, wherever practicable, in a trust account in
a bank, savings and loan association, or
licensed escrow agent, and the landlord shall
provide to the tenant the terms and conditions under
which the prepaid rent or security deposit or
portions of them may be withheld by the landlord.
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
Alaska law.
The prorated rent from the commencement of this
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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, [
] 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 Alaska 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).
Under Alaska Statute 34.03.220:
If the tenant or someone in the tenant's control
deliberately inflicts substantial damage to the
premises, the landlord may deliver a written notice
to quit to the tenant specifying the act constituting
the breach and specifying that the rental agreement
will terminate upon a date that is not less than 24
hours after service of the notice; for purposes of this
paragraph, damage to premises is "substantial" if the
loss, destruction, or defacement of property
attributable to the deliberate infliction of damage to the premises exceeds $400.
If there is a material noncompliance by the tenant
with the rental agreement, or if there is
noncompliance with Alaska Statute 34.03.120 (other
than deliberate infliction of substantial damage to
the premises described above, or other than
noncompliance as to a utility service described
below), materially affecting health and safety, the
landlord may deliver a written notice to quit to the
tenant specifying the acts and omissions constituting
the breach and specifying that the rental agreement
will terminate upon a date not less than ten (10)
days after service of the notice. If the breach is not
remedied, the rental agreement terminates as
provided in the notice subject to the provisions of
this section; if the breach is remediable by repairs or
the payment of damages or otherwise and the tenant
adequately remedies the breach before the date
specified in the notice, the rental agreement will not
terminate; in the absence of due care by the tenant,
if substantially the same act or omission that
constituted a prior noncompliance of which notice
was given recurs within six months, the landlord
may terminate the rental agreement upon at least
five (5) days written notice to quit specifying the
breach and the date of termination of the rental
agreement.
If rent is unpaid when due and the tenant fails to pay
rent in full within seven (7) days after written notice
by the landlord of nonpayment and the intention to
terminate the rental agreement if the rent is not paid
within that period of time, the tenancy terminates
unless the landlord agrees to allow the tenant to
remain in occupancy, and the landlord may
terminate the rental agreement and immediately
recover possession of the rental unit. Only one
written notice of default need be given the tenant by
the landlord as to any one default. A landlord who
has given written notice to the tenant under this
subsection may accept a partial payment of
the rent due under the rental agreement and extend
the date for the eviction accordingly.
If a public utility providing electricity, natural gas,
or water to the premises occupied by the tenant
discontinues the service to the premises due to the
failure of the tenant to pay for the utility service, the
landlord may deliver a written notice to quit to the
tenant advising that, notwithstanding any other
provision in this Lease, the Lease will terminate five
(5) days after the landlord's service of the notice. If,
within three days from the service of the notice, the
tenant reinstates the discontinued service and repays
the landlord for any amounts paid by the landlord to
reinstate service, and if damage did not occur to the
rental unit as a result of the discontinuance of
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Form AK-864LT
service, the rental agreement will not terminate.
However, in the absence of due care by the tenant, if
substantially the same act or omission that
constituted a prior noncompliance under this
paragraph for which notice was given recurs within
six (6) months, the landlord may terminate the rental
agreement upon at least three (3) days written
notice specifying the breach and the date of
termination of the rental agreement.
Tenant expressly agrees and understands that upon
Landlord’s termination of this Lease, the entire
remaining balance of unpaid rent for the remaining
term of this Lease shall ACCELERATE , whereby
the entire sum shall become immediately due,
payable, and collectable. Landlord may hold the
portion of Tenant’s security deposit remaining after
reasonable cleaning and repairs as a partial offset to
satisfaction of the accelerated rent.
7. DELIVERY OF NOTICES: Any giving of
notice under this Lease or applicable Alaska 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. v
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 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
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 Alaska 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 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 Alaska 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:
As per Alaska Statute 34.03.100, Landlord shall:
(1) make all repairs and do whatever is necessary to
put and keep the premises in a fit and habitable
condition;
(2) keep all common areas of the premises in a clean
and safe condition;
(3) maintain in good and safe working order and
condition all electrical, plumbing, sanitary, heating,
ventilating, air-conditioning, kitchen, and
other facilities and appliances,
including elevators, supplied or required to be
supplied by the landlord;
(4) provide and maintain appropriate receptacles and
conveniences for the removal of ashes, garbage,
rubbish, and other waste incidental to the occupancy
of the dwelling unit and arrange for their removal;
(5) supply running water and reasonable amounts of
hot water and heat at all times, insofar as energy
conditions permit, except where the building that
includes the dwelling unit is so constructed that heat
or hot water is generated by an installation within
the exclusive control of the tenant and
supplied by a direct public utility connection;
(6) if requested by the tenant, provide and maintain
locks and furnish keys reasonably adequate to
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ensure safety to the tenant's person and property;
and
(7) provide smoke detection devices.
A landlord of a single family residence located in an
undeveloped rural area or located where public
sewer or water service has never been connected is
not liable for a breach of (3) or (5) of this section if
the dwelling unit at the beginning of the rental
agreement did not have running water, hot water,
sewage, or sanitary facilities from a private
system.
11. OBLIGATIONS AND DUTIES OF
TENANT:
As per Alaska Statute 34.03.120, Tenant shall:
1) shall keep that part of the premises occupied and
used by the tenant as clean and safe as the condition
of the premises permit;
(2) shall dispose all ashes, rubbish, garbage, and
other waste
from the dwelling unit in a clean and safe manner;
(3) shall keep all plumbing fixtures in the dwelling
unit or used by the tenant as clean as their condition
permits;
(4) shall use in a reasonable manner all electrical,
plumbing,
sanitary, heating, ventilating, air-conditioning,
kitchen, and
other facilities and appliances including elevators in
the premises;
(5) may not deliberately or negligently destroy,
deface, damage, impair, or remove a part of the
premises or knowingly permit any person to do so;
(6) may not unreasonably disturb, or permit others
on the
premises with the tenant's consent to unreasonably
disturb, a
neighbor's peaceful enjoyment of the premises;
(7) shall maintain smoke detection devices provided
by landlord;
(8) may not, except in an emergency when the
landlord cannot be contacted after reasonable effort
to do so, change the locks on doors of the premises
without first securing the written agreement of the
landlord and, immediately after changing the locks,
providing the landlord a set of keys to all doors for
which locks have been changed; in an emergency, the tenant may change the locks and shall, within
five days, provide the landlord a set of keys to all
doors for which locks have been changed and
written notice of the change.
(9) The tenant may not knowingly engage at the
premises in prostitution, an illegal activity involving
a place of prostitution, an illegal activity involving
alcoholic beverages, an illegal activity involving
gambling or promoting gambling, an illegal activity
involving a controlled substance, or an illegal
activity involving an imitation controlled substance,
or knowingly permit others in the premises to
engage in one or more of those activities at the
rental premises.
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 Alaska 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 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 month’s rent
payment, with consequences for non-payment
identical to those for non-payment of rent described
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Form AK-864LT
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 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 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
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 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 other lien.
19. DELAY IN REPAIRS: Tenant agrees that
if any repairs to be made by Landlord are delayed
by reasons beyond Landlords control, there shall be
no effect on the obligations of Tenant under this
Lease.
20. ABANDONMENT: Abandonment shall
be defined as the absence of the Tenant from the
leased premises for a period of seven (7) or more
consecutive days while rent or any owing monies
remain unpaid- whereupon Tenant will be
considered in breach of this Lease. This definition
is subordinate to, and shall not in any way impair,
the rights and remedies of Landlord under this Lease
or applicable Alaska law, except that in case of
abandonment, Landlord or Landlord’s agents may
immediately or any time thereafter enter and re-take
the leased premises as provided by applicable
Alaska 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
and the premises designated for lease is vacated by
the prior tenant.
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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.
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 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.
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 Alaska 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 may 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 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 AND LIEN: In
addition to the rights provided by applicable Alaska
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. Furthermore, Landlord retains a
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Landlord’s Lien on all personal property placed
upon the premises to secure the payment of rent and
any damages to the leased premises.
34. GOVERNING LAW: This Lease is governed
by the statutory and case law of the State of Alaska.
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:
______________
Residential Lease Agreement, Page 8
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 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 attachment 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 accessed. 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-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 into
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 ~
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.
