
ID/EMS 6/29/11
Lease Agreement Page 10 of 10 Initial
______ ______
a) Smoke Detector
b) Lead Paint Reduction Act, including “Protect Your Family from Lead in Your Home”
c) EPA Mold Addendum-“Mold Moisture and Your Home”
d) House/Duplex Rules
e) ______________________________________________
f) ______________________________________________
Lessor maintains an address/agent in the county where the premises is situated. Lessor/Agent
Name and address for receipt of rent and/or Notice:
_______________________________________
_______________________________________
_______________________________________
Lessee hereby acknowledges receipt of a copy of this agreement and property condition checklist.
Lessee may request one free replacement copy of the lease during tenancy. _____ (Please Initial)
LESSOR DATED LESSEE DATED
LESSEE DATED