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[Landlord should note above any disclosures about the premises that may be required under Federal or North Carolina law, such as known leadbased paint
hazards in the Premises. The Landlord should also disclose any flood hazards. In addition, North Carolina law requires disclosure as to where the Landlord will
hold the security deposit and any interest payments under it. The Landlord must also disclose the conditions under which the security deposit may be withheld.]
As to Landlord:
LANDLORD (“LANDLORD”):
Sign: _________________________________________
Print: _________________________________________
LANDLORD (“LANDLORD”):
Sign: _________________________________________
Print: _________________________________________
As to Tenant:
TENANT (“TENANT”):
Sign: _________________________________________
Print: _________________________________________
TENANT (“TENANT”):
Sign: _________________________________________
Print: _________________________________________
TENANT (“TENANT”):
Sign: _________________________________________
Print: _________________________________________
TENANT (“TENANT”):
Sign: _________________________________________
Print: _________________________________________
Tenant(s): ______, ______, ______, ______ Landlord(s) or Landlord’s Representative: ______, ______ Page 5 of 5