Residential Lease Check List & Questionnaire Residential Lease Check List & Questionnaire Complete this form in its entirety. The firm will provide the landlord with one round of revisions before submission of the final document. Additional rounds of revisions will incur additional fees and will be billed by the Firm based on an estimate of time involved. Customized leases will require a paid consultation with an attorney, and additional attorney fees will be incurred. Email Address * Please leave this field empty. We will send the link to download the PDF contract at this email address. PARTIES Name of Landlord(s) * Tenant(s) FULL NAMESSN (OPTIONAL)DATE OF BIRTH (OPTIONAL) TERM* Lease Start Date Lease End Date PROPERTY Address * Street AddressAddress Line 2 CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code RENT Monthly Rent $ Please enter a number greater than or equal to 1. Day of the Month Rent is Due Late Charge $ Non-Sufficient Funds Charge $ Does Tenancy start on a day other than the first?Yes Rent Prorated From Rent Prorated To Prorated Amount $Prorated Amount Due On PAYMENT Payment MethodCheckBank Deposit Address Where Rent Is Delivered * Street AddressAddress Line 2 CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code SECURITY DEPOSIT Security Deposit Amount $ ADVANCE RENT First Month's Advance $Last Month's Advance $ PETS Are pets allowed? *YesNo Pet Deposit $Approved Pet(s) OTHER PAYMENTS Other Payments UTILITIES Tenant shall pay for all utilities except the following: MAINTENANCE Tenant is responsible for repairs up to $Locks Re-Key Fee $ Maintenance & Repair Responsibilities Responsibility---TenantLandlord Subject PARKING Authorized Resident and Guest Parking FURNISHINGS AND APPLIANCES The Premises are provided with: NOTICES Landlord's Agent Landlord's Agent Address Street AddressAddress Line 2 CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZIP Code LEAD BASED PAINT DISCLOSURE The dwelling was built before January 1, 1978 Presence of lead-based paint or lead-based paint hazardsLead-based paint and/or lead-based painting hazards are present in the housing (explain).Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the housing. Lead-based paint and/or lead-based painting hazards are present, explain: Records and reports available to the lessorLessor has provided the lessee with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing.Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing. Available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below) MISCELLANEOUS PROVISIONS Tenant shall clean and maintain all stainless-steel appliances with stainless-steel cleaning products and polish only. Tenant shall responsible for all damages caused to appliances by misuse, negligence and/or failure to maintain same beyond reasonable wear and tear. Other Miscellaneous Provisions Add blank lines to fill by hand. EARLY TERMINATION Early Termination Fee $ ADDITIONAL ADDENDUM Enable additional addendum. Addendum To prove you are human: Please add 12 and 11:
