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Michigan Rental Lease Agreement 1

Michigan Rental Lease Agreement

    Renting a property in Michigan comes with complicated procedures including the drafting of the Michigan rental lease agreement. Reviewed by legal advisors, our Michigan rental lease agreement template covers all the important details and terms, aimed to guard the rights and interests of both the landlords and the tenants. Now you can handle housing rental efficiently and professionally with no legal risks contained.

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Michigan Rental Lease Agreement

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Do you own some property in Michigan state? Are you looking to rent it out and make some profit but do not know where to start from? To begin with, you require a Michigan rental lease agreement that can help you go forward.

Getting an attorney to manage and develop your lease agreement will cost you way more than you can imagine. To avoid expensive attorneys, you can find templates online easily.

At CocoSign, you can find some excellent templates to serve your purposes. By altering it, you can include your specific disclosures, rules, etc., and have your very own rental agreement ready in no time.

What Is a Michigan Lease Agreement?

The Michigan lease agreement is a legally binding contract that allows two parties (the tenants and the landlords) to bind together officially for the purpose of renting out a property for a specific period.

Now, there are two types of rental agreements - one which leases property over a certain time period. Usually, the allotted time for the Michigan residential lease agreement equals one year. This always comes with a start and end date.

The other one is a rental agreement, which renews every month and is usually a short-term situation. It is also known as ‘estate at will.’

Creating a rental agreement for Michigan based property can be exhausting. There are a lot of factors that need to be addressed in doing so. These include disclosures and addendums, both the mandatory and optional ones.

Legalize Your Rental Process with Our Michigan Rental Lease Agreement Copy

Grab our free Michigan Rental Lease Agreement template to customize to your preferences. No more racking your brain in designing such a rental lease agreement from zero, or burning your pocket on legal consultations. Our template is here to ensure the greatest efficiency for rental paperwork handlings.

Try our free Michigan rental lease agreement now.

Michigan Landlord and Tenant Laws

Michigan rental lease agreement has a set of landlord and tenant laws that the state declares a must to follow. An overview of these laws is as follows:

  • Michigan security deposit and return limit: The amount that a landlord can charge as a security deposit has a limit. This limit is generally a maximum of a month and a half’s rent. The tenant should receive the security deposit within 30 days of moving out.
  • Rent Rules: The state law has set down a seven-day time limit within which the tenant has to pay the month’s rent or move out. Failure to do so allows the landlord to file for eviction.
  • Termination and Eviction Rules: The landlord has the privilege of determining and specifying the details of the termination of a tenancy.

    For example, if a tenant has caused damage to the property willfully or poses a continuous health hazard, then the landlord can provide an unconditional quit notice of seven days for the tenant to move out. Failure to do so will allow the landlord to file for eviction.

  • Inventory checklistsIt is legal for a landlord to make inventory checklists in detail at two times. Once when the tenants are moving in and once after the tenants are moving out. This is to assess the rental unit’s condition and any damages done.

Michigan Lease Disclosures & Addendums

Michigan state laws require you to add certain legal disclosures in your rental agreements. They are as follows:

Lead-Based Paint Disclosure:

The safety and health of tenants is a top priority. Hence, the state requires the rental property managers to disclose relevant information to tenants regarding lead-based paint hazards.

Buildings built before 1978 are likely to contain lead-based paint. If your rental property dates back to before 1978, you must provide your tenants with an EPA-approved pamphlet.

You must also include a ‘Lead Warning Statement’ in your Michigan lease agreement. Moreover, revealing all important information about the role of lead-based paint in your building or rental units.

Marijuana Use Policy:

Marijuana is allowed for medicinal purposes and now for recreational use in Michigan. Therefore, landlords are required to mention all related policies in the agreement with clear rules to avoid any legal problems.

Domestic Violence:

The rental lease agreement should include the disclosure which allows early termination of the lease by the tenant. It is based on the presence of danger to him or his child from domestic violence, stalking, or sexual assault.

The tenant should notify the landlord with proof of violence in a certified mail. The tenant’s obligation ends by 31 days after he/she issues the notice.

Dishonored Fee Payment:

This needs to be included in the lease or agreement as well. The dishonored fee should be set at $25 to be paid within seven days.

Optional Disclosures & Addendums

Michigan renter’s agreement can include many optional disclosures. These include smoking policies, availability of fire protection equipment, and the identity of the landlord.

Any recent flooding events in the building, move-in checklists, list of pre-existing damage to the property can be included too. It is recommended to include the following disclosures in the rental agreements:

  • Shared Utilities Arrangements: The tenants share and split the utilities of the property on rent. It is advised to specify the ratio of the utilities that the residents can use per month. Moreover, it is important to mention the costs with the utilities. This ensures equality and justice in your rental business.
  • Late Fee: The tenant must be fully disclosed with the details of the late fee. These details should be highlighted to ensure that the tenants are well aware of all possible consequences in such situations.
Legalize Your Rental Process with Our Michigan Rental Lease Agreement Copy

Grab our free Michigan Rental Lease Agreement template to customize to your preferences. No more racking your brain in designing such a rental lease agreement from zero, or burning your pocket on legal consultations. Our template is here to ensure the greatest efficiency for rental paperwork handlings.

Try our free Michigan rental lease agreement now.

Conclusion

As highlighted above, some vital disclosure laws need to be present in all Michigan rental lease agreements. The landlords can add other disclosures in this contract as well which benefits both parties.

However, the best place to find ready-made templates is CocoSign as they cover the basics of all Michigan lease agreement forms. The landlord can incorporate details as per his or her preference.

DOCUMENT PREVIEW

MICHIGAN RENTAL LEASE AGREEMENT

 

I. THE PARTIES. This Michigan Rental Lease Agreement (“Agreement”) made this is between:

 

Landlord: with a mailing address of ("Landlord"), AND

 

Tenant(s): (“Tenant”).

 

Landlord and Tenant are each referred to herein as a “Party” and, collectively, as the "Parties."

 

NOW, THEREFORE, FOR AND IN CONSIDERATION of the mutual promises and agreements contained herein, the Tenant agrees to lease the Premises from the Landlord under the following terms and conditions:

 

II. LEASE TYPE. This Agreement shall be considered a: (check one)

 

- Fixed Lease. The Tenant shall be allowed to occupy the Premises starting on and end on (“Lease Term”). At the end of the Lease Term and no renewal is made, the Tenant: (check one)

- May continue to lease the Premises under the same terms of this Agreement under a month-to-month arrangement.

- Must vacate the Premises.

 

- Month-to-Month Lease. The Tenant shall be allowed to occupy the Premises on a month-to-month arrangement starting on and ending upon notice of days from either Party to the other Party (“Lease Term”).

 

III. OCCUPANT(S). The Premises is to be occupied strictly as a residential dwelling with the following individual(s) in addition to the Tenant: (check one)

 

- (“Occupant(s)”)

 

- There are no Occupant(s).

 

IV. THE PROPERTY. The Landlord agrees to lease the described property below to the Tenant: (enter the property information)

 

a.)   Mailing Address:

b.)   Residence Type: Apartment House Condo Other:

c.)   Bedroom(s): 

d.)   Bathroom(s):

 

The aforementioned property shall be leased wholly by the Tenant (“Premises”).

 

V. PURPOSE. The Tenant and Occupant(s) may only use the Premises as: (check one)

 

- A residential dwelling only.

 

- A residential dwelling and:

 

VI. FURNISHINGS. The Premises is: (check one)

 

- To be furnished with the following items:

 

- Not furnished.

 

VII. APPLIANCES. The Landlord shall: (check one)

 

- Provide the following appliances:

 

- Not provide any appliances.

 

VIII. RENT. The Tenant shall pay the Landlord, in equal monthly installments, $ ("Rent"). The Rent shall be due on the of every month (“Due Date”) and paid under the following instructions: 

 

IX. NON-SUFFICIENT FUNDS (NSF CHECKS). If the Tenant pays the Rent with a check that is not honored due to insufficient funds (NSF): (check one)

 

- There shall be a fee of $ per incident.

 

- There shall be no fee. 

 

X. LATE FEE. If Rent is not paid on the Due Date: (check one)

 

- There shall be a penalty of $ due as One (1) Time Payment Every Day Rent is Late. Rent is considered late when it has not been paid within day(s) after the Due Date.

 

- There shall be No Late Fee if Rent is late.

 

XI. FIRST (1ST) MONTH'S RENT. The Tenant is required to pay the first (1st) month's rent: (check one)

 

- Upon the execution of this Agreement.

 

- Upon the first (1st) day of the Lease Term.

 

XII. PRE-PAYMENT. The Tenant shall: (check one)

 

- Pre-Pay Rent in the amount of $ for the term starting on and ending on . The Pre-Payment of Rent shall be due upon the execution of this Agreement.

 

- Not be required to Pre-Pay Rent.

 

XIII. PRORATION PERIOD. The Tenant: (check one)

 

- Shall take possession of the Premises before the start of the Lease Term on and agrees to pay $ for the proration period. The proration rate is calculated by the monthly Rent on a daily basis which shall be paid by the Tenant upon the execution of this Agreement.

 

- Shall not be taking possession of the Premises before the Lease Term.

 

XIV. SECURITY DEPOSIT. As part of this Agreement: (check one)

 

- The Landlord requires a payment in the amount of $ (“Security Deposit”) for the faithful performance of the Tenant under the terms and conditions of this Agreement. Payment of the Security Deposit is required by the Tenant upon the execution of this Agreement. The Security Deposit shall be returned to the Tenant within  days after the end of the Lease Term less any itemized deductions. This Security Deposit shall not be credited towards any Rent unless the Landlord gives their written consent. Under Michigan law, the Tenant must be given a receipt for the Security Deposit that contains the following language:

 

NOTICE: You must notify your landlord in writing within 4 days after you move of a forwarding address where you can be reached and where you will receive mail; otherwise your landlord shall be relieved of sending you an itemized list of damages and the penalties adherent to that failure.

 

- The Landlord does not require a Security Deposit as part of this Agreement.

 

XV. INVENTORY CHECKLIST. Before, at the time of the Tenant accepting possession, or shortly thereafter, the Landlord and Tenant agree to complete their inventory checklist within a shorter period, the Tenant shall review the checklist, note the condition of the property and return one (1) copy of the checklist to the Landlord within seven (7) days after receiving possession of the premises.

 

XVI. PARKING. The Landlord: (check one)

 

- Shall provide parking space(s) to the Tenant for a fee of $ to be paid at the execution of this Agreement

 on a monthly basis in addition to the rent. The parking space(s) are described as:

 

- Shall NOT provide parking.

 

XVII. SALE OF PROPERTY. If the Premises is sold, the Tenant is to be notified of the new Owner, and if there is a new Manager, their contact details for repairs and maintenance shall be forwarded. If the Premises is conveyed to another party, the new owner: (check one)

 

- Has the right to terminate this Agreement by providing days’ notice to the Tenant.

 

- Does not have the right to terminate this Agreement.

 

XVIII. UTILITIES. The Landlord shall provide the following utilities and services to the Tenant:

 

Any other utilities or services not mentioned will be the responsibility of the Tenant.

 

XIX. EARLY TERMINATION. The Tenant: (check one)

 

- Shall have the right to terminate this Agreement at any time by providing at least days’ written notice to the Landlord along with an early termination fee of $ (US Dollars). During the notice period for termination the Tenant will remain responsible for the payment of rent.

 

- Shall not have the right to terminate this Agreement. 

 

XX. SMOKING POLICY. Smoking on the Premises is: (check one)

 

- Permitted ONLY in the following areas:

 

- Prohibited on the Premises and Common Areas.

 

XXI. PETS. The Tenant: (check one)

 

- Shall have the right to have pet(s) on the Premises consisting of that are not to weigh over pounds. For the right to have pet(s) on the Premises the Landlord shall charge a fee of $ that is non-refundable refundable unless there are damages related to the pet. The Tenant is responsible for all damage that any pet causes, regardless of ownership of said pet and agrees to restore the Premises to its original condition at their expense.

 

- Shall not have the right to have pets on the Premises or in the common areas.

 

XXII. WATERBEDS. The Tenant: (check one)

 

- Shall have the right to use a waterbed on the Premises.

 

- Shall not have the right to use a waterbed on the Premises.

 

XXIII. NOTICES. Any notice to be sent by the Landlord or the Tenant to each other shall use the following addresses:

 

Landlord's / Agent's Address:

 

Tenant's Mailing Address: (check one)

 

- The Premises.

 

- Other.

 

XXIV. AGENT/MANAGER. (check one)

 

- The Landlord does have a manager on the Premises that can be contacted for any maintenance or repair at:

 

Name:

 

Telephone:

E-Mail:

 

- The Landlord does not have a manager on the Premises although the Landlord can be contacted for any maintenance or repair at:

 

Telephone:

E-Mail:

 

XXV. POSSESSION. Tenant has examined the condition of the Premises and by taking possession acknowledges that they have accepted the Premises in good order and in its current condition except as herein otherwise stated. Failure of the Landlord to deliver possession of the Premises at the start of the Lease Term to the Tenant shall terminate this Agreement at the option of the Tenant. Furthermore, under such failure to deliver possession by the Landlord, and if the Tenant cancels this Agreement, the Security Deposit (if any) shall be returned to the Tenant along with any other pre-paid rent, fees, including if the Tenant paid a fee during the application process before the execution of this Agreement.

 

XXVI. ACCESS

. Upon the beginning of the Proration Period or the start of the Lease Term, whichever is earlier, the Landlord agrees to give access to the Tenant in the form of keys, fobs, cards, or any type of keyless security entry as needed to enter the common areas and the Premises. Duplicate copies of the access provided may only be authorized under the consent of the Landlord and, if any replacements are needed, the Landlord may provide them for a fee. At the end of this Agreement all access provided to the Tenant shall be returned to the Landlord or a fee will be charged to the Tenant or the fee will be subtracted from the Security Deposit.

 

XXVII. SUBLETTING. The Tenant shall not be able to sublet the Premises without the written consent from the Landlord. The consent by the Landlord to one subtenant shall not be deemed to be consent to any subsequent subtenant.

 

XXVIII. ABANDONMENT. If the Tenant vacates or abandons the Premises for a time-period that is the minimum set by State law or seven (7) days, whichever is less, the Landlord shall have the right to terminate this Agreement immediately and remove all belongings including any personal property off of the Premises. If the Tenant vacates or abandons the Premises, the Landlord shall immediately have the right to terminate this Agreement.

 

XXIX. ASSIGNMENT. Tenant shall not assign this Lease without the prior written consent of the Landlord. The consent by the Landlord to one assignment shall not be deemed to be consent to any subsequent assignment. 

 

XXX. RIGHT OF ENTRY. The Landlord shall have the right to enter the Premises during normal working hours by providing at least twenty-four (24) hours notice in order for inspection, make necessary repairs, alterations or improvements, to supply services as agreed or for any reasonable purpose. The Landlord may exhibit the Premises to prospective purchasers, mortgagees, or lessees upon reasonable notice.

 

XXXI. MAINTENANCE, REPAIRS, OR ALTERATIONS. The Tenant shall, at their own expense and at all times, maintain premises in a clean and sanitary manner, and shall surrender the same at termination hereof, in as good condition as received, normal wear and tear excepted. The Tenant may not make any alterations to the leased premises without the consent in writing of the Landlord. The Landlord shall be responsible for repairs to the interior and exterior of the building. If the Premises includes a washer, dryer, freezer, dehumidifier unit and/or air conditioning unit, the Landlord makes no warranty as to the repair or replacement of units if one or all shall fail to operate. The Landlord will place fresh batteries in all battery-operated smoke detectors when the Tenant moves into the premises. After the initial placement of the fresh batteries it is the responsibility of the Tenant to replace batteries when needed. A monthly "cursory" inspection may be required for all fire extinguishers to make sure they are fully charged.

 

XXXII. NOISE/WASTE. The Tenant agrees not to commit waste on the premises, maintain, or permit to be maintained, a nuisance thereon, or use, or permit the premises to be used, in an unlawful manner. The Tenant further agrees to abide by any and all local, county, and State noise ordinances.

 

XXXIII. GUESTS. There shall be no other persons living on the Premises other than the Tenant and any Occupant(s). Guests of the Tenant are allowed for periods not lasting for more than 48 hours unless otherwise approved by the Landlord in writing.

 

XXXIV. COMPLIANCE WITH LAW. The Tenant agrees that during the term of the Agreement, to promptly comply with any present and future laws, ordinances, orders, rules, regulations, and requirements of the Federal, State, County, City, and Municipal government or any of their departments, bureaus, boards, commissions and officials thereof with respect to the premises, or the use or occupancy thereof, whether said compliance shall be ordered or directed to or against the Tenant, the Landlord, or both.

 

XXXV. DEFAULT. If the Tenant fails to comply with any of the financial or material provisions of this Agreement, or of any present rules and regulations or any that may be hereafter prescribed by the Landlord, or materially fails to comply with any duties imposed on the Tenant by statute or State laws, within the time period after delivery of written notice by the Landlord specifying the non-compliance and indicating the intention of the Landlord to terminate the Agreement by reason thereof, the Landlord may terminate this Agreement. If the Tenant fails to pay rent when due and the default continues for the time-period specified in the written notice thereafter, the Landlord may, at their option, declare the entire balance (compiling all months applicable to this Agreement) of rent payable hereunder to be immediately due and payable and may exercise any and all rights and remedies available to the Landlord at law or in equity and may immediately terminate this Agreement.

 

The Tenant will be in default if: (a) Tenant does not pay rent or other amounts that are owed; (b) Tenant, their guests, or the Occupant(s) violate this Agreement, rules, or fire, safety, health, or criminal laws, regardless of whether arrest or conviction occurs; (c) Tenant abandons the Premises; (d) Tenant gives incorrect or false information in the rental application; (e) Tenant, or any Occupant(s) is arrested, convicted, or given deferred adjudication for a criminal offense involving actual or potential physical harm to a person, or involving possession, manufacture, or delivery of a controlled substance, marijuana, or drug paraphernalia under state statute; (f) any illegal drugs or paraphernalia are found in the Premises or on the person of the Tenant, guests, or Occupant(s) while on the Premises and/or; (g) as otherwise allowed by law.

 

XXXVI. MULTIPLE TENANT OR OCCUPANT(S). Each individual that is considered a Tenant is jointly and individually liable for all of this Agreement's obligations, including but not limited to rent monies. If any Tenant, guest, or Occupant(s) violates this Agreement, the Tenant is considered to have violated this Agreement. Landlord’s requests and notices to the Tenant or any of the Occupant(s) of legal age constitutes notice to the Tenant. Notices and requests from the Tenant or any one of the Occupant(s) (including repair requests and entry permissions) constitutes notice from the Tenant. In eviction suits, the Tenant is considered the agent of the Premise for the service of process.

 

XXXVII. DISPUTES. If a dispute arises during or after the term of this Agreement between the Landlord and Tenant, they shall agree to hold negotiations amongst themselves, in "good faith", before any litigation.

 

XXXVIII. SEVERABILITY

. If any provision of this Agreement or the application thereof shall, for any reason and to any extent, be invalid or unenforceable, neither the remainder of this Agreement nor the application of the provision to other persons, entities or circumstances shall be affected thereby, but instead shall be enforced to the maximum extent permitted by law.

 

XXXIX. SURRENDER OF PREMISES. The Tenant has surrendered the Premises when (a) the move-out date has passed and no one is living in the Premise within the Landlord’s reasonable judgment; or (b) Access to the Premise have been turned in to Landlord – whichever comes first. Upon the expiration of the term hereof, the Tenant shall surrender the Premise in better or equal condition as it were at the commencement of this Agreement, reasonable use, wear and tear thereof, and damages by the elements excepted.

 

XL. RETALIATION. The Landlord is prohibited from making any type of retaliatory acts against the Tenant including but not limited to restricting access to the Premises, decreasing or cancelling services or utilities, failure to repair appliances or fixtures, or any other type of act that could be considered unjustified.

 

XLI. WAIVER. A Waiver by the Landlord for a breach of any covenant or duty by the Tenant, under this Agreement is not a waiver for a breach of any other covenant or duty by the Tenant, or of any subsequent breach of the same covenant or duty. No provision of this Agreement shall be considered waived unless such a waiver shall be expressed in writing as a formal amendment to this Agreement and executed by the Tenant and Landlord.

 

XLII. EQUAL HOUSING. If the Tenant possesses any mental or physical impairment, the Landlord shall provide reasonable modifications to the Premises unless the modifications would be too difficult or expensive for the Landlord to provide. Any impairment(s) of the Tenant are encouraged to be provided and presented to the Landlord in writing in order to seek the most appropriate route for providing the modifications to the Premises.

 

XLIII. HAZARDOUS MATERIALS. The Tenant agrees to not possess any type of personal property that could be considered a fire hazard such as a substance having flammable or explosive characteristics on the Premises. Items that are prohibited to be brought into the Premises, other than for everyday cooking or the need of an appliance, includes but is not limited to gas (compressed), gasoline, fuel, propane, kerosene, motor oil, fireworks, or any other related content in the form of a liquid, solid, or gas.

 

XLIV. INDEMNIFICATION. The Landlord shall not be liable for any damage or injury to the Tenant, or any other person, or to any property, occurring on the Premises, or any part thereof, or in common areas thereof, and the Tenant agrees to hold the Landlord harmless from any claims or damages unless caused solely by the Landlord's negligence. It is recommended that renter's insurance be purchased at the Tenant's expense.

 

XLV. COVENANTS. The covenants and conditions herein contained shall apply to and bind the heirs, legal representatives, and assigns of the parties hereto, and all covenants are to be construed as conditions of this Agreement.

 

XLVI. PREMISES DEEMED UNINHABITABLE. If the Premises is deemed uninhabitable due to damage beyond reasonable repair the Tenant will be able to terminate this Agreement by written notice to the Landlord. If said damage was due to the negligence of the Tenant, the Tenant shall be liable to the Landlord for all repairs and for the loss of income due to restoring the Premises back to a livable condition in addition to any other losses that can be proved by the Landlord.

 

XLVII. TRUTH IN LENDING ACT. Notice: Michigan law establishes rights and obligations for parties to rental agreements. This agreement is required to comply with the Truth in Renting Act. If you have a question about the interpretation or legality of a provision of this agreement, you may want to seek assistance from a lawyer or other qualified person.

XLVIII. DOMESTIC VIOLENCE VICTIMS. NOTICE: A tenant who has a reasonable apprehension of present danger to him or her or his or her child from domestic violence, sexual assault, or stalking may have special statutory rights to seek a release of rental obligation under MCL 554.601b.

XLIX. LEAD PAINT. (check one)

 

- The Premises was built prior to 1978 and there is an attachment titled the ‘Lead-Based Paint Disclosure’ that must be initialed and signed by the Landlord and Tenant.

 

- The Premises was not built prior to 1978.

 

L. GOVERNING LAW. This Agreement is to be governed under the laws located in the State of Michigan.

 

LI. ADDITIONAL TERMS AND CONDITIONS.

 

LII. ENTIRE AGREEMENT. This Agreement contains all the terms agreed to by the parties relating to its subject matter including any attachments or addendums. This Agreement replaces all previous discussions, understandings, and oral agreements. The Landlord and Tenant agree to the terms and conditions and shall be bound until the end of the Lease Term.

 

 

Landlord's Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Tenant’s Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Tenant’s Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Agent’s Signature ___________________________ Date: _____________

 

Print Name: __________________

 

AMOUNT ($) DUE AT SIGNING

 

 

Security Deposit: $

 

First (1st) Month's Rent: $

 

Parking Fee: $

 

Pet Fee(s): $

 

Pre-Payment of Rent: $

 

Proration Amount: $

 

 

Total Amount: $

 

 

 

 

Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards

  1. Lead Warning Statement

Housing build before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose health hazards if not managed properly. Lead exposure is especially harmful to young children and pregnant women. Before renting pre-1978 housing, landlords must disclose the presence of known lead-based paint and /or lead-based paint hazards in the dwelling. Tenants must also receive a federally approved pamphlet on lead poisoning prevention.

  1. Lessor’s Disclosure

(a)  Presence of lead-based paint and/or lead-based paint hazards (check one below):

- Known lead-based paint and/or lead-based paint hazards are present in the housing (explain):

- Landlord has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

(b)  Records and reports available to the landlord (check one below)

- Landlord has provided the tenant with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents below).

- Landlord has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.

  1. Tenant’s Acknowledgement

- Tenant has received copies of all information listed above.

- Tenant has received the pamphlet “Protect Your Family From Lead in Your Home”.

  1. Broker’s Acknowledgement

- Broker has informed the tenant of the tenant’s obligations under 42 USC 4852(d) and is aware of his/her responsibility to ensure compliance.

  1. Certification of Accuracy

The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.

 

Landlord's Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Tenant’s Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Tenant’s Signature ___________________________ Date: _____________

 

Print Name: __________________

 

Agent’s Signature ___________________________ Date: _____________

 

Print Name: __________________

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