AOA Form No. 123 (10/10) - Copyright 2006 - Apartment Owners Association of California, Inc. ▪ www.aoausa.com
▪ San Fernando Valley (818) 988-9200 ▪ Los Angeles (323) 937-8811 ▪ Long Beach (562) 597-2422 ▪ Garden Grove (714) 539-6000 ▪ San Diego (619) 280-7007 ▪
Northern California (510) 769-7521
Non-Smoking Addendum to Lease
(Required by Contra Costa County)
This addendum shall become part of the rental agreement terms and conditions for the
below unit located at:
Property Address: __________________________________________________
__________________________________________________
Unit Number: ______________________
Check applicable boxes below:
□ Smoking is prohibited in all dwelling units that have been designated as non-
smoking units. Unit ______is or is not (cross out one) designated as a non smoking
unit.
□ A designated common area for smoking is located _________________________
__________________________________________________________________.
□ Smoking is prohibited in all dwelling units.
Smoking is prohibited on all outdoor balconies, porches, decks, patios and carports of
multi-unit residences. “Smoking” means inhaling, exhaling, burning or carrying any
lighted cigar, cigarette, pipe or any other device containing any tobacco product or any
other leaf, weed or plant.
By signing below, resident acknowledges that it is a material breach of the lease or rental
agreement to violate any law regarding smoking while on the premises, smoke in a non-
smoking dwelling unit or smoke in any multi-unit residence common area where smoking
is prohibited.
____________________________________________ ___________________
Resident Date
____________________________________________ ___________________
Resident Date
____________________________________________ ___________________
Owner/Landlord Date
