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Blank Residential Rental Agreement
Blank Residential Rental Agreement
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STATE OF INDIANA
RESIDENTIAL LEASE
THIS AGREEMENT is made and entered into by and between ,
(Tenant's name)
(hereinafter referred to as "Tenant"), and the State of Indiana, acting by its Department of
Administration, for and on behalf of ______________________________, (hereinafter referred
to as "Landlord"). (Agency & Facility)
In consideration of the promises and obligations specified in this Lease, the Landlord and Tenant
agree as follows:
I. STATE-OWNED HOUSING UNIFORM POLICY
Tenant, by execution of this Lease, represents that he/she has read and understands the State-
Owned Housing Uniform Policy (the "Policy"), revised in October, 2001 and agrees to be bound
by the terms of the Policy, incorporated by reference herein and made a part hereof.
Landlord, by execution of this Lease, represents that Tenant meets one of the Section 3 Criteria
for Occupancy requirements of the State-Owned Housing Policy. This Tenant qualifies under
Section 3.___. (Place appropriate point under which this employee has been issued housing.)
II. DESCRIPTION OF LEASED PREMISES
Tenant agrees to lease from Landlord and Landlord agrees to lease to Tenant a certain residential
unit known as unit number (Premises) with a common address of
, located on the grounds of (hereinafter referred to
as "Facility").
III. TERM OF LEASE
This Lease shall be effective for a period of one (1) year commencing on , and will
end , unless otherwise specified within this Lease.
IV. RENT
The total agreed rent for the entire term shall be to be paid in biweekly amounts of
through biweekly payroll deductions as authorized through properly executed AS-47 forms or
such other paperwork necessary for a valid payroll deduction. Cancellation of the payroll
deduction shall be considered a notice to vacate the Premises. Tenant shall cooperate with
Landlord to execute all necessary forms for payment of rent.
Tenant agrees that the State's liability under this lease is limited to compensatory damages and
expressly waives any statutory remedy that may arise with regard to said income withholding
agreement.
V. OPTION TO RENEW
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