Sample Rental Lease Extension Template - Free Download
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It is hereby agreed that the current lease on the above referenced property will be extended for a ________ month period.
The new expiration date will be___________________.
The following rates are adjusted at the commencement of the renewed lease term effective _______________________.
Amount Adjusted Total Monthly Amount Due
All other terms and conditions of the current lease remain in full effect throughout the term of this extension. Tenant
acknowledges receipt of
DATED this _________________day of _________________, 20_______ .
(date) (month) (year)
RHA recommends owner/agent re-provide any federal, state or city documents previously required at signing of original
lease to tenant.
Tenant acknowledges receipt of following forms as checked by Owner/Agent (initial):
_______ Department of Health mold hand out. (required as of July 24, 2005)
_______ EPA Brochure: Protect Your Family from Lead in Your Home (mandatory for pre-1978 Properties)
_______ Disclosure of Information on Lead Based Paint and/or Lead Based Paint Hazards (mandatory for pre-1978 Properties)
_______ DPD Owner-Resident Law Summaries & Attorney General’s Landlord-Tenant Summaries (mandatory for Seattle Properties)
_______ Snohomish County Smoke Detector Certiﬁcation Addendum (required for single-family properties in Snohomish County)
Resident Names(s) _________________________________________________________________________________
Unit Number _______________ Street Address ___________________________________________________________
City ________________________________________________ State __________________ Zip ___________________
Formal legal advice and review is recommended prior to selection and use of provided form. RHA does not represent your selection or execution of this form as appropriate for your speciﬁc circumstances
© RHA 2009. For use by current RHA members only. No representation is made as to the sufﬁciency or tax consequences from use of this form.