Fill and Sign the Utah Asbestos Disclosure Form

Asbestos Disclosure and Agreement of TenantAgreement made on the _______________ (date), between ______________________ (Name of Landlord), a corporation organized and existing under the laws of the state of ______________, with its principal office located at ___________________________________ _____________________________________ (street address, city, county, state, zip code), referred to herein as Landlord, and ___________________ (Name of Tenant), of ___________ _______________________________________________________________ (street address, city, state, zip code) , hereinafter called Tenant . Whereas, Landlord holds title to premises on which there is situated (e.g., an apartment or house) _______________________, said premises hereinafter referred to as the Premises and which is described as follows: (legal description or at least street address and name of building) ___________________________________________________________________ ___________________________________________________________________________.Whereas, Tenant desires to lease Premises pursuant to a Lease Agreement, a copy of which is attached hereto as Exhibit A, and made a part hereof by reference; andWhereas, this Disclosure and Agreement is being made pursuant to (identify law or statute of state) _____________________________________;Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: Asbestos and other similar materials were commonly used in buildings constructed prior to 1981. According to the United Stated Environmental Protection Agency (EPA), asbestos materials do not pose any health risks to residents so long as these materials are not disturbed or dislodged. EPA rules do not require asbestos materials to be removed. Disturbing or dislodging these materials (through pounding, scraping, sanding, etc.) may cause asbestos fibers to become airborne. This disclosure is provided to Tenant as a warning that the Premises may expose Tenant to chemicals which are known to cause cancer. Tenant agrees that no improvements, alterations, modifications, or repairs to the Premises shall be made without the express written approval of the Landlord. If approval is provided, Tenant agrees to abide by a written plan designed to prevent and protect from releasing or exposing Tenant to asbestos. If Tenant wishes, Tenant may order (at Tenant's expense) an inspection to determine the presence of any asbestos and, if asbestos is found, Tenant has the right to cancel any lease agreement concerning the Premises within thirty (30) days following the beginning of the lease term. Tenant agrees to refrain from hanging pictures and any other items on any wall with hangers/nails which are less than________ (size) in diameter. Tenant will immediately notify Landlord of any of the following: Any hole in any wall larger than _________ (size) diameter, Evidence of a water leak, and/or Any appearance of crumbling or peeling in the wallboard or ceilings. Tenant acknowledges that Tenant has not received any representations by Landlord regarding the presence, or absence, or asbestos on or about the Premises. (Landlord much check one) [ ] Landlord hereby discloses any known information concerning asbestos and the Premises: __________________________________________________________ [ ] Landlord has no knowledge of asbestos or asbestos hazards located in or around the Premises . Witness our signatures this ________________ (date). ______________________________(Name of Landlord) ________________________ By:_________________________ (Printed name) ___________________________ ________________________ (Printed name & Office in Corporation) (Signature of Tenant) ___________________________(Signature of Officer)