Name Street Apt. ________________________________________
_________I (owner/managing agent) certify that I provided the Tenant Lead Law Notification/ Tenant Certification Form and any existing Lead Law documents to the tenant, but (he tenant refused to sign this certification.
The tenant gave the following reason: ____________________________
The Lead Law prohibits rental disc with children or evicting families including refusing to rent to
I'm children because of lead paint.
Contact the Childhood Lead Poisoning Prevention Program for information on availability of this form in other languages.
Tenant and owner must each keep a completed and signed copy of this form.
Apartment Condition Statement
This form shall serve as a statement as to the condition of the above premises, when rented to the tenant on the date that this statement was signed. The tenant agrees to the condition the apartment, and agrees to maintain the apartment in good condition throughout the tem in the lease. Any additional improvements to said apartment may be performed at
specific time intervals when agreed upon on both the tenant and the landlord.
CONDITION OF PREMISES: RESIDENT acknowledges that he has examined the premis. and that said premises, all furnishings, fixtures, furniture, plumbing, heating, electrical facilities, all other items listed on this attachment, if any, and/or al! other items provided by OWNER are all clean, and in good satisfactory condition except as may be indicated elsewhere in this Agreement. LESSEE agrees to keep the premises and all items in good order and good condition and to immediately pay for costs to repair and/or replace any portion the above damaged by LESSEE, his guests and/or invitees, except as provided by law. At the termination of this Agreement, all of the above items in this provision shall be returned to LESSOR in clean and good condition except for reasonable wear and tear and the premise shall be free of all personal property and trash not belonging to
LESSOR. It is agreed mat all dirt, hoies. tears, bums, and stains of any size or amount in the carpets, drapes, walls, fixtures, and/or any other part of the premises, do not constitute reasonable wear and tear.
This apartment has the following defects:
1. LEASE CONTRACT DESCRIPTION.
Residential Lease date: _________,
Landlord or agent's name: ___________________________
Tenants (list all residents): __________________________
The Residential Lease is referred to in this Mold Addendum as the "Lease Contract."
2. MOLD AND MILDEW. You acknowledge that it is necessary for you to maintain appropriate climate control, keep your dwelling unit clean, and take necessary measures (o retard and prevent
mold from accumulating in the dwelling unit You agree to clean and dust the dwelling unit on a regular basis and to remove visible moisture accumulation on windows,
walls, floors, ceilings, and other surfaces as soon as reasonably possible. You
agree not to block or cover any heating, ventilation, or air-conditioning ducts. You also agree I o report immediately in writing to us:
(I) any evidence of a water leak or excessive moisture in the dwelling unit common hallways, storage room, garage, or other common area;
(II) any evidence of mold that cannot be removed with a common household cleaner;
(III) any failure or malfunction in heating, ventilation, or air conditioning, and
(IV) any inoperable doors or windows. You further agree that you shall be responsible for damage to the dwelling unit and your personal property as well as any injury to you and
al occupants of the dwelling unit resulting from your failure to comply with the terms of this Mold Addendum.
3. VIOLATION OF RULES. If you or any occupant violates any rule or provision of this Mold Addendum (based upon our judgment) it shall be considered a material default under the terms of the Lease Contract Upon written notice from us, you
must immediately comply with all rules and provisions of this Mold Addendum. We also have
all other rights and remedies set forth in the Lease Contract, including damages, eviction, and attorneys' fees to the extent allowed by law.
4. LIABILITY FOR DAMAGES, INJURIES, CLEANING, ETC. You and all tenants under the Lease contract are fully responsible and liable for the entire amount of all cleaning expenses incurred by us to remove
mold from the dwelling unit as well as all damages to the dwelling unit caused by mold. We¡ªnot you¡ªwill arrange for these services. If a part or parts of the dwelling unit cannot be satisfactorily cleaned or repaired, you must pay for us to replace them completely. Payments for damages, repairs, cleaning, replacements, etc.. are due immediately upon demand.
5. GENERAL. This Mold Addendum is considered part of the Lease Contract described above. In the event of any conflict between the terms of this Mold Addendum and the terms of the Lease Contract, the terms of this Mold Addendum shall control.
Each tenant who signed the Lease Contract must sign this Mold Addendum. Each tenant is jointly and severally liable for damages and all other obligations set forth in this Mold Addendum,
This Mold Addendum is a legally binding contract. Read it carefully before signing.
are entitled to receive an original of this Mold Addendum after it is fully signed. in a safe place.
Landlord or Agent ________________________ lease note: In this document, the terms "you" and "your" refer to all tenants listed
above and all occupants or guests: and the terms "we." "us," and "our" refer to the landlord and agent named in the Lease Contract (not to the property manager or anyone else).
In document, all references to the term "mold" shall be deemed to include all forms of m mildew as well as similar growths.