Standardised Lease Agreement Page 4

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SIGNED by the said Lessee
___________________________________________ Date ___________
In the presence of:
(If the Lessee is a Junior Member, the Parent or Guardian must counter-
sign the Lease)
Signed by the said Lessee’s Parent or Guardian
___________________________________________Date____________
In the Presence of:
I __________________________________________________________
(Name of Witness)
of__________________________________________________________
(Address of Witness)
in the state of ________________________________________________
___________________________________________________________
(
Occupation of Witness)
the person whose name appears as the attending witness to the above
lease do hereby declare that I was present at _______________________
on the ________________day of _______________________ 20_______
and saw ____________________________________________________
(Name of Lessee)
sign the above instrument and I thereupon signed my name as attesting
witness thereto.
DATED the ____________day of _______________________20_______
______________________________
(Signature of Witness)
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