Tenancy Declaration Form

Tenancy Declaration Form

This Tenancy Declaration Form (the "Declaration") is made as of Date: by and between Tenant Name: (hereinafter "Tenant") and Landlord Name: (hereinafter "Landlord").

RECITALS

WHEREAS, Landlord is the legal owner or authorized agent of the premises located at Address: (the "Premises"); and

WHEREAS, Tenant currently occupies or will occupy the Premises pursuant to a tenancy commencing on and ending on (the "Term"), and the parties desire to set forth facts and attestations regarding such tenancy; and

WHEREAS, this Declaration is intended to document occupancy, rental payment arrangements, and responsibilities for the administration of the tenancy for use in landlord records, housing assistance, or other legally permissible purposes.

NOW, THEREFORE, in consideration of the mutual covenants and representations contained herein, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. DECLARATION OF TENANCY

1.1 Tenant affirms that Tenant occupies the Premises as the principal place of residence and that the Tenant's current mailing address for purposes of this Declaration is Address: .

1.2 The parties confirm that the agreed periodic rent for the Premises is $ per month, payable in accordance with the lease or tenancy agreement. The security deposit held by Landlord, if any, is $.

2. TERM AND POSSESSION

2.1 Tenant's right of possession began on and shall continue pursuant to the lease or tenancy terms stated above. In the absence of a formal lease end date, this Declaration shall evidence a month-to-month tenancy subject to applicable notice requirements under governing law.

2.2 Any extension, renewal or modification of the Term must be documented in writing and signed by both parties to be effective.

3. OCCUPANTS AND USE

3.2 Tenant represents that the Premises are used solely for residential purposes and that no other persons occupy the Premises other than those listed above, except as disclosed in writing to Landlord.

4. UTILITIES AND SERVICES

4.1 Responsibility for utilities and services is allocated as follows (check applicable boxes):

Tenant responsible for utilities
Landlord responsible for utilities
Shared responsibility (specify below)

5. RENT PAYMENT AND RECORDS

5.1 Method of rent payment: . Tenant acknowledges that the Landlord may maintain records of payments, receipts, and account ledgers reflecting Tenant's payment history.

5.2 Late payment charges, returned check fees, and other fee structures are governed by the lease or by applicable law and shall be enforced as permitted.

6. REPRESENTATIONS AND WARRANTIES

6.1 Each party represents and warrants that the information provided in this Declaration is true, complete and correct to the best of such party's knowledge as of the date signed. Tenant affirms that Tenant is lawfully entitled to occupy the Premises under the terms disclosed herein.

6.2 Each party further represents that it has the full power and authority to enter into this Declaration and that execution of this Declaration will not violate any other agreement to which such party is bound.

7. ACCESS, MAINTENANCE AND REPAIRS

7.1 Landlord retains the right to enter the Premises for inspection, repairs, or in emergency situations in accordance with applicable law. Landlord shall provide such notice to Tenant as required by applicable law or lease.

7.2 Tenant shall maintain the Premises in a clean and sanitary condition, promptly report needed repairs to Landlord, and shall not create or permit conditions that unreasonably endanger the Premises or other occupants.

8. NOTICES

8.1 All formal notices under this Declaration shall be in writing and delivered to the addresses set forth below (or to such other addresses as either party may designate in writing).

9. DEFAULT, REMEDIES AND TERMINATION

9.1 If Tenant defaults in the payment of rent or breaches a material term of the lease or this Declaration, Landlord may exercise its remedies as set forth in the lease and as permitted by law, including termination of tenancy and seeking damages or possession.

9.2 Tenant may be entitled to cure certain defaults in accordance with applicable law. Nothing in this Declaration shall be construed to waive statutory tenant protections unless permitted by law and evidenced in a separate writing.

10. MISCELLANEOUS

10.1 Governing Law. This Declaration shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

10.2 Entire Agreement. This Declaration, together with any referenced lease or separate written agreements between the parties, constitutes the entire agreement between the parties with respect to the matters set forth herein and supersedes all prior negotiations and understandings.

10.3 Severability. If any provision of this Declaration is held to be invalid or unenforceable, such provision shall be severed and the remaining provisions shall remain in full force and effect.

10.4 Amendments and Waiver. No amendment, modification, or waiver of this Declaration shall be effective unless in writing and signed by both parties. No waiver of any breach shall be deemed a waiver of any subsequent breach.

10.5 Counterparts. This Declaration may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Signatures delivered by electronic image of a signed document shall have the same effect as original signatures.

11. CERTIFICATION

By signing below, each party certifies under penalty of perjury that the information contained in this Declaration is true and correct to the best of such party's knowledge and belief, that the party is authorized to make the representations herein, and that this Declaration may be relied upon by third parties for the purposes stated herein.

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