Shared Housing Room Rental Agreement Template Page 3
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1
2
3Other Agreements
Fill out a) or b) as it applies to your situation
A) Principal Tenant
will
has provided tenant a copy of the Condition of Rental Property
Checklist, completed when household first moved in.
B) Both landlord and tenant will complete Condition of Rental Property Checklist within three days of the
move-in, available at: housing.ucsc.edu/cro/pdf/condition-checklist.pdf.
Megan’s Law
“Pursuant To Section 290.46 of the Penal Code, information about specified registered sex offenders is made
available to the public via an Internet Web site maintained by the Department of Justice at
ca.gov. 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.”
Lead-Based Paint Disclosure
_________Tenant(s) acknowledge(s) receipt of “Disclosure of Information on Lead-Based Paint or Lead-
Based Paint Hazards” from landlord/agent. (Required for homes built before 1978.) Available online at
_________Tenant(s) acknowledge(s) receipt of the pamphlet Protect Your Family from Lead in Your Home.
(Required for homes built before 1978.) Landlords may call 1-800-424-LEAD or go to
www2.epa.gov/sites/production/files/2013-09/documents/lead_in_your_home_brochure_land_b_w_508.
pdf to obtain a copy of the pamphlet.
This agreement is entered into on this
day of
, 20
(Year)
(Day)
(Month)
(Print)
(Print)
Landlord
Tenant
Signature
Signature
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