Terms Of The Verbal Rental/lease Agreement printable pdf download

KVCAP ENERGY SERVICES 97 WATER STREET, WATERVILLE, ME 04901

PHONE: 207-859-1500 / FAX: 872-6747

Terms of the Verbal Rental/Lease Agreement

This describes a verbal rental agreement made between:

_____________________________(Landlord) and _____________________________(Tenant)

For the property at:_______________________________________________________(Address)

_____________________________________(City, State and Zip Code)

Date Tenant moved in: ________________________________

Rent Amount $________________ (circle) monthly / weekly

Is the tenant behind on rent: Yes or No

# of people in this residence: _______

Names of all persons living in the residence (please list everyone who lives at this address)

______________________________________________________________________________

(Circle One) The tenant rents an: Apartment / Mobile Home / Single Family House / Duplex

If more than one unit, how many units are in the dwelling? __________

Who is responsible for paying the electric?

□ Landlord

□ Tenant

Who is responsible for paying the heat?

□ Landlord

□ Tenant

What type of fuel is used to heat the residence? ________________________________________

Name of Vendor supplying fuel? __________________________

Name on account with the Vendor supplying fuel? ______________________________

The tenant receives a subsidy toward rent □ Yes □ No

I certify that the information contained herein is accurate and true to the best of my knowledge. If I have intentionally falsified any

of this information, I understand I may be liable to MaineHousing for repayment of any Benefit received.

_______________________________________ ______________ ______________________

(Tenant’s Signature)

(Phone)

(Date)

_______________________________________ ______________ ______________________

(Landlord’s Signature)

(Phone)

(Date)

Landlords Physical Address: ________________________________________

________________________________________

Landlords Mailing Address: _________________________________________

______________________________________

This form must be completed and signed by the Landlord of the property.

Terms Of The Verbal Rental/lease Agreement