Residential Lease Check List & Questionnaire Residential Lease Check List & Questionnaire 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: What is the sum of 11 and 4?
