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Fixed amount of __________________ Dollars $______.____ per day
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Percentage (%) based on _____ (%) of the monthly rent per day
VI. Utilities/Expenses. The following party shall pay the following
utilities/expenses:
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☐
☐
☐
Cable -
Landlord
Tenant
Electricity -
Landlord
Tenant
☐
☐
☐
☐
Heat -
Landlord
Tenant
Internet -
Landlord
Tenant
☐
☐
☐
☐
Trash -
Landlord
Tenant
Water -
Landlord
Tenant
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☐
Other -
Landlord
Tenant ______________________________________
VII. Deposit(s). The landlord and tenant agree to the following fee(s) and
deposit(s) (*Be aware of any Security Deposit Rules in your State):
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*Security Deposit of __________________________ Dollars $________.___
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Last Month’s Rent of _________________________ Dollars $________.___
☐
*Future Payment of __________________________ Dollars $________.___
☐
Deposit(s) for:
__________________ - ________________________ Dollars $_______.____
__________________ - ________________________ Dollars $_______.____
__________________ - ________________________ Dollars $_______.____
*Any deposit(s) paid by the tenant to the landlord shall be deposited to a
☐
☐
separate
interest bearing
non-interest bearing account.
A. Deposit(s) Return. Landlord agrees to return the deposit within _____
days of lease end date or on _______ / ________ / ________
(Month/Day/Year). If there have been deductions from the Security Deposit, the
landlord agrees to include a statement with an itemized list of the expenses.