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IN THE COUNTY COURT OF THE
NINTH JUDICIAL CIRCUIT IN AND
FOR OSCEOLA COUNTY, FLORIDA
caseNo.20 |] -cc-Q38) ev
C5onmy give VOI
PLAINTIFF
atts £1; BeTLd LA LIL
Kise ed S77.
(CITY, STATE,
ZIP CODE) GS
COMPLAINT FOR TENANT EVICTION-
(NON-PAYMENT OF RENT)
VS.
,
=. D>
Srey
DESEND, (S) sm
CéteZe
Sire i oS
OK
aS mFS
(ADDRESS)SS)
Ae sierra ce KY 3up FHS et
22
7
COUNT I - POSSESSION XS
Plaintiff(s) sues Defendant(s) and alleges: 2 Sa
1 This is an action to evict a tenant from real Property
in Osceola County, Florida.
2. PB }) own(s) the following ribed real roperty in said County: .
(Street Address, City, State, Zip code) 7E>
3. That the Defendant(s) has/have possession of the pr
em underis
an oral/
es written fi
eee
written attach co; to pay rent of $75per 27 Foz,
to be paid on the “C__ dayof egeh
4. Defendant(s) failed to pay rent on
5. Plaintiff(s) served Defendant(s) with a notice on
2s 207K
pay rent or deliver possession, but Defendant(s) hav
25-2 /7 0
refusedto do so.
Wherefore Landlord prays this Court will grant him possession of the
premises, costs and
damages if any.
COUNT I-SUIT TO RECOVER DAMAGES
Plaintifi(s) sues Defendant(s) and alleges:
1, This is an action for damages in the amount of $
that is due for the
period of plus any rent accrued during the
course of this action.
2. This is an action for damages to property/loss of property
in the amount of $
3. This is a request for the security deposit in the amount of
$ to offset damages
to property.
Ds
WHEREFORE, Plaintiff(s) demands judgment for damages against
Dei
Date G- ZG-20 | 1 DerSf LID Few
eee oh eK eka
Comp 3day Printed Ndme of Landlord
Page 4
AOT-HGTe4OGS
Telephone Number
THREE DAY NOTICE
ON
TO PAY RENT OR DELIVER POSSESSI
TO: Wk FLE4 ES
Tenant's Name
208 Ge
Address:
AZLSE «razr LLB Y 243
City, State, Zip:
FROM: Gee aah We Li thyltprel.
DATE: ee ££. 23-8 OZ.
TO US IN THE SUM OF
YOU ARE HEREBY NOTIFIED THAT YOU ARE INDEBTED
eG use Above referenced
$. 0.0.2 (Insert amount owed by tenant) for the rent and,
inty
aa ‘(insert
premises located at
ee the rent or possession of
address of premises), now occupied by you and that‘we demand payment
WLLL:
inday and legal holidays) from the date of
the premises within three (3) days (oreneneSSaturday, Si
delivery of this notice to-wit: on or before the ZF cay of
22/7, 201 Viinsert the date
which is three days from the delivery of this notice, excluding the date of delivery, Saturday, Sunday
and legal holidays).
Seu lh hobak
Owner/ Agent Signature
Lye iw Tolls Aue
Ae 22 Smee FLA 34 1¢3
City, State, Zip Code
UebVUGI-4O TV
Telephone Number
CERTIFICATE OF SERVICE
| certify that a copy of the above notice was:
VK setivere to AgARR FloReS ty hand onF= 4-17, 20%
posted on the premises described above in the tenants absence on G- -25-/] 2017.
By:_f Gert BY hand
Owner
/ Agent
Residential Lease for Single Family Home or Duplex
(FOR A TERM NOT TO EXCEED ONE YEAR)
A BOX ( [1] ) OR A BLANK SPACE ( ) INDICATES A PROVISION WHERE A CHOICE OR
DECISION MUST BE MADE BY THE PARTIES.
THE LEASE IMPOSES IMPORTANT LEGAL OBLIGATIONS. MANY RIGHTS AND
RESPONSIBILITIES OF THE PARTIES ARE GOVERNED BY CHAPTER 83, PART
I,
RESIDENTIAL LANDLORD AND TENANT ACT, FLORIDA STATUTES. A COPY OF
THE
RESIDENTIAL LANDLORD AND TENANT ACT IS ATTACHED TO THIS LEASE.
1. PARTIES. This is a lease ("the Lease"
address of owner of
d Zs
property):
2
28 2between LAB. Me WK
CHALLE,Lge
a- 1Aname
(“Landlord”) and
&
At (name e(S) of person(s) to whom
the is leased) (“Tenant.”)
_ - <9 wo.
Landlord’s E-mail address: v. OSL
Landlord’s Telephone Number:
BS@ Gar,
GOP40 FT 9s8 Le OF CY P- L107
Tenant’s E-mail address:
Tenant's Telephone Number: G9 s 722
GOa OR
7 PEF-G F4-SOST
2. Oe oan Dive, Loe dlord leases to Tenant the land and buildings located at
i 2éstreet address) , Florida (ip
code) 34743
together with the following furniture and appliances [List all furniture and appliances. If none, write
“none."] (In the Lease, the property leased, including furniture and appliances, if any, is called "the
Premises"): :
PFI Ow Ce. [eek ak
Or. clinkLA 2 frame Bort aphasia chire Br
Prt
ite mromiee stall
Death aCASS
occupi ied
J ect2s
a weet it and the folloyine Persons
pore Banc Teg wy Jasco
Cs
CS]
f “aigo
is_is a lease for a term, not to
c—ntilins
exceed twelve ginning on
(month, day, year) and ending. (month, day,
4. RENT PAYMENTS, TAXES AND CHARGES.
Tenant shall pay total rent in the amount of $
rent shall be payable by Tenant in advance in install Oe Mx cluding taxes) for the Lease Term. The
Sor in full as provided in the options below:
CO in installments. If in installments, rent shall be payable
EX monthly, on the LZ day of each month (if left blank, on the first day of each month)
in the amount of $ per installment.
OR
(2 weekly, on the day of each week. (If left blank, on Monday of each week.) in
the amount of $ per installment.
6 A te rset
oF a
NT eel
5 leniainehareypieere a
Tenant shall also be obligated to Pay taxes on the
rent when applicable in the amount of $
O with each rent installment oO with the rent for
the full term ofthe Lease. Landlord will notify
the amount of the tax changes. Tenant if
Payment Summa:
If rent is paid in installments, the total payment
per installment including taxes shall
be in the amount of $
If rent is paid in full, the total payment
including taxes shall be in the amount of
:
A Tent payments I be payable wo
JOSe
SM
address,
LE
l.
MT Lath L EPL (address). (if left blank, to
Z
Landlord
(name)
at Landiord’s
at
1 If the tenancy starts on a day other than the
first day of the month or week as designated above, the
rent shall be prorated from (date) through (date)in the amount of
and shall be due on. (date) (If rent paid monthly, prorate on a 30
day month.)
Tenant
check, Dnmake rent pa‘
‘mo! mney order,
its required under the Lease
€ashier’s check, or [] other
Payment is accepted by any means other than cash,
by (choose all applicable) ['ash, [1] personal
(specify). If
Paymen t is not considered made until the other
instrument is collected.
If Tenant makes a rent Payment with a worthless check, Landlord can
a ire Tenant [_] to pay all future
payments by [_] money order, cashier’s check or official bank check or
to pay bad check fees in the amount of $. cash or other (specify), and []
£4 _ (not to exceed the amount prescribed by Section
68.065, Florida Statutes.)
5. MONEY DUE PRIOR TO OCCUPANCY. Tenant shall
pay the sum of $. 1522 “in accordance
with this paragraph prior to occupy’ ying the Premises. Tenant
shall not be entitl led to move in or to keys to
the Premises until all morney due prior to occupancy has been paid. If no date
iis specified below, then funds
shall be due prior to Tenant occupancy. Any funds designated ineethis Paragr
aph due after occupancy, shall
be paid accordingly. Any funds due under this paragraph shall be payable
to Landlord at Landlord’s
address
or to
Ti seph Ket att
(name)
"LYE ll Tha tke BVL-KE $3110 ree FFAS 4714S
(address)
First [] month’s []_ week’s rent plus applicable taxes
due
Prorated rent plus plicable taxes
due
Advance rent for month [J] week of
plus applicable taxes
Last due
month’s [] week’s rent plus applicable taxes
i urity deposit
Security deposit for homeowner’s association
Pet Deposit due
Other, due
due
due
>
Sect & Lifes 4 | S20
6. LATE FEES. (Complete if applicable) In addition to rent, Tenant shall pay a late charge in the amount
of $ So _(If left blank, 4% of the rent payment) for each rent payment made
days after the day it is due (if left blank, 5 days if rent is paid monthly, 1 day if rent is paid weekly).
7. PETS AND SMOKING. Uniess this box [] is checked or a pet deposit is paid, Tenant may not keep
pets or animals on the Premises. If Tenant may keep pets, the pets described in this paragraph are permitted
on Premises.
(Specify number of pets, type(s), breed, maximum adult weight of pets.)
Unless this box [[] is checked, no smoking is permitted in the Premises.
8. NOTICES.
TEC Kern F- is Landlord’s Agent. All notices must be
ao
EF SOS
Landlord VS, 20K fi #214 Fliathck bv
QO Landlord’: 's Agent
unless Landlord gives Tenant written notice of a change. All notices of such names and addresses or
changes thereto shall be delivered to the Tenant's residence or, if specified in writing by the Tenant, to any
other address. All notices to the Landlord or the Landlord's Agent (whichever is specified above) shall be
given by U.S. mail or by hand delivery.
Any notice to Tenant shall be given by U.S. mail or delivered to Tenant at the Premises. If Tenant is absent
from the Premises, a notice to Tenant may be given by leaving a copy of the notice at Premises.
9. UTILITIES. Tenant shall pay for all utilities services during the Lease Term and connection charges
and deposits for activating existing utility connections to the Premises except for
4 that Landlord agrees to provide at Landlord’s expense (If blank, then
“NONE”).
10. MAINTENANCE.
Landlord shall be responsible for compliance with Section 83.51, Florida Statutes, and shall be responsible
for maintenance and repair of the Premises, unless otherwise stated below: (Fill in each blank space with
“Landlord" for Landlord or “Tenant” for Tenant, if left blank, Landlord will be responsible for the
item):
7 roofs windows + screens
doors
b= steps
loors 7 porches #-_ exterior walls
—~_ foundations plumbing i~__ structural components
__ heating + hot water running water locks and keys
i _ electrical system £ cooling i smoke detection devices
\-- garbage removal/ outside receptacles
~~ extermination of rats, mice, roaches, ants and bedbugs
~~ extermination of wood-d jog organisms
x... lawn/shrubbery /spa/hot tub
ie
pur Water treatment
CHilings
ZitAilters (specify)
interior walls
Other (specify)
Tenant shall notify (name) at
(address) (if left blank, Landlord at Landlord’s address) and
(telephone number) of maintenance and repair requests.
11. ASSIGNMENT. Unless this box Lis
checked, Tenant may not assign the Lease
any part of the Premises without first obtai or sublease all or
ning the Landlord’s written approval
assignment or sublease. and consent to the
12. KEYS AND LOCKS. Landlord shall furnish Tenant
ns
# of sets of keys to the dwelling
eZ # of mail box
# of gara
door ge
openers
If there is a homeowner’s association, Tenant
will be Provided with the following to
association’s common areas/facilities: access the
# of keysto
# of remote controls to
# of electronic cards to
other (specify) to
At a of KE Term, all
Taek
items specified in
Rie
this
(name)
(address) (If left blank, Landlord at Landiord’s
Lae Fz
13. LEAD-BASED PAINT. [1] Check and complete
if the dwelli ling was built before Janua
Lead Warning Statement (when used in ry 1, 1978.
thi is article, the term Lessor refers to Landl
Lessee refers to Tenant). ord and the term
Housing built before 1978 may contain lead-1 based
paint. Lead from paint, paint chips, and
health hazards if not managed properly Lead expos dust can pose
ure is especial lly harmful to young childr
pregnant women. Before Tenting pre-1978 en and
housing, Lessors must di isclose the presence
based paint and/or lead-b paint
ase of known lead-
hazard
d s in the dwelling. Lessees must also receive
pamphlet on lead poisoning prevention. a federally approved
Lessor's Disclosure (initial)
Presence of lead-based paint or lead-based
paint hazards (check (i) or (ii) below):
— Known lead-based paint and/or lead-based
(explain). paint hazards are present in the housing
Gi)_ Lessor has no knowledge of lead-based Paint
and/or lead-based paint hazards in the
ing
Records and reports available to the Lessor (check
(i) or (ii) below):
Lessor has provided the lessee with all availa
ble records and reports pertaining to
lead-based paint and/or lead-based paint hazards
in the housing (list documents bel low).
Lessor
has no feports or records pertaining to lead-based
hazards in the housing. paint and/or lead-based paint
Lessee's Acknowledgment (initial)
ZR Lessee has received copies of all information listed above.
Lessee has received the pamphlet Protect
Your Family From Lead in Your Home.
Agent's Acknowledgment (initial)
Ie Agent has informed the Lessor of the Lessor's obligations under 42 U.S.C. 4852d and is aware
of
his/her responsibility to ensure compliance.
Certification of Accuracy
The following parties have reviewed the information above and certi: ify, to the best of their knowledge, that
ara RY jot
ak{oves
vided by
Lessors signature
Med atory is true and accurate.
Na Adj Les
r’s signature
6-1 2-/7
Date
Neath fhe Lessee’s signature
rok- ffl? Zag Le ke Zand. reye /7
sée’s Signature
—
Joa Ahhdiptadt— oh. af) 2 LEke LL ke Fit a/, za See 7
Agent’s si gent's signature
14. SERVICEMEMBER. If Tenant is a member of the United States Armed Forces
on active duty or
state active duty or a member of the Florida National Guard or United States Reserve Forces,
the Tenant
has rights to terminate the Lease as provided in Section 83.682, Florida Statutes, the provisions
of which
can be found in the attachment to this Lease.
15. LANDLORD’S ACCESS TO THE PREMISES. Landlord’s Agent may enter the Premises in the
following circumstances:
At any time for the protection or preservation of the Premises.
After reasonable notice to Tenant at reasonable times for the purpose of repairing
the
Premises.
To inspect the Premises; make neces: ‘sary or agreed-upon repairs, decorations, alterations,
or improvements; supply agreed services; or exhibit the Premises to prospective or
actual purchasers,
mortgagees, tenants, workers, or contractors under any of the following circumstances:
with Tenant’s consent;
in case of emergency;
when Tenant unreasonably withholds consent; or
if Tenant is absent from the Premises for a period of at least one-half a rental
installment period. (If the rent is current and Tenant notifies Landlord of an intended absence,
then
Landlord may enter only with Tenant’ 's consent or for the protection or preservation of the Premises.
)
16. HOMEOWNER’S ASSOCIATION. IF TENANT MUST BE APPROVED
HOMEOWNER’S ASSOCIATION (“ASSOCIATION”), LANDLORD AND BY A
TENANT AGREE
THAT THE LEASE IS CONTINGENT UPON RECEIVING APPROV
AL FROM THE
ASSOCIATION. ANY APPLICATION FEE REQUIRED BY AN ASSOCI
ATION SHALL BE
PAID BY []LANDLORD [] TENANT. IF SUCH APPROVAL IS NOT
OBTAINED PRIOR TO
COMMENCEMENT OF LEASE TERM, EITHER PARTY BY MAY TERMINATE THE LEASE
WRITTEN NOTICE TO THE OTHER GIVEN AT ANY TIME PRIOR TO
APPROVAL BY THE
ASSOCIATION, AND IF THE LEASE IS TERMINATED, TENANT SHALL
RECEIVE RETURN
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IN THE COUNTY COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA caseNo.20 |] -cc-Q38) ev C5onmy give VOI PLAINTIFF atts £1; BeTLd LA LIL Kise ed S77. (CITY, STATE, ZIP CODE) GS COMPLAINT FOR TENANT EVICTION- (NON-PAYMENT OF RENT) VS. , =. D> Srey DESEND, (S) sm CéteZe Sire i oS OK aS mFS (ADDRESS)SS) Ae sierra ce KY 3up FHS et 22 7 COUNT I - POSSESSION XS Plaintiff(s) sues Defendant(s) and alleges: 2 Sa 1 This is an action to evict a tenant from real Property in Osceola County, Florida. 2. PB }) own(s) the following ribed real roperty in said County: . (Street Address, City, State, Zip code) 7E> 3. That the Defendant(s) has/have possession of the pr em underis an oral/ es written fi eee written attach co; to pay rent of $75per 27 Foz, to be paid on the “C__ dayof egeh 4. Defendant(s) failed to pay rent on 5. Plaintiff(s) served Defendant(s) with a notice on 2s 207K pay rent or deliver possession, but Defendant(s) hav 25-2 /7 0 refusedto do so. Wherefore Landlord prays this Court will grant him possession of the premises, costs and damages if any. COUNT I-SUIT TO RECOVER DAMAGES Plaintifi(s) sues Defendant(s) and alleges: 1, This is an action for damages in the amount of $ that is due for the period of plus any rent accrued during the course of this action. 2. This is an action for damages to property/loss of property in the amount of $ 3. This is a request for the security deposit in the amount of $ to offset damages to property. Ds WHEREFORE, Plaintiff(s) demands judgment for damages against Dei Date G- ZG-20 | 1 DerSf LID Few eee oh eK eka Comp 3day Printed Ndme of Landlord Page 4 AOT-HGTe4OGS Telephone Number THREE DAY NOTICE ON TO PAY RENT OR DELIVER POSSESSI TO: Wk FLE4 ES Tenant's Name 208 Ge Address: AZLSE «razr LLB Y 243 City, State, Zip: FROM: Gee aah We Li thyltprel. DATE: ee ££. 23-8 OZ. TO US IN THE SUM OF YOU ARE HEREBY NOTIFIED THAT YOU ARE INDEBTED eG use Above referenced $. 0.0.2 (Insert amount owed by tenant) for the rent and, inty aa ‘(insert premises located at ee the rent or possession of address of premises), now occupied by you and that‘we demand payment WLLL: inday and legal holidays) from the date of the premises within three (3) days (oreneneSSaturday, Si delivery of this notice to-wit: on or before the ZF cay of 22/7, 201 Viinsert the date which is three days from the delivery of this notice, excluding the date of delivery, Saturday, Sunday and legal holidays). Seu lh hobak Owner/ Agent Signature Lye iw Tolls Aue Ae 22 Smee FLA 34 1¢3 City, State, Zip Code UebVUGI-4O TV Telephone Number CERTIFICATE OF SERVICE | certify that a copy of the above notice was: VK setivere to AgARR FloReS ty hand onF= 4-17, 20% posted on the premises described above in the tenants absence on G- -25-/] 2017. By:_f Gert BY hand Owner / Agent Residential Lease for Single Family Home or Duplex (FOR A TERM NOT TO EXCEED ONE YEAR) A BOX ( [1] ) OR A BLANK SPACE ( ) INDICATES A PROVISION WHERE A CHOICE OR DECISION MUST BE MADE BY THE PARTIES. THE LEASE IMPOSES IMPORTANT LEGAL OBLIGATIONS. MANY RIGHTS AND RESPONSIBILITIES OF THE PARTIES ARE GOVERNED BY CHAPTER 83, PART I, RESIDENTIAL LANDLORD AND TENANT ACT, FLORIDA STATUTES. A COPY OF THE RESIDENTIAL LANDLORD AND TENANT ACT IS ATTACHED TO THIS LEASE. 1. PARTIES. This is a lease ("the Lease" address of owner of d Zs property): 2 28 2between LAB. Me WK CHALLE,Lge a- 1Aname (“Landlord”) and & At (name e(S) of person(s) to whom the is leased) (“Tenant.”) _ - <9 wo. Landlord’s E-mail address: v. OSL Landlord’s Telephone Number: BS@ Gar, GOP40 FT 9s8 Le OF CY P- L107 Tenant’s E-mail address: Tenant's Telephone Number: G9 s 722 GOa OR 7 PEF-G F4-SOST 2. Oe oan Dive, Loe dlord leases to Tenant the land and buildings located at i 2éstreet address) , Florida (ip code) 34743 together with the following furniture and appliances [List all furniture and appliances. If none, write “none."] (In the Lease, the property leased, including furniture and appliances, if any, is called "the Premises"): : PFI Ow Ce. [eek ak Or. clinkLA 2 frame Bort aphasia chire Br Prt ite mromiee stall Death aCASS occupi ied J ect2s a weet it and the folloyine Persons pore Banc Teg wy Jasco Cs CS] f “aigo is_is a lease for a term, not to c—ntilins exceed twelve ginning on (month, day, year) and ending. (month, day, 4. RENT PAYMENTS, TAXES AND CHARGES. Tenant shall pay total rent in the amount of $ rent shall be payable by Tenant in advance in install Oe Mx cluding taxes) for the Lease Term. The Sor in full as provided in the options below: CO in installments. If in installments, rent shall be payable EX monthly, on the LZ day of each month (if left blank, on the first day of each month) in the amount of $ per installment. OR (2 weekly, on the day of each week. (If left blank, on Monday of each week.) in the amount of $ per installment. 6 A te rset oF a NT eel 5 leniainehareypieere a Tenant shall also be obligated to Pay taxes on the rent when applicable in the amount of $ O with each rent installment oO with the rent for the full term ofthe Lease. Landlord will notify the amount of the tax changes. Tenant if Payment Summa: If rent is paid in installments, the total payment per installment including taxes shall be in the amount of $ If rent is paid in full, the total payment including taxes shall be in the amount of : A Tent payments I be payable wo JOSe SM address, LE l. MT Lath L EPL (address). (if left blank, to Z Landlord (name) at Landiord’s at 1 If the tenancy starts on a day other than the first day of the month or week as designated above, the rent shall be prorated from (date) through (date)in the amount of and shall be due on. (date) (If rent paid monthly, prorate on a 30 day month.) Tenant check, Dnmake rent pa‘ ‘mo! mney order, its required under the Lease €ashier’s check, or [] other Payment is accepted by any means other than cash, by (choose all applicable) ['ash, [1] personal (specify). If Paymen t is not considered made until the other instrument is collected. If Tenant makes a rent Payment with a worthless check, Landlord can a ire Tenant [_] to pay all future payments by [_] money order, cashier’s check or official bank check or to pay bad check fees in the amount of $. cash or other (specify), and [] £4 _ (not to exceed the amount prescribed by Section 68.065, Florida Statutes.) 5. MONEY DUE PRIOR TO OCCUPANCY. Tenant shall pay the sum of $. 1522 “in accordance with this paragraph prior to occupy’ ying the Premises. Tenant shall not be entitl led to move in or to keys to the Premises until all morney due prior to occupancy has been paid. If no date iis specified below, then funds shall be due prior to Tenant occupancy. Any funds designated ineethis Paragr aph due after occupancy, shall be paid accordingly. Any funds due under this paragraph shall be payable to Landlord at Landlord’s address or to Ti seph Ket att (name) "LYE ll Tha tke BVL-KE $3110 ree FFAS 4714S (address) First [] month’s []_ week’s rent plus applicable taxes due Prorated rent plus plicable taxes due Advance rent for month [J] week of plus applicable taxes Last due month’s [] week’s rent plus applicable taxes i urity deposit Security deposit for homeowner’s association Pet Deposit due Other, due due due > Sect & Lifes 4 | S20 6. LATE FEES. (Complete if applicable) In addition to rent, Tenant shall pay a late charge in the amount of $ So _(If left blank, 4% of the rent payment) for each rent payment made days after the day it is due (if left blank, 5 days if rent is paid monthly, 1 day if rent is paid weekly). 7. PETS AND SMOKING. Uniess this box [] is checked or a pet deposit is paid, Tenant may not keep pets or animals on the Premises. If Tenant may keep pets, the pets described in this paragraph are permitted on Premises. (Specify number of pets, type(s), breed, maximum adult weight of pets.) Unless this box [[] is checked, no smoking is permitted in the Premises. 8. NOTICES. TEC Kern F- is Landlord’s Agent. All notices must be ao EF SOS Landlord VS, 20K fi #214 Fliathck bv QO Landlord’: 's Agent unless Landlord gives Tenant written notice of a change. All notices of such names and addresses or changes thereto shall be delivered to the Tenant's residence or, if specified in writing by the Tenant, to any other address. All notices to the Landlord or the Landlord's Agent (whichever is specified above) shall be given by U.S. mail or by hand delivery. Any notice to Tenant shall be given by U.S. mail or delivered to Tenant at the Premises. If Tenant is absent from the Premises, a notice to Tenant may be given by leaving a copy of the notice at Premises. 9. UTILITIES. Tenant shall pay for all utilities services during the Lease Term and connection charges and deposits for activating existing utility connections to the Premises except for 4 that Landlord agrees to provide at Landlord’s expense (If blank, then “NONE”). 10. MAINTENANCE. Landlord shall be responsible for compliance with Section 83.51, Florida Statutes, and shall be responsible for maintenance and repair of the Premises, unless otherwise stated below: (Fill in each blank space with “Landlord" for Landlord or “Tenant” for Tenant, if left blank, Landlord will be responsible for the item): 7 roofs windows + screens doors b= steps loors 7 porches #-_ exterior walls —~_ foundations plumbing i~__ structural components __ heating + hot water running water locks and keys i _ electrical system £ cooling i smoke detection devices \-- garbage removal/ outside receptacles ~~ extermination of rats, mice, roaches, ants and bedbugs ~~ extermination of wood-d jog organisms x... lawn/shrubbery /spa/hot tub ie pur Water treatment CHilings ZitAilters (specify) interior walls Other (specify) Tenant shall notify (name) at (address) (if left blank, Landlord at Landlord’s address) and (telephone number) of maintenance and repair requests. 11. ASSIGNMENT. Unless this box Lis checked, Tenant may not assign the Lease any part of the Premises without first obtai or sublease all or ning the Landlord’s written approval assignment or sublease. and consent to the 12. KEYS AND LOCKS. Landlord shall furnish Tenant ns # of sets of keys to the dwelling eZ # of mail box # of gara door ge openers If there is a homeowner’s association, Tenant will be Provided with the following to association’s common areas/facilities: access the # of keysto # of remote controls to # of electronic cards to other (specify) to At a of KE Term, all Taek items specified in Rie this (name) (address) (If left blank, Landlord at Landiord’s Lae Fz 13. LEAD-BASED PAINT. [1] Check and complete if the dwelli ling was built before Janua Lead Warning Statement (when used in ry 1, 1978. thi is article, the term Lessor refers to Landl Lessee refers to Tenant). ord and the term Housing built before 1978 may contain lead-1 based paint. Lead from paint, paint chips, and health hazards if not managed properly Lead expos dust can pose ure is especial lly harmful to young childr pregnant women. Before Tenting pre-1978 en and housing, Lessors must di isclose the presence based paint and/or lead-b paint ase of known lead- hazard d s in the dwelling. Lessees must also receive pamphlet on lead poisoning prevention. a federally approved Lessor's Disclosure (initial) Presence of lead-based paint or lead-based paint hazards (check (i) or (ii) below): — Known lead-based paint and/or lead-based (explain). paint hazards are present in the housing Gi)_ Lessor has no knowledge of lead-based Paint and/or lead-based paint hazards in the ing Records and reports available to the Lessor (check (i) or (ii) below): Lessor has provided the lessee with all availa ble records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents bel low). Lessor has no feports or records pertaining to lead-based hazards in the housing. paint and/or lead-based paint Lessee's Acknowledgment (initial) ZR Lessee has received copies of all information listed above. Lessee has received the pamphlet Protect Your Family From Lead in Your Home. Agent's Acknowledgment (initial) Ie Agent has informed the Lessor of the Lessor's obligations under 42 U.S.C. 4852d and is aware of his/her responsibility to ensure compliance. Certification of Accuracy The following parties have reviewed the information above and certi: ify, to the best of their knowledge, that ara RY jot ak{oves vided by Lessors signature Med atory is true and accurate. Na Adj Les r’s signature 6-1 2-/7 Date Neath fhe Lessee’s signature rok- ffl? Zag Le ke Zand. reye /7 sée’s Signature — Joa Ahhdiptadt— oh. af) 2 LEke LL ke Fit a/, za See 7 Agent’s si gent's signature 14. SERVICEMEMBER. If Tenant is a member of the United States Armed Forces on active duty or state active duty or a member of the Florida National Guard or United States Reserve Forces, the Tenant has rights to terminate the Lease as provided in Section 83.682, Florida Statutes, the provisions of which can be found in the attachment to this Lease. 15. LANDLORD’S ACCESS TO THE PREMISES. Landlord’s Agent may enter the Premises in the following circumstances: At any time for the protection or preservation of the Premises. After reasonable notice to Tenant at reasonable times for the purpose of repairing the Premises. To inspect the Premises; make neces: ‘sary or agreed-upon repairs, decorations, alterations, or improvements; supply agreed services; or exhibit the Premises to prospective or actual purchasers, mortgagees, tenants, workers, or contractors under any of the following circumstances: with Tenant’s consent; in case of emergency; when Tenant unreasonably withholds consent; or if Tenant is absent from the Premises for a period of at least one-half a rental installment period. (If the rent is current and Tenant notifies Landlord of an intended absence, then Landlord may enter only with Tenant’ 's consent or for the protection or preservation of the Premises. ) 16. HOMEOWNER’S ASSOCIATION. IF TENANT MUST BE APPROVED HOMEOWNER’S ASSOCIATION (“ASSOCIATION”), LANDLORD AND BY A TENANT AGREE THAT THE LEASE IS CONTINGENT UPON RECEIVING APPROV AL FROM THE ASSOCIATION. ANY APPLICATION FEE REQUIRED BY AN ASSOCI ATION SHALL BE PAID BY []LANDLORD [] TENANT. IF SUCH APPROVAL IS NOT OBTAINED PRIOR TO COMMENCEMENT OF LEASE TERM, EITHER PARTY BY MAY TERMINATE THE LEASE WRITTEN NOTICE TO THE OTHER GIVEN AT ANY TIME PRIOR TO APPROVAL BY THE ASSOCIATION, AND IF THE LEASE IS TERMINATED, TENANT SHALL RECEIVE RETURN