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Form MA-864LT
MASSACHUSETTS 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,
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
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 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.
In compliance 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 if 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 Landlord, 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 any 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.
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
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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 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 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
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).
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.
Under Massachusetts General Laws 186-11:
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, fourteen days' notice to quit, given in writing
by the landlord to the tenant, shall be sufficient to
terminate 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 failure 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.
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 mail.
Certified or registered mail is recommended.
Delivery by mail shall not be considered complete
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Form MA-864LT
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 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
Massachusetts 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
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
knowledge 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,
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
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) 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;
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Form MA-864LT
(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. 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 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 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. 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: _____________________
__________________________________________
__________________________________________
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____________
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.
21. 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.
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 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.
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 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.
28. 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.
29. LANDLORD ENTRY: Landlord shall have
the right to enter the leased premises at 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. GOVERNING LAW: This Lease is governed
by the statutory and case law of the State of
Massachusetts.
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Form MA-864LT
31. 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. ”
32. 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: ______________
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.
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
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 .
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 deposit.”
Any lessor of residential real property, or his agent, who accepts 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 the 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 damage 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 submits 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 thereof or a clear statement of disagreement attached.)
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.