Washington Rental Lease Agreement 8
Washington Rental Lease Agreement 1
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Washington Rental Lease Agreement 8
Washington Rental Lease Agreement 1

Washington Rental Lease Agreement

    Need a rental lease agreement when finding a home on rent in Washington? We have designed a Washington rental lease agreement template for you to make rental simpler and more accessible. It is crafted under legal supervision and contains necessary terms and conditions for a rental.

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Washington Rental Lease Agreement

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Do you want to create a rental lease agreement for your property situated in Washington? If that is the case, you might need a Washington rental lease agreement template.

You will find a downloadable Washington rental lease agreement template here. Legal experts have created this template to abide by Washington’s Laws. All you need to do is download it and edit it as per your requirements.

If you want to know more about Washing rental rules and Washing rental lease agreements, you can read below:

What is a Washington Lease Agreement?

Washington lease agreements are legally binding contracts that outline the terms of the relationship between a tenant and the owner of the property which is rented by the tenant. You might need these agreements when the leased property is in Washington’s jurisdiction.

The lease agreement should comply with Washington’s State Laws in order to be valid in a court of law. According to these agreements, a tenant can rent the landlord’s property in exchange for monthly rent. The agreement also states the usage of other utilities in the property and the payment for these utilities.

In essence, the lease agreement in Washington state is similar to other states. The differences lie mainly in the notice periods and the disclosures and addendums in the agreement.

Download Washington Rental Lease Agreement Now

If you are a landlord in Washington and wish to rent out your property, you need to prepare a lease agreement with all the necessary details. Consider using our Washington rental lease template with up-to-date information to keep away from unnecessary problems.

Try out our FREE Washington rental lease agreement by tapping below.

Washington Landlord and Tenant Laws

The rental lease laws may vary from state to state. If the property is located in Washington, it is important to learn about the Washington State laws regarding the landlord-tenant relationship to make sure that your rental lease agreement abides by it.

Washington’s Landlord and Tenant laws cover everything from the disclosures needed at the time of lease beginning, to the notice period needed for eviction.

Some of these laws that might be important for a landlord or a tenant in Washington are:

  • While renting a property, a landlord may publish a list of requirements that a tenant has to fulfill. If a tenant fulfills those requirements, a landlord cannot discriminate on the basis of color, religion, race, orientation, etc. They have to rent on a first-come-first-serve basis.
  • In Washington, there is no upper limit on the amount of security deposit that a landlord may demand from a tenant.
  • If a tenant wants to sue the landlord for the return of their deposit, they can do so in a small claims court. The upper limit of the claim for which the tenant can sue the landlord is $5000.
  • There is a minimum notice period of 30 days that a landlord has to give to a tenant if the former wishes to increase the rent. The tenant then has a time of 3 days to pay the increased rent or evict the property.
  • If a renter remains in the property after the expiration of the lease, a landlord may give him unconditional notice of 3 days at any time to evict the property. If the tenant does not evict in three days, the landlord can file for eviction.

There are many other statutes described in the Washington State laws for the protection of the landlord, the tenant, or both.

Washington Lease Disclosures & Addendums

When creating a Washington rental lease agreement, the landlord should compulsorily disclose the following information:

Security Deposit Checklist

If a landlord is accepting a security deposit from the tenant, the landlord should fill the property condition checklist when moving in and both parties (the landlord and the tenant) should sign it.

When the tenant is moving out, it should be assessed if the tenant has done any damage to the property. The checklist provided above has a dedicated column for eviction time as well as the starting of the lease tenure.

In case there is no damage done by the tenant, the landlord should return the security deposit to the tenant within 21 days from the date of the eviction of the property. The tenant should be informed at all times about the bank name and branch into which the landlord deposits their security deposit.

Fire Safety

The landlord must inform the tenant of the fire safety procedure followed in the property prior to the tenant moving in the property.

Mold Information

Landlords must provide tenants with information concerning the health risks of mold infestation and how to prevent mold. The information should be approved by the Department of Health. The mold information can be handed out to the tenant or posted in a public area in the property.

Non-refundable Fee Disclosure

If there is any non-returnable fee that the landlord charges the tenant, the fee should be stated in the Washington rental lease agreement.

Name and Address

The tenant must have the name and address for the individual who is responsible for the property. It can be the property owner, or a property manager hired for this purpose.

Lead-based Paint

If the construction of the property took place before 1978, the property owner must make the tenant aware of any lead-based paint that was used in the property. Landlords need to provide the lead-based paint disclosure form to the tenant.

Property Access

Unless there is an emergency, the landlord must give the tenant a notice period of two days or more before entering the tenant’s property. If the reason for entering the property is to show another prospective tenant or buyer, the notice period is one day.

Optional Disclosures & Addendums

Certain important clauses are absent in the Washington Landlord-Tenant laws. In order to create a transparent lease, it is a good idea to include these clauses. Omitting them can result in future conflicts. These recommended clauses include:

Shared Utilities

If multiple tenants share any utility, the Washington rental lease agreement should dictate the fee for these. It may also include how this fee would be calculated.

Bed Bugs

If the property had a previous bed bugs infestation, the landlord may mention it in the lease. This lets a tenant be prepared for such an event and take precautions that avoid the bed bugs infestation.

Asbestos Disclosure

It is important to provide Asbestos disclosure if the property is older than 1981.

Late Fee

If there is any fee for paying the rent late, the lease agreement should mention it. It may also state the grace period for rent after the due date. There should also be a limit set on the late fee.

Download Washington Rental Lease Agreement Now

If you are a landlord in Washington and wish to rent out your property, you need to prepare a lease agreement with all the necessary details. Consider using our Washington rental lease template with up-to-date information to keep away from unnecessary problems.

Try out our FREE Washington rental lease agreement by tapping below.

Endnotes

If you are looking forward to creating a Washington Rental Lease Agreement, the best way to proceed is by downloading the Washington rental lease agreement template from CocoSign.

This template is attorney-drafted to hold valid in any court of law. Additionally, it can be edited and modified to suit your requirements. CocoSign even has a range of other agreement templates ready to download for you. You can browse through CocoSign’s offerings to download the one that you need.

DOCUMENT PREVIEW

WASHINGTON RESIDENTIAL LEASE AGREEMENT

 

I. THE PARTIES. This Residential 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. After the Landlord deposits the Security Deposit, the Landlord must provide a receipt to the Tenant with information about the name and address of the banking institution where the funds are held.

 

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

 

XV. MOVE-IN INSPECTION. Before, at the time of the Tenant accepting possession, or shortly thereafter, the Landlord and Tenant: (check one)

 

- Agree to inspect the Premises and write any present damages or needed repairs on a move-in checklist (REQUIRED IF A SECURITY DEPOSIT WAS ACCEPTED).

 

- Shall not inspect the Premises or complete a move-in checklist.

 

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. FIRE PROTECTION & EVACUATION. Upon the start of the Lease Term, the Landlord must provide the Tenant a copy of fire protection/safety information plan provided by the State Fire Marshal’s office. The Landlord must also include a plan for evacuation, although, an evacuation plan only applies if the Premises is located in the property with two (2) or more units.

 

XLVIII. MOLD. At the time of the Landlord and Tenant signing this Agreement, a mold disclosure provided by the Washington State Dept. of Health must be provided to the Tenant. With the Tenant’s signature below, the Tenant acknowledges that they have received the mold disclosure.

 

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 Washington.

 

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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