Mar. l J.
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ARIZONA RESIDENTIAL LEASE AGREEMENT
This .Residential Lease Agreement (hereinafter "Lense") is .entered into this the 10th day of January, 2011, by and between the
Lessor: Fan Financjal Adzona LLC, (hereinafter referred to as "Landlord'~). and the Lessee(s): Juan Matancillas. All Lessees
(hereinafter referred to collectively as "Tenanc"), are jointly, severally and in.divid~ally bound by, and liable under, the terms
and conditions of this Lease.
For the valuable considen!.tiou described below, the sufficiency of which is hereby acknowledged, Landlord and Tenant do
hereby covenant, contract and agree as follows:
1. GRANT O.F LEASE: Ltlndlord does hereby lease unto
Tenant, and Tenant does hereby rent from Landlord, solely
for use as a personal residence, excludin~ all other uses, the
personal residence located in Maric<J!W County, Arizona,
with address of:
5943 W Britton Ave, Phoenix, AZ 85033.
Jncludlng the following items of personal property:
~sher. Dryer, Dish Washer. Range
2. NATURE OF OCCUPANCY: As a special
consideration and inducement for the granting of this Lease
by the Landlord to the Tenant, the personal residence
described above shall be used and occupied only by the
members of the Tenant's family or others whose names and
ages are set forth below:
1_uan Matancillas. Sandra Matancillas.
3. TERM OF LEASE! This Lease shall commence Oll
the 1st day of Febntary, 2011, and extend until its expiration
on the lst day of January 31st, 2012, unless renewed or
extended pursuant to the tenns herein.
4. SECURITY DEPOSIT: The tt:nant has deposited the
sum of $950.00 to be held by Landlord as a security deposit
for reasonable cleaning of, and repair of damages to, the
premises 1,1pon the expiration or tennination of this Lease, or
other reasonable damages resulting from a default by Tenant.
$4~0.00 of the deposit will be non refttndablc and used for
premises cleaning after tenant depa.riure. Tenar.i shall be
liable to Landlord for all damages to the leased premises
upon the tennination of this Lea~c, ordinary wear and tear
excepted. Tenant is not entitled to interest on the sec\lrity
deposit Tenant may not apply the security deposit to any
rent due under this Lease. If Landlord sells or assigns the
leased premises, Landlord shall have the right to transfer
Tenant's security deposit to rhe new owner or assignee 10
hold \lllder lhis Lease, and upon so doing Landlord shall be
released from all liability to Tenant for return of said security
deposit.
As per Arizona Code 33-1321 , upon tennination of the
Lease Agreement, Landlord may apply the security deposit
to the payment of all rent, and subject to a landlord's duty to
mitigate, all chruges as specilied in the signed lease
Residential Lease
5304- P.
agreement, or as provided in Arizona law, Including the
amount of damages which the landlord has suffered by
reason of the tenant's noncompliance with Arizona Code
331341. Within fourteen (14) days, excluding Saturdays,
Sundays or other legal holidays, after tennination of the
Lease Agreement and delivery of possession, and demand by
the Tenant, the J~andlord shall provide the Tenant an
itemized list of all deductions together with the amounl due
and payable to the 'fenanl, if imy. Unless other arrangements
are made in writing by the Tenant, the Landlord shall mail,
by regular mail, to the tenant's last known place of residence
S. RENT PAYMENTS: Tenant 8f9'ees t() pay rent unto
the Landlord during the tenn of this Lease in equal monthly
lnstalhncnts of $,700.00, plus applicable sales taxes, which
arc currently 1.8% ~ 12.60, totaling $712.60 for each month
beiTJg due and payable on or before the Jsr day of the month,
the first full rent payment under this Lease being due on the
l sl day ofFebnuuy, 2()11.
Tenant agrees that if rent.is not paid in full on or.before the
5th day of the month, Tenant will pay a late charge of $50.00
as allowed by applicable Arizona lnw.
Tenant ~ccs that :rent shall be paid in lawful money of the
United States by (indicate those that apply):
[ X] cash, [ X] personal check, [ X ) money order, [ X)
cashier's check, (X) other: Deposit inlo Hank of America
account #4 850-0309-286~ . Any dishonored check shall
bo tre<1ted as Ullpl'lid rent and be subjccl to the ~amc \ale
charges as noted above, plus a $~0 . 00 special handling fee
and must be ml1de good in cash, rnoney order or certified
check wilhin 24 hours of notification.
Rent payments shall be made payable to Fan Financial
Arizona LLC and mailed or delivered lo the rollowing
address: PO Box 25430 Portland OR. 97298 . All notices
from renanl to Landlord under this Lease and applicable
Arizona law shall be ctelivered to the above address.
Tenant agrees tllat rent monies will nor be considered paid
until Landlord or Laodlord's ag~m receives the rent monies,
-citi!er by maii or by del\very-to 'the above address. 'l'enant . . - -
placing tent monies in the mail is not sufficient for rent to be
A~reemen ~, Page 1
 Mar.11. 2011 11:23AM CHECKSMART #58
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actual receipt thereof.
If there arc multiple Tenants signed to this J-e~se, all such
Tenants are jointly, severally and individually bound by, and
liable llllder, the tenns and conditions of this Lease. A
jud~ent entered against one Tenant shall be no bar to an
action against other Tenants.
6. CONSEQUENCES OF 8RACH BY TENANT; As
per Arizona Code 33-1368, if there is o. material
noncompliance by the teno.m, with the Lease Agreement,
including material flllsiticalion of the infmmation p"rovidcd
on the rental !lpplication, the landl.ord may deliver a written
notice to the tenant specifYing the acts and omissions
constituting the breach and that the Leuse Agreement wi II
terminate upon a date not less than ten (1 0) days after receipt
of the notice if th~ brench Is not remedied in ten days.
"Material falsit'il:ation" shall include .the foilowin~ untrue or
misleading information about the:
1. Nuu1ber of occupants in the dwelling unit, pets, income o(
prospective tellant, social security nllmber and cwrent
employment listed on the application or Lease Agreement.
2. Tenant's criminal records, prior eviction record and
current criminal activity. Material falslflcatlon of information
in thi~ paragraph is not curable.
If there is a noncompliance by the tenant with 33-1341
materially affecting health and safety, the landlord may
deliver a wriuen notice to the tenant specifying the acts !l!ld
omissions constituting the breach and that the rental
agreement will tenninate upon a date not less than five (5)
days after n:ccipt of the notice if the breach i~ not remedied
in five days. However, if lhc breach Js remediable by repair
or the payment of damages or otherwise, and the tenant
adequat~Jy remedies the breach before the date specified in
the notice, the rental agreement will not tennlnate.
If there is an Additional act of these types of noncompliance
of the same or 11 similar natul'e during the term of zhe lease
afl.~r the previous remedy of noncompliance, the landlord
may institute a special detainer action pursuant to 33-1377
ten days after delivery of a written notice advising the tenant
that a second noncompliance of the same or o. similar nature
has occurred.
l f there is a breach that is both material and imparable and
that occurs on the premises, including but not limited to an
illegal discharge of a weapon, homicide ns defined in 13-
11 02 through 1311 05, prostitution as defmed in 13-3211,
criminal street gang activity as prescribed in 13-105,
activity as prohibired ln 13-2308, the unlawful
manufacturin~. seliing, transferring, possessio~, usin~ or
storing of a controlled substance as defined in 13-3451 ,
No. 53 04 P. 2
threatellin8 or intimidating as prohibited in 13-1202,
assault ns prohibited in 13-1203, acts that have been found
to constitute a nuisance pursuant to 12-991 or a breach of
the lease agreement that otherwise jeopardizes the health,
safety and welfare of the landlord, the landlord's agent or
another tenant or involving Imminent or actual serious
property damage, the landlord may deliver a written notice
for trnmedlatc termination of the rental agreement and shall
proceed under 33-1377.
Any concrary provision of this Lease Agreement
notwithstanding, Tenant shall be held responsible for the
actions of the tenanrlli guests that viol ale the lease agreement
or roles or regulations of the landlord if the tenant could
reasonably be expected to be aware that such actions might
occur and did not attempt to prevent those actions to the best
of the tenant's ability.
Breach by one t~nant shall be considered breach by all
tenants where Tenant is more than one person.
Tenant expressly ~grces and under~tands that upon
Landlord's termination of this Lease, the entire remaining
balance of unpaid rent for the remain ing term of this Lease
shall ACCELERATE, wh~reby the entire sum sh~tll become
Immediately due, payable, and collectable. Landlord may
hold the p011ion of Tenant's security deposit remaining after
reClsonablc cleaning and repairs as a partial orrset to
satisfaction of the accelerated rent.
7. DELIVERY OF NOTICES: Any giving of notice
under this Lease or applicable Ari:r.ona law shall be made by
Tenant in writing and delivered to the addr~ss noted above
for the p11.yment of rent, either by hand delivery or by mail.
Certified or registered mail is recommended. Delivery by
mail shall not be considered complete until actual receipt by
Landlord or Landlord's agent
Any notices from Landlord to Tenant shaJl be in writing and
shall be deemed sufficiently served upon Tenant when
deposited in the m<lil addressed i:o the leased premises, or
addressed to Tenant's last known post offlce address, or
hand delivered, or placed in Tenant's mailbol'. lf Tenant is
more than one person, then notice to one !hall be sufficient
as notice to all.
8. UTILITIES: Tenant will provide and pay for the
following utilities (indicate those that apply):
[X] Electric, [XJ Gas, (X] Telephone, (X] Cable
Television, [X ] Water, fX] Garbage pick-up.
Landlon.l will provide and pay for the following utilities
(Indicate those that apply): _ . _
[ ] Electric, [ ) Gas, [ ] Telephone, J Cable
Television, [ ] Water, [ ] Garbage pick-up.
 Mar.11. 2011 11: 24AM CHECKSMART #58
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(indicate those that apply);
[ 1 Electric, [ 1 Gas, [ 1 Telephone, ] Cable
Television 1 [ ] Watcr1 [ ] Garbage pick-up.
Tenant shall be responsible for contacting and arranging for
any utility service not provided by the Landlord, and for nny
utilities not listed above. Tenant shall be responsible for
having same utilities disconnected on the day Tenant delivers
the leased premises back unto LMdlord 11pon termination or
expiration ofthis Lease.
9. NOTICE OF INTENT TO SURRENDER; Any other
provision of this lease to the corttrary notwithstanding, at
least thirty (30) days prior to the norma.l expiration of the
term of this Lease as noted under the heading TERM OF
LEASE above, Tenant shall give written notice to Landlord
of Tenant's intention to surrender the residence at the
expiration of the Lease tenn. If said written notice is not
timely givert, the Tenant shall become 11 month-to-month
tenant as defmed by applicable Ari~na law, and all
provisions of this Lease will remain in f\111 force and effect,
unless this Lease is extended or renewed foro specific tenn
by written agreement of Landlord and Tenant.
Jf Tenant becomes a month-to-month tena.nt in the manner
described above, Tenant must give a thirty (30) day wrinen
nodce ro the Landlord of Tenant's intention to surrender th~
residence. At any time during a month-to-month tenancy
Landlord may terminate the month-to-month Lease by
serving Tenanl with a wriuen notice of termination, or by
any other means allowed by applicable Arizona law. Upon
termination, TenaJtt shall vacate the premises and deliver
same unt() Landlord on or before the expiration of the period
of notice.
JO. OBLIGATIONS AND DUTIES OF LANOl..ORD:
As per Arizona Code 33-1324, Landlord shall:
1. Comply with the requirements of applicable building
codes m~tteriall.y affecting hualth and safely.
2. Make all repairs and do whatever is necessary to put and
keep the premises in a lit and habitable condition.
3. Keep all common areas of the premises in a clean and safe
condition.
4, Maintain in sood and safe working ordt,!r and condition all
electrical, plmnbing, sanitary, heating, ventilating, air-
conditioning and other facilities and appliances, iltcluding
elevators, supplied or required to be supplied by hirn.
5. Provide and maintain appropriate receptacles and
conveniences for the removal of a.shcs, garbage, rubbish and
other waste incidental to the occupancy of the dwelling unit
R~st~~ntial Lease
No. 53 04 P. 3
and arrange for their removal.
6. Supply running water and reasonable amourtts of hot water
at all times, reasonable heat and reasonable air-conditioning
or cooling where such units are installed and offered, when
required by seasonal weather conditions, except where the
building that includes the dwelling unit is not required by
law to be equipped for that purpose or the dwelling unit is so
constructed that heat, air-conditioning, cooling or hot water
is generated by an installaLion within the exclusive control of
the tenant and supplied by ::t direct public utility connection.
l 1. OBLIGATIONS AND DUTIES OF TENANT;
As per Arizona Code 33-1341, Tenant shall:
1. Comply with all obligations primarily imposed upon
tenants by applicable provisions of building codes materially
affecting health alld safety.
2. Keep that part of the premises that he occupies and use~ as
clel\Il and safe as the condition of the premises permit.
3. Dispose from his dwelling unit all ashes, rubbish, garbage
and ocher waste in a clean and safe maMer.
4. Keep all plumbing flxtnres in the dwelling unit or used by
the tenant as clean as their condition permits.
5. Usc in a reasonable manner all electrical, plumbing,
sanitary, heating, ventilating, air-conditioning and other
facilities and appliances including elevators in the premises.
6. Not deliberately or negligently destroy, deface, damage,
impair or remove any part of the premises or knowingly
pcrmi[ any person to do so.
7. Conduct himself and require other persons on the premises
with his consent to conduct themselves in a manner lhat will
not disrurb his neighbors' peaceful enjoyment of the
premise:;.
8. Keep no pels of any kind, except None, upon the leased
premises1 or in any common area.
Tenant agrees that any violation ofthese provisions shall be
considered a breach of this Lease.
12. NO ASSIGNMENT; Tenant expressly agrees that the
leased premises nor any portion thereof sha!l not be assigned
or sub-let by Tenanl witho\lt the pri(lr written consent of
Landlord.
13. TENANT INSURANCE: Landlord shall not be liable
to Tenant, Tenant's family or Tenant's invitees, licensees,
and/or -guem -for damages not-- proximately caused by..
Landlord or Landlord's agents. Landlord will not
compensate Tenant or 11nyone else for damages proximately
Agreement, Page 3
 Ma r. 11. 2011 11 :24AM CHEC KSMART #58
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caused by any other source whatsoever, or by Acts of God,
and Tenant is therefore strongly encouraged to independently
purchase insurance to protect Tenant, Tenant's family,
Tenant's invitees, licensees, and/or guesL~; and all personal
properly on the leased premises and/or in any common areas
from any ll.nd all damages.
14, CONDITION OF LEASED PREMISES: Tenant
hereby acknowledges that Tenant ha...~ examined the leased
premises prior to the signing of this Lease, or knowingly
waived said examination. Tenant acknowledges that Tenant
has not relied on any representations made by Landlord or
Landlord's agents regarding the condition of the leased
premises and that Tenant takes premises in its AS-IS
condition wilh no express or implied warranties or
representations beyond those contained herein or required by
applicable Arizolll\ law. Tenant agrees not to damage the
premises through any act or omission, and to be responsible
for any damages sustained through the acts or omissions of
Tenant, Tenant's family or Tenant's invitees, licensees,
and/or guests. lf ~uch damages are incurred, Tenant is
required to pay for any resulting repairs at the san1e time and
In addition to the next month's rent payment, with
consequences for non-payment identical to those for non-
payment of rent described herein. At the expirarion or
termination of the Lease, Tenant shall renll'n the leased
pre!mises in as gooo condition as when taken by Tenant at the
commencement of the lease, with unly normal wear-and-tear
excepted. Tenant shall have the right to remove from the
premises Tenaut's fixtures placed thereon by Tenant at his
expense, provided, however, that Tenant in effecting
removal, shall restore the lensed premises to as good, safe,
sound, orderly and sightly condition as before the addition of
Tenant's fixture. Failing this, Tenant shall be obligated to
pny for repairs a.~ stated above.
15. ALTERATIONS: Tenant shall make no alterations,
decorations, additions, or Improvements to the leased
premises without first obtaining the express written consent
of Landlord. Any ofthe above-described work shall become
parr of the dwelling. If carried out by independent
contractors, said contractors must be approved by Landlord.
Temmt sh11IJ not contract for work to be done without first
placing monies sufficient to satisfY the contract price in an
escrow account approved by Landlord. All work shniJ be
done at such times and in such manner as Landlord may
designate. If a construction or mechanic's lien is placed on
the leased premises as a result of the work, such sh111l be
satisfied by Tenant witl1in ten (10) days thereaner at
Tenant's sole axpense. Tenant shall be considered in breach
of this Lease upon ('ailurc to satisfy said lien.
16. NO ILLEGAL USE: Tenant shall not perpetrate, allow
or suffer any act.~ or omissions contrary to law or ordinance
to be carried out upon the leased premises or in any common
Re~ident~al Lau&e Agreement, Page 4
No. 5304_ P. 4
area. Upon obtaining actual knowledge of any illegal acts or
omissions upon the leased premises, Tenant agrees to
immediately inform Landlord and the appropriate authorities.
Tenant shall bear responsibility for any and all illegal ac ts or
omissions upon the leased premises and shall be considered
in breach of this Lease upon conviction of Tenant or any of
Tenant's family or invitees, licensees, and/or guests for any
illegal act or omission upon the leased premises- whether
known or unknown to Tenant.
17. NOTICE OF INJURIES: In the event of any
si~iflcant injury or damage to Tenant, Tencmt's family, or
Tenant's invitees, licensees, and/or guests, or any personal
property, suffered in the leased premises or in any common
area, written notice of same shall be provided by Tenant to
Landlord at the address designated for delivery of notices
(identical to address for paymt~nl of rent) as soon as possible
but not later than tive (5) days after said injury or damage.
Failure to provide such notice shilll constitute a breach of
thi~ Lease.
18. LANDLORD'S RlCHT TO MORTGAGE: Tenant
ngrees to accept the premises subje~.:l to and subordinate to
any existing or future mortgage or other lien, and Landlord
reserves the ri~t to subject premises to same. Tenant agrees
to and hereby irrevocably grants Landlord power of ~tttorney
ft)r Tenant tbr the sole purpose of executing and delivering
in the name of the Tenant any document(s) related to the
Landlord's right to subject the premi~es co a mortgage or
other llen.
19. DELAY IN REPAIRS: Tenant agrees that if any
repairs to be made by Landlord are delayed by reasons
beyond Landlords control, there shall be no effect on the
obligation9 of Tenant under this Lease.
20. ABANDONMENT: Abando11ment shall be defined as
the absence of the Tenant from the leased premises for a
period of seven (7) or more consecutive dayl: while rent or
1my owing monies remain unpaid- whereupon Tenant will be
considered in breach of this Lease. This defmition is
gubordiuate to, and shall not in <lily way impair, the rights
and remedies of Landlord under this Lease or applicable
Arizona law, except that in case of abandorunent, l.itndlord
or Landlord's agents may immediately or any time thereafter
enter and re-take the leased premises as provided by
applicable Arizona Jaw, and tenninatc this Lease without
notice to Tenant.
21. NOTICE OF ABSENCE FROM PREMISES: If
Tenant is to be absent from the lensed premises for seven (7)
or more consecutive days, written notice of such should be
served .LlpOll.Landl.ord.. If ~uch ab~cn_ces are !_o ge CUlO_!llary
or frequent, the expected frequency and duration of absence
should be summarily noted here: PO Box 25430 Portland
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OR,.2_72_98.
Tenant expressly agrees and understands that absence from
the premises, with or without notice, In no way obviates the
requirement to pay rent and other monies as stated herein, or
the consequenc~ of failure to timely pay same.
22. POSSESSION OF PREMISES: Tenant shall not be
entitled to possession of the premises desjgnated for lease
until the security deposit and first month's rent (or prorated
portion thereof), less any applicable promotional discount, is
paid in full and the premises designated for lease is vacated
by the prior tenant.
23. DELAY OF POSSESSION: Tenant expressly agrees
that if by reason of the premises being unready for
occupancy, or by reason of the previous tenant or occupant
of the dwelling holding over, or as a result of IUlY other cause
whatsoever, Tenant is unable to enter ~nd occupy the
premises, Landlord shall not be liable to Tenant in dama~es,
but shall abate the rent for the period in which the Tenant is
unable to occupy the premises.
MATERIALITY OF APPLICATION TO RENT:
24.
All representations made by Tenant(s) on the Application to
Rent (or like-titled document) are material to the grant of this
Lease, and the Lease is granted only on condition of the
truthfuln~s~ and accuracy of said representations. If a fuilure
to disclose or lack of truthfulness is discovered on said
Application, Landlord may deem Tenant to be in breach of
this Lease.
2!5. MODIFICATION OF THIS Lf.;ASE~ Any
modification of this lease shall not be binding upon Landlord
unless in writing and signed by Landlord or Landlord's
authorized agent. No oral representation shall be eiTective to
modify this Lease. If, as per the terms of this paragraph, any
provision of this lease is newly added, modified, or stricken
out, the remainder ofthis Lease shall remain in full force and
effect
26. REMEDIES NOT EXCLUSIVE: The remedies and
rights contained in and conveyed by this Lease are
cwnulative, and are not exclusive of other rights, remedies
and benefits allowed by applicable Arizona law.
'].7, SVERP.BIL1TY: If any provision herein, or any
portion thereof, is rendered invalid by operation of law,
judgment, or court order, the remaining provisions and/or
portions of provisions shall remain valid and enforceable and
shall be construed to ~o remain.
28. NO WAIVER: The failure of Landlord to insist upon
the strict performance of the tenns, covenants, and
agreements herein shall not be construed as a waiver or
relinquishment of Landlord's right thereafter to enforce any
Resi dential Lease Agreement, Page 5
such tenn1 covenant 1 or condition, but the same shall
continue ill full force and effect. No act or omission of
Landlord shall be considered a waiver of any of the te1ms or
conditions of this Lease, nor excuse any conduct contrary to
the terms and conditions of this Lease, nor be considered to
create a pattern of conduct between the Landlord and Tenant
upon which Tenant may rely upon If contrary to the terms
and conditions ofthis Lease.
29. ATTOltNEV FEES: Attorney's fees shall be awarded
to the prevailing party in the event of court action related to
this Lease Agreement.
30. H.EIRS AND ASSIGNS: It is agreed and understood
that all covenants of thi~ lease shall succeed to and be
binding upou the respective heirs, executors, administrators,
successors and, except as provided herein, assign~ of the
parties hereto, but nothing contained herein shall be
construed so as to allow the Tenant to transfer or assign this
lease in violation of any term hereof.
3l. DESTRUCTJON OF PREMISES: ln the event the
leased premises shall be destroyed or rendered totally
untenable by fire, windstorm, or any other cause beyond Lhc
control of Landlvrd, then this Lease shall cease and
tenninate as of the date of such destruction, and the rent shall
then be accounted for between Landlord and Tenant up to
the time of such damage or destruction of said premises as if
being prorated as of that date. rn the event the leased
premises are damaged by tire, windstorm or other cause
beyond the control of Landlord so as to render the same
partially untenable, but repairable within a reasonable time,
then this lease ~hall remain in force and elTect and the
Landlord shall, within said rea:sonable time, restore sa!d
premises to substantially the coudition the premises were in
prior to snld damage, and there shall be an abatement in rent
in proportion to the relationship the damaged portion of the
leased prem ises bears to the whole of said premises.
32. EMINENT DOMAIN: In the event that the leased
premises shall be taken by eminent domain, the rent shall be
prorated to the date of taking and fl1is Lease shall tenninate
on that date.
33. LANDLORD ENTRY AND LIEN: In addition to the
ri~ts provided by applicable Arizona law, Landlord shall
have the right to enter the leased premises at all reasonable
times for the plll"J'OSe of inspecting the same and/or showing
the same to prospective tenants or purchasers, and to make
such reasonable repairs and alterations as may be deemed
necessary by Landlord for the preservation of the leased
premises or the building and to remove any alterations,
additiolls, fjxtures,_ and_ 3!lY othe_r objects which may be
affixed or erected in violation of the terms- of this- Lease.
Landlord shall give reasonable notice of intent to enter
 CH ECKSMART #58 No. 5304 P. 6
.Mar.11. 2011 !1 :2 6AM
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F' :.at~. l\:! - r,c;.;:ur

premises except in the case of au emergency. Furthennore,

Landlotd retains a Landlord's Lien on all personal property
placed upon the premises to secure the payment of rent Md
fllly damages to the leased pr~mises.

34. GOVERNING LAW: This Lease is governed by the

statutory and case l~tw of the State of Arizona.

3S. LEAD-BASED PAINT DISCLOSURE! HOUSING

BUJLT BEFORE 1978 MAY CONTAIN LEAD-BASED
PAINT. LEAD FROM PAINT, 'P 4INT CHIPS, AND
DUST CAN POSE HEALTH IIAZARDS IF NOT
MANAGED PROPERLY. LF..AD EXPOSURE IS
ESPECIALLY HARMFUL TO YOUJ'IiG CHILDREN
ANP PREGNANT WOMEN. BEFORE RENTING PRE-
1978 HOUSING, LESSORS MUST DISCLOSl THE
PRESENCE OF KNOWN LEAD-BASED PAJNT
AND/OR L!:AD-BASED PAINT. HAZARDS lN THE
DWELLING. LEASES MUSJ' ALSO RECEIVED A
FEDERALLY APPROVED PAMPHLET ON LEAD
POISONING PREVENTION.

Landlord states as follows: [Landlord check one}

X The leased premises was constructed in 1978 or later.

0 TI1e le~ed premises was constructed prior to 19711.

Landlord has conformed with all federal requirements
regarding lead-based paint disclosure including the
completion and mutual signing wiLh Tenant and any
agents, of th<3 Lead~Based Paint Disclosure l-'onn
attached hereto and incorporated .into this lease as a pm't
hereof. All associated information required by the
Disclosure form (if any) was furnished to Tenant, and
Tenant received the EPA pamphlet "Protect Your
Family fiom Lead in Your Home."

36. ADDITIONAL PROVISIONS:

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~esident i~ l Lease Agreement , Page 6

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WITNES~ 'l'fit; SI{J ~roRES OF THE PARTIES TO 'fHIS RESIDENTIAL LEASE AGREEMENT:

TENANT

Sign: ----~------~~Print:
Date: _ __ __

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