Fargo House:   1638 9th St N    Fargo, ND 58102

RESIDENTIAL LEASE

INSPECTION CHECKLIST

Tenant has inspected the Premises and states that the Premises are in satisfactory condition, free of defects, except as noted below:

                             SATISFACTORY                                     COMMENTS

Bathrooms                 _______                            ______________________________

Bedroom                    _______                            ______________________________

Cabinets                    _______                            ______________________________

Carpeting                   _______                            ______________________________

Ceilings                     _______                            ______________________________

Closets                       _______                            ______________________________

Dishwasher                _______                            ______________________________

Disposal                    _______                            ______________________________

Doors                         _______                            ______________________________

Dryer                         _______                            ______________________________

Floors                        _______                            ______________________________

Lights                        _______                            ______________________________

Locks                         _______                            ______________________________

Microwave                _______                            ______________________________

Refrigerator               _______                            ______________________________

Screens                      _______                            ______________________________

Stove                         _______                            ______________________________

Walls                         _______                            ______________________________

Washer                      _______                            ______________________________

Windows                   _______                            ______________________________

Window coverings    _______                            ______________________________

______________       _______                            ______________________________

______________       _______                            ______________________________

_______________________________

Date

Tenant:

____________________________________________________

___________________________________

Acknowledged by Landlord:

____________________________________________________

John R & Jody Holand

RESIDENTIAL LEASE

DISCLOSURE OF INFORMATION ON LEAD-BASED PAINT

OR LEAD-BASED PAINT HAZARDS

Lead Warning Statement

Housing built before 1978 may contain lead-based paint.  Lead from paint, paint chips and dust can pose health hazards if not managed properly.  Lead exposure is especially harmful to young children and pregnant women.  Before renting pre-1978 housing, landlords must disclose the presence of known lead-based paint and/or lead-based paint hazards in the dwelling.  Tenants must also receive a federally approved pamphlet on poisoning prevention.

Landlord's Disclosure

(a) Presence of lead-based paint and/or lead-based paint hazards (Check (i) or (ii) below):

(i) _____ Known lead-based paint and/or lead-based paint hazards are present in the housing (explain):  ______________________________________________

(ii) __X__ Landlord has no knowledge of lead-based paint and/or lead-based paint hazards in the housing.

(b) Records and reports available to the landlord (Check (i) or (ii) below):

(i) _____ Landlord has provided the Tenant with all available records and reports pertaining to lead-based paint and/or lead-based paint hazards in the housing (list documents): ______________________________________________ 

(ii)__X__ Landlord has no reports or records pertaining to lead-based paint and/or lead-based paint hazards in the housing.

Tenant's Acknowledgment (initial)

(c) _____ Tenant has received copies of all information listed above.

(d) _____ Tenant has received the pamphlet Protect Your Family From Lead In Your Home.

Certification of Accuracy

The following parties have reviewed the information above and certify, to the best of their knowledge, that the information they have provided is true and accurate.

____________________    ___________     

John R & Jody Holand       Date

____________________    ___________

____________________    Date