County of , State of
I. The Parties. This certificate pertains to the Fixed Lease AgreementMonth to Month Lease Agreement, referred to as the “Lease Agreement”, for the property located at City of State of (“Property”) between (“Landlord”) and (“Tenant(s)”).
II. Property Type. The Property being leased is considered: Commercial Space with the Tenant(s) renting square feet. Residential Space with the Tenant(s) renting a bedroom(s) and bathroom(s).
III. Modifications. Not Modified and in Effect -The Lease Agreement has not been modified and is in effect as originally written. Modified and in Effect -The Lease Agreement was modified on the .
IV. Subletting. The Tenant(s) is not subletting any part of the Property.The Tenant(s) is subletting part of the property.The Tenant(s) is subletting all of the Property.
V. Lease Term. The Fixed Lease Agreement is a total length of year(s), month(s) ending on the .
VI. Monthly Rent. The amount of the monthly rent is $ per month.
In addition to the monthly rent, the Tenant(s). In case that there is anything pay in addition to the rent please specify how much? and for what? Does not pay any other fees to the LandlordOther:
VII. Last Rental Payment. The last rental payment made by the Tenant(s) to the Landlord was on the .
VIII. Future Rent. The Tenant(s) has not prepaid any future rent.Other: .
IX. Security Deposit. The Landlord is holding a security deposit of $ to cover any expenses or losses by any default or breach of the Lease Agreement by the Tenant(s).
X. Personal Property. If so, please specify. There is no personal property that is owned by the Landlord and in possession of the Tenant(s).Other:
XI. Rights to Purchase the Property. If so, please specify The Tenant(s) does not hold any rights to purchase the property including but not limited to rights of first refusal, option to purchase, etc.Other:
XII. Repairs and Maintenance. The Landlord has made all the necesary repairs to the property and the property is properly maintened.The Landlord has not made all the necessary repairs to the property no including but limited to
XIII. Default or Breach of Agreement. The Landlord or tenants has not breached or defaultedon the Lease AgreementThe Landlord or tenant has breached or defaulted the Lease aAgreement by doing the followingThe breach or default has been curedThe breach or default has not been cured
XIV. Liens and Encumbrances. I/We certify as the Tenant(s) that there are no liens or encumbrances attached to the
leasehold interest of the property. Tenant(s) understands that this certificate will be
considered valid by any third (3rd) party. YesNo.
[signature* signature class:input]