Tenant Occupant Information

Tenant Occupant Information

Agreement Recitals

WHEREAS, Landlord Name: is the owner or manager of the residential property located at Property Address: (the "Property");

WHEREAS, Tenant Name: is a current tenant under a separate lease or rental agreement governing occupancy of the Property and submits the following occupant information for recordation and administration; and

WHEREAS, the parties agree that submission of this Tenant Occupant Information form and the attendant acknowledgements below shall permit Landlord to maintain occupant records and to take such administrative steps as described in the Scope of Administrative Services section.

Scope of Administrative Services

Payment Terms (Administrative Fees)

Administrative Fee Amount: payable by Tenant upon submission of this form.

Payment Schedule:

Late Fee: assessed on any unpaid administrative fee after the scheduled due date.

Term and Termination

Effective Date: . Retention Term for occupant records: Start Date: End Date: .

Notice Period for termination of administrative services or correction of occupant information: days' written notice required by the notifying party.

Confidentiality and Data Handling

Landlord and Tenant agree that occupant information provided herein will be retained and used only for legitimate tenancy administration purposes, safety, and compliance with the lease. Landlord will not disclose personally identifiable information except as required by law, to perform agreed administrative services, or to protect health and safety. Tenant acknowledges that some disclosure (e.g., to contractors, emergency responders, or screening providers) may be necessary.

Tenant and Occupant Consent to Data Handling: I/We consent to the collection, retention, and limited disclosure described above.

Tenant Occupant Information

Vehicle Information

Emergency Contact

Employment Information

Pets / Smoking / Additional Occupants

Pets on premises: Yes    No

Smoking within unit: Yes    No

Background Screening Consent & Acknowledgements

I authorize Landlord and its agents to obtain consumer reports, criminal history, and other screening information necessary to verify the information provided and to evaluate suitability for occupancy where permitted by law. Consent:

Certification: I certify that the information provided on this form is true and complete to the best of my knowledge. I understand that false or misleading statements are grounds for removal of occupant privileges or other remedies available to Landlord. Agree:

Governing Law and Entire Agreement

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

Entire Agreement: This Tenant Occupant Information form, together with any attachments and the underlying lease, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes any prior oral or written communications regarding occupant information or the administrative services described.

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