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State of _____________
MONTH-TO-MONTH LEASE AGREEMENT
This Lease Agreement (this “Agreement”) is made this _____ day of _______________, 20_____, by and
among/between:
Landlord: _________________________ (“Landlord”) and
Tenant(s): __________________________________________________ (collectively, "Tenant").
In the event there is more than one Tenant, each reference to “Tenant” shall apply to each of them, jointly
and severally. Each Tenant is jointly and severally liable to Landlord for payment of rent and performance
in accordance with all other terms of this Agreement. Each Landlord and Tenant may be referred to
individually as a “Party” and collectively as the “Parties.”
1. Premises. The premises leased is a/an (Check one) ☐ apartment ☐ house ☐ condominium ☐
room ☐ townhouse ☐ duplex ☐ semi-detached house ☐ other: _______________ with:
(a) _____ bedroom(s)
(b) _____ bathroom(s)
(c) _____ parking space(s) ☐ Parking is not included with the Premises
located at ______________________________________________ [Premises address] (the “Premises”).
Storage: (Check if applicable)
☐ The Premises includes the following storage space: _______________________________________.
Furnishings: (Check one)
☐
The Premises is NOT furnished.
☐ The Premises includes the following furnishings: __________________________________________
___________________________________________________________________________________.
Additional description of the Premises: _____________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2. Agreement to Lease. Landlord agrees to lease to Tenant and Tenant agrees to lease from Landlord,
according to the terms and conditions set forth herein, the Premises.
3. Term. This Agreement will be for a term beginning on _______________, 20_____ and continuing
month-to-month until either Landlord or Tenant terminates this Agreement by providing the other Party
with proper written notice of termination (the “Term”).
4. Rent. Tenant will pay Landlord a monthly rent of $__________ for the Term. Rent will be payable in
adv
ance and due on the __________ day of each month during the Term. The first rent payment is
payable to Landlord when Tenant signs this Agreement. Rent will be paid to Landlord at Landlord's
address provided herein (or to such other places as directed by Landlord) by mail or in person by one of
the following methods: (Check all that apply) ☐ Personal check ☐ Cashier's check ☐ Money order
☐ Cash ☐ Credit card ☐ PayPal ☐ Other: _______________, and will be payable in U.S. Dollars.
Proration: (Check if applicable)
☐ Rent for any period during the Term which is for less than one month will be a pro rata portion of the
monthly installment.
Bounced Check: (Check if applicable)
☐ Tenant further agrees to pay $__________ for each dishonored bank check.
5. Guaranty. (Check one)
☐ A Guarantor is required for the Tenant. ________________________ [Guarantor name] located at
________________________________________ [Address] ("Guarantor") promises to unconditionally
guarantee to Landlord, the full payment and performance by Tenant of all financial duties and obligations
arising out of this Agreement. Guarantor agrees to joint and several liability with Tenant for Tenant's
financial duties and obligations under this Agreement including rent, damages, fees and costs. Guarantor
further agrees that this guaranty shall remain in full force and effect and be binding on Guarantor until this
Agreement is terminated.
☐ A Guarantor is NOT required for the Tenant.
6. Late Fee. (Check one)
☐ A late fee will be charged if rent is not paid on time. Rent paid after the __________ day of each month
will be deemed as late; and if rent is not paid within __________ days after suc
h due date, Tenant agrees
to pay a late charge of (Check one) ☐_________% of the balance due per day for each day that rent is
late ☐ $ __________.
☐ A late fee will NOT be charged.
7. Additional Rent. There may be instances under this Agreement where Tenant may be required to pay
additional charges to Landlord. All such charges are considered additional rent under this Agreement an
d
w
ill be paid with the next regularly scheduled rent payment. Landlord has the same rights and Tenant has
the same obligations with respect to additional rent as they do with rent.
8. Utilities. Tenant is responsible for payment of all utility and other services for the Premises, with the
ex
ception of the following, which will be PAID BY THE LANDLORD:
☐ T
rash
☐ Sewage
☐ Internet
☐ Heat
☐ Hot water
☐ Electric
☐ Gas
☐ Telephone
☐ Cable
☐ Water
☐ Other: ______________
9. Security Deposit. Upon signing this Agreement, Tenant will pay a security deposit in the amount of
$__________ to Landlord. The security deposit will be retained by Landlord as security for Tenant’s
performance of its obligations under this Agreement. The security deposit may not be used or deduct
ed
by
Tenant as the last month’s rent of the Term. Tenant will be entitled to a full refund of the security
deposit if Tenant returns possession of the Premises to Landlord in the same condition as accepted,
ordinary wear and tear excepted. Within __________ days after the termination of this Agreement,
Landlord will return the security deposit to Tenant (minus any amount applied by Landlord in accordanc
e
w
ith this section). Any reason for retaining a portion of the security deposit will be explained in writing.
The security deposit (Check one) ☐ will not ☐ will bear interest while held by Landlord in accordance
w
ith applicable state laws and/or local ordinances.
10. Landlord's Failure to Give Possession. In the event Landlord is unable to give possession of the
P
remises to Tenant on the start date of the Term, Landlord will not be subject to any liability for suc
h
f
ailure, the validity of this Agreement will not be affected, and the Term will not be extended. Tenant will
not be liable for rent until Landlord gives possession of the Premises to Tenant.
11. Holdover Tenancy. If Landlord accepts a rent payment from Tenant, other than past due rent or
additional rent, after the Term expires, both Parties understand that a month-to-month holdover tenancy
will be created at the agreed upon monthly rent, unless proper notice has been served as required by
applicable laws. If either Tenant or Landlord wishes to end the month-to-month tenancy, such Party must
provide at least thirty (30) days' written notice before the desired termination date.
12. Use of Premises. The Premises will be occupied only by Tenant and Tenant’s immediate family and
u
sed only for residential purposes. Tenant will not engage in any objectionable conduct, includi
ng
behav
ior which will make the Premises less fit to live in, will cause dangerous, hazardous or unsanitary
conditions or will interfere with the rights of others to enjoy their property. Tenant will be liable for any
damage occurring to the Premises and any damage to or loss of the contents thereof which is done by
Tenant or Tenant’s guests or invitees.
G
uest/Visitor policy: ___________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
13. Condition of the Premises. Tenant has examined the Premises, including the appliances and
fixtures ( ☐ and furnishings), and acknowledges that they are in good condition and repair, normal wear
and tear excepted, and accepts them in its current condition, except: ____________________________
____________________________________________________________________________________
___________________________________________________________________________________.
14. Maintenance and Repairs. Tenant will maintain the Premises, including the grounds and all
appliances and fixtures ( ☐ and furnishings), in clean, sanitary and good condition and repair. Tenant
will not remove Landlord’s appliances and fixtures ( ☐ and furnishings), from the Premises for any
purpose. If repairs other than general maintenance are required, Tenant will notify Landlord for suc
h
r
epairs. In the event of default by Tenant, Tenant will reimburse Landlord for the cost of any repairs or
replacement.
☐ Tenant will also maintain the grounds, which is part of the Premises. (Do not check if leasing an
apar
tment)
15. Rules and Regulations. (Check one)
☐ Lan
dlord has prescribed the rules and regulations governing Tenant's use and enjoyment of t
he
P
remises, attached hereto as Exhibit A, and incorporated by reference herein. Tenant acknowledges
receipt of and agrees to adhere to such regulations.
☐
There are NO separate rules and regulations governing the Premises.
16. Military Clause. (Check one)
☐ In the event Tenant is, or hereafter becomes, a member of the United States Armed Forces (the
“Military”) on extended active duty, and Tenant receives permanent change of station orders to depart
from the area where the Premises is located or is relieved from active duty, retires or separates from the
Military, or is ordered into Military housing, then Tenant may terminate this Agreement upon giving thirty
(30) days written notice to Landlord. Tenant shall also provide to Landlord a copy of the official orders or
a letter signed by Tenant’s commanding officer, reflecting the change which warrants termination under
this Section. Tenant will pay prorated rent for any days Tenant occupies the dwelling past the first day of
the month rent is
due. Any security deposit will be promptly returned to Tenant, provided there are no
amages to the Premises.
☐
The Tenant may NOT terminate their lease early for active duty.
17. Reasonable Accommodations. Landlord agrees to comply with all applicable laws providing equal
housing opportunities, including making reasonable accommodations for known physical or mental
limitations of qualified individuals with a disability, unless undue hardship on Landlord would result.
Tenant is responsible for making Landlord aware of any such required accommodations that ar
e
r
easonable and will not impose an undue hardship on Landlord. If Tenant discloses a disability
and
requests an accommodation, Landlord has the right to have a qualified healthcare provider verify the
di
sability if the disability is not readily apparent, and Landlord has the right to use the qualified healthcar
e
pr
ovider verifying the disability as a resource for providing the reasonable accommodation.
18. Sex Offender Registry. Pursuant to law, information about specified registered sex offenders is
made available to the public. Tenant understands and agrees that Tenant is solely responsible for
obtaining any and all information contained in the state or national sex offender registry for the area
surrounding the Premises, which can be obtained online or from the local sheriff’s department or other
appropriate law enforcement officials. Depending on an offender’s criminal history, this information will
include either the address at which the offender resides or the community of residence and zip code in
which he or she resides.
19. Compliance. Tenant agrees to comply with all applicable laws, ordinances, requirements and
regulations of any federal, state, county, municipal or other authority.
20. Mechanics’ Lien. Tenant understands and agrees that Tenant and anyone acting on Tenant’s behalf
does not have the right to file for mechanic’s liens or any other kind of liens on the Premises. Tenant
agrees to give actual advance notice to any contractors, subcontractors or suppliers of goods, labor or
services that such liens are invalid. Tenant further agrees to take the additional steps necessary to keep
the Premises free of any and all liens that may result from construction completed by or for Tenant.
21. Alterations. Tenant will not make any alteration, addition or improvement to the Premises without first
obtaining Landlord’s written consent. Any and all alterations, additions or improvements to the Premises
are without payment to Tenant and will become Landlord’s property immediately on completion and
remain on the Premises, unless Landlord requests or permits removal, in which case Tenant will return
that part of the Premises to the same condition as existed prior to the alteration, addition or improvement.
Tenant will not change any existing locks or install any additional locks on the Premises without first
obtaining Landlord's written consent and without providing Landlord a copy of all keys.
22. Smoking. (Check one)
☐ Smoking of any kind is strictly prohibited on any part of the Premises. This prohibition applies to
Tenant and any visitors, guests or other occupants on the Premises.
☐ Smoking is permitted on the Premises.
23. Pets. (Check one)
☐
Tenant is NOT allowed to have or keep any pets, even temporarily, on any part of the Premises.
☐ Tenant is allowed to have the following pets on the Premises:
________________________________. The unauthorized presence of any pet will subject Tenant to
penalties, damages, deductions and/or termination of this Agreement. Properly trained service animals
that provide assistance to individuals with disabilities may be permitted on the Premises with the prior
written consent of Landlord, which shall not be unreasonably withheld. Tenant will be responsible for the
costs of de-fleaing, deodorizing and/or shampooing all or any portion of the Premises if a pet has been on
the Premises at any time during the Term (whether with or without written consent of Landlord). If Tenant
does keep an authorized pet on the Premises, Tenant will pay to Landlord a pet deposit in the amount of
$__________.
24. Inspection Checklist. (Check one)
☐ I
n order to avoid disagreements about the condition of the Premises, at the time of accepti
ng
pos
session of the Premises, Tenant will complete the Inspection Checklist incorporated herein by
reference and attached hereto as Exhibit B and record any damage or deficiencies that exist at t
he
commencement of the Term. Landlord will be liable for the cost of any cleaning or repair to correct
damages found at the time of the inspection. Tenant will be liable for the cost of any cleaning and/or
repair to correct damages found at the end of the Term if not recorded on the inspection checklist, norma
l
w
ear and tear excepted.
☐
Tenant is NOT required to complete an inspection checklist.
25. Fire and Casualty. If the Premises are damaged by fire or other serious disaster or accident and the
P
remises becomes uninhabitable as a result, (a) Tenant may immediately vacate the Premises an
d
t
erminate this Agreement upon notice to Landlord or (b) Landlord may terminate this Agreement
upon
not
ice to Tenant. Tenant will be responsible for any unpaid rent or will receive any prepaid rent up to t
he
day
of such fire, disaster or accident. If the Premises are only partially damaged and inhabitable, Landlor
d
may make full repairs and will do so within a prompt and reasonable amount of time. At the discretion of
Landlord, the rent may be reduced while the repairs are being made.
26. Liability. Landlord is not responsible or liable for any loss, claim, damage or expense as a result of
any accident, injury or damage to any person or property occurring anywhere on the Premises, unless
resulting from the negligence or willful misconduct of Landlord.
27. Renter's Insurance. (Check one)
☐ T
enant is required to obtain, and maintain at all times during the Term, a renter’s insurance policy
with a minimum of $100,000.00 personal liability coverage. Tenant will name Landlord as an intereste
d
par
ty or additional insured. Tenant will provide Landlord with a certificate or proof of insurance
upon
request.
☐
Tenant is NOT required to obtain a renter’s insurance policy.
28. Assignment and Subletting. (Check one)
☐ Tenant may as
sign this Agreement as to any portion or all of the Premises or make or permit any total
or partial sublease or other transfer of any portion or all of the Premises. ( ☐ Tenant must obtain
Landlord’s written consent prior to assignment or sublease of the Premises.)
☐ Tenant may NOT assign this Agreement as to any portion or all of the Premises or make or permit
any total or partial sublease or other transfer of any portion or all of the Premises.
29. Insurance Requirements. Tenant will not do or permit to be done any act or thing that will increase
t
he insurance risk under any policy of insurance covering the Premises. If the premium for such policy of
insurance increases due to a breach of Tenant’s obligations under this Agreement, Tenant will pay the
additional amount of premium as additional rent under this Agreement.
30. Right of Entry. Landlord or its agents may enter the Premises at reasonable times to inspect the
Premises, to make any alternations, improvements or repairs or to show the Premises to a prospective
tenant, buyer or lender. In the event of an emergency, Landlord may enter the Premises at any time.
31. Surrender. Tenant will deliver and surrender to Landlord possession of the Premises immediately
upon the expiration of the Term or the termination of this Agreement, clean and in as good condition and
repair as the Premises was at the commencement of the Term, reasonable wear and tear excepted.
32. Default. In the event of any default under this Agreement, Landlord may provide Tenant a notice of
default and an opportunity to correct such default. If Tenant fails to correct the default, other than a failure
to pay rent or additional rent, Landlord may terminate this Agreement by giving a __________ day written
notice. If the default is Tenant’s failure to timely pay rent or additional rent as specified in this Agreement,
Landlord may terminate this Agreement by giving a __________ day written notice to Tenant. After
termination of this Agreement, Tenant remains liable for any rent, additional late, costs, including costs to
remedy any defaults, and damages under this Agreement.
33. Remedies If this Agreement is terminated due to Tenant’s default, Landlord may, in addition to any
rights and remedies available under this Agreement and applicable law, use any dispossession, eviction
or other similar legal proceeding available in law or equity.
34. Subordination. This Agreement and Tenant’s right under it shall be subject and subordinate to the
lien, operation and effect of each existing or future mortgage, deed of trust, ground lease and/or any other
similar instrument of encumbrance covering any or all of the Premises, if any, and each renewal,
modification, consolidation, replacement or extension thereof.
35. Condemnation. If all or substantially all of the Premises are covered by a condemnation including the
exercise of any power of eminent domain by a governmental authority, this Agreement shall terminate on
the date possession of the Premises is taken by the condemning authority, and all rent under this
Agreement shall be prorated and paid to such date. Landlord is entitled to collect from the condemning
authority the entire amount of any award made in any proceeding. Tenant waives any right, title or
interest which Tenant may have to any such award and agrees to not make any claim for the Term of this
Agreement.
36. Hazardous Materials. Tenant shall not keep on the Premises any item of a dangerous, flammable, or
explosive character that might unreasonably increase the danger of fire or explosion on the Premises or
that might be considered hazardous or extra hazardous by any responsible insurance company.
37. Lead Disclosure. (Check one)
☐ The Premises was built prior to 1978. Housing built 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, Landlord
must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling.
Tenant must also receive a federally approved pamphlet on lead poisoning prevention.
☐
The Premises was NOT built prior to 1978.
38. Notices. All notices given under this Agreement must be in writing. A notice is effective upon receipt
and shall be delivered in person, sent via certified or registered mail to the following addresses (or to
another address that either Party may designate upon reasonable notice to the other Party):
Notices shall be sent to the Landlord at the following address:
__________________________________________________________________________________
Notices shall be sent to the Tenant at the following address:
__________________________________________________________________________________
39. Quiet Enjoyment. If Tenant pays the rent and performs all other obligations under this Agreement,
Tenant may peaceably and quietly hold and enjoy the Premises during the Term.
40. No Waiver. No Party shall be deemed to have waived any provision of this Agreement or the exercise
of any rights held under this Agreement unless such waiver is made expressly and in writing.
41. Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable in whole
or in part, the remaining provisions shall not be affected and shall continue to be valid, legal and
enforceable as though the invalid, illegal or unenforceable part had not been included in this Agreement.
42. Successors and Assigns. This Agreement will inure to the benefit of and be binding upon the
Parties and their permitted successors and assigns.
43. Governing Law. The terms of this Agreement and the rights and obligations of the Parties hereto
shall be governed by and construed in accordance with the laws of the State of _________________,
without regard to its conflicts of laws provisions.
44. Disputes. Any dispute arising from this Agreement shall be resolved through: (Check one)
☐ Court litigation. Disputes shall be resolved in the courts of the State of _________________.
☐ If either Party brings legal action to enforce its rights under this Agreement, the prevailing party
will be entitled to recover from the other Party its expenses (including reasonable attorneys' fees
and costs) incurred in connection with the action and any appeal.
☐ Binding arbitration. Binding arbitration shall be conducted in accordance with the rules of the
A
merican Arbitration Association.
☐ M
ediation.
☐ Mediation, then binding arbitration. If the dispute cannot be resolved through mediation, then the
di
spute will be resolved through binding arbitration conducted in accordance with the rules of t
he
American Arbitration Association
45. Amendments. This Agreement may be amended or modified only by a written agreement signed by
the Parties.
46. Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be
deem
ed to be an original, and all of which together shall constitute one and the same document.
47. Headings. The section headings herein are for reference purposes only and shall not otherwise
af
fect the meaning, construction or interpretation of any provision in this Agreement.
48. Entire Agreement. This Agreement constitutes the entire agreement between the Parties and
s
upersedes and cancels all prior agreements of the Parties, whether written or oral, with respect to t
he
s
ubject matter.
49. Miscellaneous. ___________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
IN WITNESS WHEREOF, the Parties hereto, individually or by their duly authorized representatives, have
executed this Agreement as of the Effective Date.
Landlord Signature
Landlord Full Name
Tenant Signature
Tenant Full Name
Tenant Signature
Tenant Full Name
Guarantor Signature
Guarantor Full Name
Disclosure of Information on Lead-Based Paint and/or
Lead-Based Paint Hazards
Lead Warning Statement
Housing built 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, lessors 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.
Landlord's Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):
(i) ____ Known lead-based paint and/or lead-based paint hazard are present in the housing (explain):
_________________________________________________________________________________
_________________________________________________________________________________
(ii) ____ Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the
housing.
(b) Records and reports available to the lessor (check (i) or (ii) below):
(i) ____ Lessor has provided the lessee with all available records and reports pertaining to the lead-
based paint and/or lead-based paint hazards in the housing (list documents below):
_________________________________________________________________________________
_________________________________________________________________________________
(ii) ____ Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint
hazards in the housing.
Tenant's Acknowledgment (initial)
(c) _____ Tenant has received copies of all information listed above.
(d) _____ Tenant has received the pamphlet Protect Your Family from Lead in Your Home.
Agent's Acknowledgment (if any) (initial)
(e) _____
Agent has informed Landlord of Landlord’s obligations under 42 U.S.C. 4852d and is aware of
his/her responsibility to ensure compliance.
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 Signature
Landlord Name
Date
Tenant Signature
Tenant Name
Date
Tenant Signature
Tenant Name
Date
Agent Signature
Agent Name
Date
EXHIBIT A
RULES AND REGULATIONS
Tenant shall abide by the following rules and regulations while occupying the Premises: (Check all that
apply)
☐ Tenant will not obstruct the driveways, sidewalks, courts, entry ways, stairs and/or halls.
☐ Tenant will not obstruct or cover the windows or doors.
☐ Tenant will keep all windows, glass, window coverings, doors, locks and hardware in good, clean
order and repair.
☐ Tenant will not leave windows or doors in an open position during any inclement weather.
☐ Tenant will not hang any laundry, clothing, sheets, etc. from any window, rail, porch or balcony nor air
or dry any of same within any yard area or space.
☐ Tenant will not cause or permit any locks or hooks to be placed upon any door or window without the
prior written consent of Landlord.
☐ Tenant will keep all air conditioning filters clean and free from dirt.
☐ Tenant will keep all bathrooms, sinks, toilets, and other water and plumbing supplies in good order
and repair, and shall use same only for the purposes for which they were constructed.
☐ Tenant will not allow any sweepings, rubbish, sand, rags, ashes or other substances to be thrown or
deposited into any sinks or toilets.
☐ Tenant's family and guests shall not make or permit any loud or improper noises, or otherwise disturb
other residents in the immediate area.
☐ Tenant will deposit all trash, garbage, rubbish or refuse in the locations provided therefore.
☐ Tenant will abide by and be bound by any and all rules and regulations affecting the Premises or the
common areas of the Premises which may be adopted or promulgated from time to time by Landlord.
☐ Other: ___________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
EXHIBIT B
RENTAL INSPECTION CHECKLIST
Complete this inventory checklist as soon as you sign the lease. Do not move anything into the Premises
until after you have filled out this checklist. Take time-stamped pictures of any damages, dents, marks, or
problems you find. Ask your Landlord to sign the checklist and/or send them a copy. You should keep the
original for your records.
Living Room
Condition on Arrival
Condition on Departure
Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Lamp(s)
Furniture (if applicable)
Baseboards/Moldings
Other: _______________________
Kitchen
Condition on Arrival
Condition on Departure
Stove, Oven, Range, Hood, Broiler,
Pans, Burners, etc…
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Cabinets/Drawers
Counter Surfaces
Sink, Garbage Disposal, Faucet
Microwave Oven
Refrigerator
Furniture
Dishwasher
Other: _______________________
Bathroom
Condition on Arrival
Condition on Departure
Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Cabinets/Drawers
Counter Surfaces
Sink and Faucet
Toilet/Tissue Holder
Shower and Tub
Towel Racks
Mirror/Medicine Cabinet
Water (heat and pressure)
Dishwasher
Other: _______________________
Bedroom
Condition on Arrival
Condition on Departure
Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Closets (Doors and tracks)
Book Shelves
Molding and Baseboards
Furniture (if applicable)
Mirror
Other: _______________________
Other Areas: ________________
Condition on Arrival
Condition on Departure
Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Closets (Doors and tracks)
Book Shelves
Molding and Baseboards
Furniture (if applicable)
Doorbell/Knocker
Mailbox (check lock)
Yard, Patio, Deck
External Doors and Locks
Outside Lights
Other: _______________________
Move in:
Tenant Signature
Tenant Name
Date
Accepted and acknowledged by:
Landlord Signature
Landlord Name
Date
Move out:
Tenant Signature
Tenant Name
Date
Accepted and acknowledged by:
Landlord Signature Landlord Name Date
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Completed 7 March 2021

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