Rlhd 3X Form – Fill Out and Use This PDF

Residential Lease for Single Family Home or Duplex

________________________________________________________________________________

INSTRUCTIONS:

1.Licensee: Give this disclosure to the Landlord prior to your assisting with the completion of the attached Lease.

2.Licensee: As the person assisting with the completion of the attached form, insert your name in the first (5) blank “Name” spaces below.

3.Licensee: SIGN the disclosure below.

4.Landlord/Owner and Tenant: Check the applicable provision regarding English contained in the disclosure and SIGN below.

5.Licensee: Retain a copy for your files for at least 6 years. Landlord/Owner and Tenant: Retain a copy for your files. This disclosure does not act as or constitute a waiver, disclaimer or limitation of liability.

THIS FORM WAS COMPLETED WITH THE ASSISTANCE OF:

________________________________________________________	_______________________________________________________
Licensee Name	Name of Brokerage/Business
________________________________________________________	_______________________________________________________
Address	Phone Number

DISCLOSURE:

________________________________________________________________ told me that he/she is a nonlawyer and may not give

(Name)

legal advice, cannot tell me what my rights or remedies are, cannot tell me how to testify in court, and cannot represent me in court.

Rule 10-2.1(b) of the Rules Regulating the Florida Bar defines a paralegal as a person who works under the supervision of a member of the Florida Bar and who performs specifically delegated substantive legal work for which a member of the Florida Bar is responsible. Only persons who meet the definition may call themselves paralegals.

________________________________________________________________ informed me that he/she is not a paralegal as defined

(Name)

by the rule and cannot call himself/herself a paralegal.

________________________________________________________________ told me that he/she may only help me type the factual

(Name)

information provided by me in writing into the blanks on the form.

________________________________________________________________ may not help me fill in the form and may not complete

(Name)

the form for me.

If using a form approved by the Supreme Court of Florida, _____________________________________________________ may

(Name)

ask me factual questions to fill in the blanks on the form and may also tell me how to file the form.

Landlord/Owner:	Tenant:
_______ I can read English.	______ I can read English.
_______ I cannot read English but this notice was read to me by	______ I cannot read English but this notice was read to me by

____________________________________________ in ____________________________________________ which I understand.

(Name)	(Language)
_____________________________________	_____________________________________	______________________________________
(Licensee Signature)	(Landlord Signature)	(Tenant Signature)

This form is available for use by the entire real estate industry and is not intended to identify the user as a REALTOR. REALTOR is a registered collective membership mark that may be used only by real estate licensees who are members of the National Association of REALTORS and who subscribe to its Code of Ethics.

The copyright laws of the United States (17 U.S. Code) forbid the unauthorized reproduction of blank forms by any means including facsimile or computerized forms.

RLHD-3 Rev. 4/10 © 2010 Florida Realtors® All Rights Reserved

Residential Lease for Single Family Home or Duplex

________________________________________________________________________________________

(FOR A TERM NOT TO EXCEED ONE YEAR)

A BOX () OR A BLANK SPACE (____) INDICATES A PROVISION WHERE A CHOICE OR DECISION MUST BE MADE BY THE

PARTIES.

THE LEASE IMPOSES IMPORTANT LEGAL OBLIGATIONS. MANY RIGHTS AND RESPONSIBILITIES OF THE PARTIES ARE GOVERNED BY CHAPTER 83, PART II, RESIDENTIAL LANDLORD AND TENANT ACT, FLORIDA STATUTES. A COPY OF THE RESIDENTIAL LANDLORD AND TENANT ACT IS ATTACHED TO THIS LEASE.

1.PARTIES. This is a lease ("the Lease") between __________________________________________________________________

(name and address of owner of the property)

______________________________________________________________________________________________("Landlord") and

__________________________________________________________________________________________________ (“Tenant”).

	(name(s) of person(s) to whom the property is leased)
Landlord's E-mail Address:	_____________________________________
Landlord's Telephone Number:	_____________________________________
Tenant's E-mail Address:	_____________________________________
Tenant's Telephone Number:	_____________________________________

2.PROPERTY RENTED. Landlord leases to Tenant the land and buildings located at _______________________________________

(street address)

______________________________________________________________________________________, Florida ______________

(zip code)

together with the following furniture and appliances [List all furniture and appliances. If none, write "none."] (In the Lease, the property leased, including furniture and appliances, if any, is called "the Premises"):

_________________________________________________________________________________________________

_________________________________________________________________________________________________

The Premises shall be occupied only by the Tenant and the following persons: _____________________________________________

___________________________________________________________________________________________________________.

3.TERM. This is a lease for a term, not to exceed twelve months, beginning on ____________________________ and

(month, day, year)

ending ____________________________ (the "Lease Term").

(month, day, year)

4.RENT PAYMENTS, TAXES AND CHARGES. Tenant shall pay rent in the amount of $____________ (excluding taxes) for the Lease Term. The rent shall be payable by Tenant in advance in installments or in full as provided in the options below:

in installments. If in installments, rent shall be payable

monthly, on the _________ day of each month (if left blank, on the first day of each month) in the amount of

$____________ per installment.

OR

weekly, on the _________ day of each week. (If left blank, on Monday of each week.) in the amount of $____________

per installment.

Landlord (____) (____) and Tenant (____) (____) acknowledge receipt of a copy of this page which is Page 1 of 7

RLHD-3 Rev. 4/10 ©2010 Approved for use under rule 10-2.1(a) of The Rules Regulating the Florida Bar

in full on ____________________________ in the amount of $____________.

	(date)
Tenant shall also be obligated to pay taxes on the rent when applicable in the amount of $____________			with each rent installment
	with the rent for the full term of the Lease. Landlord will notify Tenant if the amount of the tax changes.
Payment Summary

If rent is paid in installments, the total payment per installment including taxes shall be in the amount of $____________.

If rent is paid in full, the total payment including taxes shall be in the amount of $____________.

All rent payments shall be payable to __________________________________________________________________________ at

(name)

____________________________________________________________________. (If left blank, to Landlord at Landlord's address.)

(address)

If the tenancy starts on a day other than the first day of the month or week as designated above, the rent shall be prorated from

____________________________ through ____________________________ in the amount of

$____________ and shall be due

(date)

(date)

on ____________________________. (If rent paid monthly, prorate on a 30-day month.)

(date)

Tenant shall make rent payments required under the Lease by (choose all applicable)

cash,

personal check,

money order,

cashier's check, or

other ___________________________________________ (specify). If the payment is accepted by any

means other than cash,

payment is not considered made until the other instrument is collected.

If Tenant makes a rent payment with a worthless check,

Landlord can require Tenant

to pay all future payments by

money

order,

cashier's check, or official bank check or

cash or other (specify) ___________________________________________,

and

to pay bad check fees in the amount of $__________ (not to exceed the amount prescribed by Section 68.065, Florida

.

Statutes)

5.MONEY DUE PRIOR TO OCCUPANCY. Tenant shall pay the sum of $____________ in accordance with this paragraph prior to occupying the Premises. Tenant shall not be entitled to move in or to keys to the Premises until all money due prior to occupancy has been paid. If no date is specified below, then funds shall be due prior to Tenant occupancy. Any funds designated in this paragraph due after occupancy, shall be paid accordingly. Any funds due under this paragraph shall be payable to Landlord at Landlord’s address or

to _________________________________________________________________________________________________________

(name)

at ________________________________________________________________________________________________________.

(address)

First

month's

week's rent plus applicable taxes

$ _________________

due

____________________________________

Prorated rent plus applicable taxes

$ _________________

due

____________________________________

Advance rent for

month

week of

__________________________ plus applicable taxes

$ _________________

due

____________________________________

Last

month's

week's rent plus applicable taxes

$ _________________

due

____________________________________

Security deposit

$ _________________

due

____________________________________

Additional security deposit

$ _________________

due

____________________________________

Security deposit for homeowner's association

$ _________________

due

____________________________________

Pet Deposit

$ _________________

due

____________________________________

Other_____________________________________

$ _________________

due

____________________________________

Other_____________________________________

$ _________________

due

____________________________________

Landlord (____) (____) and Tenant (____) (____) acknowledge receipt of a copy of this page which is Page 2 of 7

RLHD-3 Rev. 4/10 ©2010 Approved for use under rule 10-2.1(a) of The Rules Regulating the Florida Bar

If there is a homeowner's association, Tenant will be provided with the following to access the association's common areas/facilities:

#of keys to ______________________________________________________________________________________

#of remote controls to _____________________________________________________________________________

#of electronic cards to _____________________________________________________________________________

_______________________________ other (specify) to _____________________________________________________________

At end of Lease Term, all items specified in this paragraph shall be returned to _____________________________________________

(name)

at ____________________________________________________________________ (If left blank, Landlord at Landlord's address).

(address)

13.LEAD-BASED PAINT. Check and complete if the dwelling was built before January 1, 1978. Lead Warning Statement (when used in this article, the term Lessor refers to Landlord and the term Lessee refers to Tenant).

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. Lessees must also receive a federally approved pamphlet on lead poisoning prevention.

Lessor's Disclosure (initial)

_________(a) Presence of lead-based paint or lead-based paint hazards (check (i) or (ii) below):

(i)_____ Known lead-based paint and/or lead-based paint hazards 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 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.

Lessee's Acknowledgment (initial)

_________(c) Lessee has received copies of all information listed above.

_________(d) Lessee has received the pamphlet Protect Your Family From Lead in Your Home.

Agent's Acknowledgment (initial)

_________(e) Agent has informed the Lessor of the Lessor'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 provided by the signatory is true and accurate.

_____________________________	____________	_____________________________	____________
Lessor's signature	Date	Lessor's signature	Date
_____________________________	____________	_____________________________	____________
Lessee's signature	Date	Lessee's signature	Date
_____________________________	____________	_____________________________	____________
Agent's signature	Date	Agent's signature	Date

14.SERVICEMEMBER. If Tenant is a member of the United States Armed Forces on active duty or state active duty or a member of the Florida National Guard or United States Reserve Forces, the Tenant has rights to terminate the Lease as provided in Section 83.682, Florida Statutes, the provisions of which can be found in the attachment to this Lease.

Landlord (____) (____) and Tenant (____) (____) acknowledge receipt of a copy of this page which is Page 4 of 7

RLHD-3 Rev. 4/10 ©2010 Approved for use under rule 10-2.1(a) of The Rules Regulating the Florida Bar