Régie du logement Mandatory Form – LEASE of a Dwelling Instructions
This form contains 294 fields organized into 73 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Address of Leased Dwelling | ||
| Leased Dwelling Address | Text |
Enter the full address of the leased dwelling.
|
| Animals Allowed (Yes/No) and Specify | ||
| Animals allowed — Specify | Text |
Enter a short description of the animals permitted by the lessee (e.g., type/breed, number, size or any restrictions); if no animals are allowed, enter 'None'. Fill only if 'The lessee has the right to keep one or more animals — Yes' is 'Yes'.
|
| The lessee has the right to keep one or more animals — Yes | Checkbox |
Check this box when the lessee IS permitted to keep one or more animals on the premises.
|
| The lessee has the right to keep one or more animals — No | Checkbox |
Check this box when the lessee is NOT permitted to keep any animals on the premises.
|
| Appliances Included | ||
| Washer | Checkbox |
Check this box if a clothes washer is provided with the dwelling and is included under the lease.
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| Stove | Checkbox |
Check this box if a stove is provided with the dwelling and is included under the lease.
|
| Dryer | Checkbox |
Check this box if a clothes dryer is provided with the dwelling and is included under the lease.
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| Microwave oven | Checkbox |
Check this box if a microwave oven is provided with the dwelling and is included under the lease.
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| Dishwasher | Checkbox |
Check this box if a dishwasher is provided with the dwelling and is included under the lease.
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| Refrigerator | Checkbox |
Check this box if a refrigerator is provided with the dwelling and is included under the lease.
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| Bottom Initials | ||
| Initials of lessee (bottom) | Text |
Enter the lessee's initials as they should appear in the bottom-right area of the form.
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| Initials of lessor (bottom) | Text |
Enter the lessor's initials as they should appear in the bottom-right area of the form.
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| By-laws Given (Divided Co-ownership) (Date and Initials) | ||
| By-laws given (Divided co-ownership) — Day | Text |
Enter the day on which a copy of the by-laws of the immovable (divided co-ownership) was given to the lessee.
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| By-laws given (Divided co-ownership) — Month | Text |
Enter the month on which a copy of the by-laws of the immovable (divided co-ownership) was given to the lessee.
|
| By-laws given (Divided co-ownership) — Year | Text |
Enter the year on which a copy of the by-laws of the immovable (divided co-ownership) was given to the lessee.
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| Initials of lessee (first) | Text |
Enter the initials of the first lessee who received the copy of the by-laws for the divided co-ownership.
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| Initials of lessee (second) | Text |
Enter the initials of the second lessee who received the copy of the by-laws for the divided co-ownership.
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| By-laws Given Before Entering Lease (Date and Initials) | ||
| By‑laws given date: Month | Text |
Enter the month (numeric or name) in which the copy of the by‑laws was given to the lessee before entering the lease.
|
| By‑laws given date: Day | Text |
Enter the day (numeric) on which the copy of the by‑laws was given to the lessee before entering the lease.
|
| By‑laws given date: Year | Text |
Enter the year in which the copy of the by‑laws was given to the lessee before entering the lease.
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| Lessee initials (first) | Text |
Enter the initials of the first lessee to acknowledge receipt of the by‑laws before entering the lease.
|
| Lessee initials (second) | Text |
Enter the initials of the second lessee (if applicable) to acknowledge receipt of the by‑laws before entering the lease.
|
| Divided Co-ownership | ||
| Dwelling located in a unit under divided co-ownership — Yes | Checkbox |
Check this box if the dwelling is located in a unit that is part of a divided (condominium-style) co-ownership.
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| Dwelling located in a unit under divided co-ownership — No | Checkbox |
Check this box if the dwelling is not located in a unit that is part of a divided (condominium-style) co-ownership.
|
| Dwelling Use (Residential Only) and Specify if No | ||
| Dwelling is leased for residential purposes only — Yes | Checkbox |
Check this box when the dwelling is leased solely for residential purposes and no part of the premises will be used for a non-residential activity.
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| Dwelling is leased for residential purposes only — No | Checkbox |
Check this box when the dwelling is leased for both housing and a secondary non-residential purpose (e.g., professional or commercial activities); if checked, specify the second purpose on the provided line.
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| Specify secondary use (if not residential) | Text |
Enter a brief description of the dwelling's second purpose when it is not leased solely for residential use (for example: professional activities, commercial activities). Fill only if 'Dwelling is leased for residential purposes only — No' is 'Yes'.
|
| Electricity Responsibility (Third Row) | ||
| Third Row - Electricity (Lessor) | Checkbox |
Check this box when the lessor (owner) is responsible for paying electricity costs (other than for heating) listed in this row.
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| Third Row - Electricity (Lessee) | Checkbox |
Check this box when the lessee (tenant) is responsible for paying electricity costs (other than for heating) listed in this row.
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| Entering Into the Lease Field | ||
| Lease Entry Information | Text |
Enter any additional information or notes regarding the services offered or completion of Schedule 6 for entering into the lease. Fill only if 'The property leased, the services offered by the lessor and the conditions of your lease are the same' is 'No'.
Depends on:
Property Leased and Services Are Same - No
|
| Eviction (Lease of 6 months or less) | ||
| Eviction Notice Type (Lease of 6 months or less) | Text |
Indicate the type of eviction notice or the specific action related to lease termination for a lease of 6 months or less.
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| Eviction Notice Period (Lease of 6 months or less) | Text |
Provide the duration of the eviction notice period for a lease of 6 months or less, specified in months before lease termination.
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| Eviction (Lease of more than 6 months) | ||
| Eviction Lease Duration (More than 6 months) | Text |
Enter the specific number of months for the lease duration when it is more than 6 months.
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| Eviction (Lease with an indeterminate term) | ||
| Eviction Lease Indeterminate Term Details | Text |
Provide any additional specific details regarding the lease with an indeterminate term for the purpose of eviction.
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| First Payment Date | ||
| First payment date | Text |
Enter the date of the first rent payment for the lease (day, month and year).
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| Fixed Term Lease - Term and Dates | ||
| Fixed term length | Text |
Enter the length of the fixed-term lease as a number corresponding to the specified number of weeks, months or years.
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| Lease start – Day | Text |
Enter the day component of the lease start date.
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| Lease start – Month | Text |
Enter the month component of the lease start date.
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| Lease start – Year | Text |
Enter the year component of the lease start date.
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| Lease end – Day | Text |
Enter the day component of the lease end (termination) date.
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| Lease end – Month | Text |
Enter the month component of the lease end (termination) date.
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| Lease end – Year | Text |
Enter the year component of the lease end (termination) date.
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| Furniture Included (Other Items and Counts) | ||
| Chest(s) of drawers — Number | Text |
Enter the number of chests of drawers included with the dwelling that are leased and included in the rent. Fill only if 'Chest(s) of drawers' is 'Yes'.
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| Chest(s) of drawers | Checkbox |
Check this box if one or more chests of drawers are included with the dwelling, and enter the quantity in the adjacent "Number" field.
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| Couch(es) — Number | Text |
Enter the number of couches included with the dwelling that are leased and included in the rent. Fill only if 'Couch(es)' is 'Yes'.
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| Couch(es) | Checkbox |
Check this box if one or more couches are included with the dwelling, and enter the quantity in the adjacent "Number" field.
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| Armchair(s) — Number | Text |
Enter the number of armchairs included with the dwelling that are leased and included in the rent. Fill only if 'Armchair(s)' is 'Yes'.
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| Armchair(s) | Checkbox |
Check this box if one or more armchairs are included with the dwelling, and enter the quantity in the adjacent "Number" field.
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| Bed(s) — Number | Text |
Enter the number of beds included with the dwelling that are leased and included in the rent. Fill only if 'Bed(s)' is 'Yes'.
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| Bed(s) | Checkbox |
Check this box if one or more beds are included with the dwelling, and enter the quantity (and size where requested) in the adjacent fields.
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| Furniture Included (Tables/Chairs) | ||
| Table(s) — Number | Text |
Enter the number of tables included with the furnished dwelling. Fill only if 'Table(s)' is 'Yes'.
|
| Table(s) | Checkbox |
Check this box when one or more tables are included with the leased dwelling as part of the furniture provided and included in the rent.
|
| Chair(s) — Number | Text |
Enter the number of chairs included with the furnished dwelling. Fill only if 'Chair(s)' is 'Yes'.
|
| Chair(s) | Checkbox |
Check this box when one or more chairs are included with the leased dwelling as part of the furniture provided and included in the rent.
|
| Furniture Included in Rent (Yes/No) | ||
| Furniture is leased and included in the rent — Yes | Checkbox |
Check this box when the dwelling’s furniture is leased and included as part of the rent.
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| Furniture is leased and included in the rent — No | Checkbox |
Check this box when the dwelling’s furniture is not leased or not included in the rent.
|
| Gas (Other than Heating) Responsibility (Second Row) | ||
| Second Row — Gas (other than heating) Responsibility | Text |
Enter the party responsible for gas (other than heating) costs for the second row (for example 'Lessor', 'Lessee', or a short identifier of the responsible party).
|
| Second Row - Gas (other than for heating) — Lessor | Checkbox |
Check this box if the lessor (owner) will be responsible for paying the gas charges that are not related to heating.
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| Second Row - Gas (other than for heating) — Lessee | Checkbox |
Check this box if the lessee (tenant) will be responsible for paying the gas charges that are not related to heating.
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| General | ||
| textbox_1_61_d6adda1f | Text | |
| textbox_1_60_e3551cd1 | Text | |
| textbox_1_43_237908c7 | Text | |
| textbox_1_55_00606904 | Text | |
| Dwelling Erected Five Years Ago Or Less | Checkbox |
Check this box if the dwelling is located in an immovable that was erected five years ago or less.
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| Habitation Day | Text |
Enter the day the immovable became ready for habitation.
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| Habitation Month | Text |
Enter the month the immovable became ready for habitation.
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| Habitation Year | Text |
Enter the year the immovable became ready for habitation.
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| Dwelling Change of Destination Five Years Ago Or Less | Checkbox |
Check this box if the dwelling's use for residential purposes resulted from a change of destination that was made five years ago or less.
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| Alternative Habitation Date | Text |
Enter the date the immovable became ready for habitation for the alternative condition.
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| choicebutton_2_44_016eebc9 | Checkbox | |
| choicebutton_2_48_7ffd3619 | Checkbox | |
| Lowest Rent Paid | Text |
Provide the lowest rent paid for your dwelling during the 12 months preceding the beginning of your lease.
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| Other Payment Frequency | Text |
Specify the frequency of rent payment if it is neither per month nor per week.
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| Rent Frequency Per Week | Checkbox |
Check this box if the lowest rent was paid per week.
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| Rent Frequency Other | Checkbox |
Check this box if the lowest rent was paid at an 'Other' frequency.
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| Rent Frequency Per Month | Checkbox |
Check this box if the lowest rent was paid per month.
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| Property Leased and Services Are Same - Yes | Checkbox |
Check this box if the property leased, the services offered by the lessor, and the conditions of your lease are the same.
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| Property Leased and Services Are Same - No | Checkbox |
Check this box if the property leased, the services offered by the lessor, or the conditions of your lease are not the same.
|
| Changes Made Line 1 | Text |
Enter the first line describing changes made to the lease if the 'No' box is checked off.
|
| Changes Made Line 2 | Text |
Enter the second line describing changes made to the lease if the 'No' box is checked off.
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| Lessor's Signature | Text |
Provide the name of the lessor for their signature.
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| Signature Date G | Text |
Enter the date of the lessor's signature.
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| Lessor Signature 1 | Text |
Provide the signature of the first lessor or their mandatary.
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| Lessor Signature Date 1 | Text |
Enter the date of the first lessor's signature.
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| Lessee Signature 1 | Text |
Provide the signature of the first lessee or their mandatary.
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| Lessee Signature Date 1 | Text |
Enter the date of the first lessee's signature.
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| Lessor Signature 2 | Text |
Provide the signature of the second lessor or their mandatary.
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| Lessor Signature Date 2 | Text |
Enter the date of the second lessor's signature.
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| Lessee Signature 2 | Text |
Provide the signature of the second lessee or their mandatary.
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| Lessee Signature Date 2 | Text |
Enter the date of the second lessee's signature.
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| Lessee Initials 1 | Text |
Provide the initials of the first lessee.
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| Lessee Initials 2 | Text |
Provide the initials of the second lessee.
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| Lessees Solidarily Liable - No | Checkbox |
Check this box if the lessees do not undertake to be solidarily liable for the lease.
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| Lessees Solidarily Liable - Yes | Checkbox |
Check this box if the lessees undertake to be solidarily liable for the lease.
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| Signatory Name 1 | Text |
Enter the full name of the first additional signatory.
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| Signatory Capacity 1 | Text |
State the capacity in which the first additional signatory is signing the lease.
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| Signatory Signature 1 | Text |
Provide the signature of the first additional signatory.
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| Signatory Address 1 | Text |
Enter the address of the first additional signatory.
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| Signatory Signature Date 1 | Text |
Enter the date of the first additional signatory's signature.
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| Signatory Name 2 | Text |
Enter the full name of the second additional signatory.
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| Signatory Signature 2 | Text |
Provide the signature of the second additional signatory.
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| Signatory Capacity 2 | Text |
State the capacity in which the second additional signatory is signing the lease.
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| Signatory Address 2 | Text |
Enter the address of the second additional signatory.
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| Signatory Signature Date 2 | Text |
Enter the date of the second additional signatory's signature.
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| Spouse's Name | Text |
Enter the full name of the spouse.
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| choicebutton_2_47_132ca1d5 | Checkbox | |
| choicebutton_2_46_ff8cc835 | Checkbox | |
| Lessee/Spouse Signature | Text |
Provide the signature of the lessee or the lessee's spouse.
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| Lessee/Spouse Signature Date | Text |
Enter the date of the lessee's or spouse's signature.
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| choicebutton_2_45_8793485d | Checkbox | |
| Lessor Initials | Text |
Provide the initials of the lessor.
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| Lessee Initials | Text |
Provide the initials of the lessee.
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| textbox_4_2_85faf4bb | Text | |
| Manner of Objection | Text |
Provide details on how the lessee objects to the repossession of the dwelling or eviction.
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| General Information Field | ||
| General Information Identifier | Text |
Provide a unique identifier or reference number for this general information section.
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| Heating of Dwelling Responsibility (First Row) | ||
| First Row - Heating of dwelling: Lessor | Checkbox |
Check this box if the lessor (landlord) will bear the cost of heating the dwelling.
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| First Row - Heating of dwelling: Lessee | Checkbox |
Check this box if the lessee (tenant) will bear the cost of heating the dwelling.
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| First Row - Heating of dwelling: Electricity | Checkbox |
Check this box to indicate that electricity is the energy source used for heating the dwelling.
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| First Row - Heating of dwelling: Gas | Checkbox |
Check this box to indicate that gas is the energy source used for heating the dwelling.
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| First Row - Heating of dwelling: Fuel oil | Checkbox |
Check this box to indicate that fuel oil is the energy source used for heating the dwelling.
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| Hot Water (User Fees) Responsibility (Fifth Row) | ||
| Fifth Row - Hot water heater (rental fees) (Lessor) | Checkbox |
Check this box when the lessor (owner) will bear the cost of rental fees for the hot water heater.
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| Fifth Row - Hot water (user fees) (Lessee) | Checkbox |
Check this box when the lessee (tenant) will be responsible for paying the hot water user fees.
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| Hot Water Heater (Rental Fees) Responsibility (Fourth Row) | ||
| Fourth Row - Hot water heater (rental fees) Lessor | Checkbox |
Check this box when the lessor (landlord) will be responsible for paying the hot water heater rental fees.
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| Fourth Row - Hot water heater (rental fees) Lessee | Checkbox |
Check this box when the lessee (tenant) will be responsible for paying the hot water heater rental fees.
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| Indeterminate Term Lease - Start Date | ||
| Start date (day) | Text |
Enter the numeric day (DD) on which the indeterminate-term lease begins.
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| Start date (month) | Text |
Enter the numeric month (MM) in which the indeterminate-term lease begins.
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| Start date (year) | Text |
Enter the four-digit year (YYYY) in which the indeterminate-term lease begins.
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| Indoor Parking | ||
| Indoor parking — Number of places | Text |
Enter the total number of indoor parking spaces included with the dwelling (type the numeric count). Fill only if 'Indoor parking' is 'Yes'.
|
| Indoor parking — Parking space(s) identifier | Text |
Enter the identifier(s) or location description for the indoor parking space(s) (e.g., space number(s), stall location or other reference). Fill only if 'Indoor parking' is 'Yes'.
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| Indoor parking | Checkbox |
Check this box when the lease includes one or more indoor parking spaces for the dwelling (then specify the number of places and the parking space identifier(s) on the form).
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| Janitor/Contact Person Information | ||
| Janitor / Contact Name | Text |
Enter the full name of the janitor or the primary contact person to be reached for janitorial matters.
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| Telephone number | Text |
Enter the primary telephone number for the contact person, including area code and any required dialing prefixes.
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| Email address | Text |
Enter the contact person's email address for written or electronic communications.
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| Other telephone (cell) | Text |
Enter an alternate telephone number for the contact person, for example a cell phone number, including area code.
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| Additional contact details / notes | Text |
Provide any additional contact details or notes related to the janitor or contact person, such as mailing address, hours of availability, or special instructions.
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| Janitorial Services - Specify | ||
| Janitorial Services (1) – Specify | Text |
Enter a clear description of the janitorial services required (scope, tasks, frequency, special instructions or exclusions) to specify what the lessee or contractor must provide.
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| Lease Modification Lease Type | ||
| Indeterminate Term Lease Type | Text |
Please enter the specific type of lease with an indeterminate term being modified.
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| Lease for a Room Type | Text |
Please enter the specific type of lease for a room being modified.
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| Lease Renewal Term | ||
| Lease Renewal End Date | Text |
Enter the end date for the lease renewal term.
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| Lease Renewal Start Date | Text |
Enter the start date for the lease renewal term.
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| Leased Dwelling Address and Details | ||
| DESCRIPTION AND DESTINATION OF LEASED DWELLING, ACCESSORIES AND DEPENDENCIES (art. 1892 C.C.Q.) | Checkbox |
Check this box when you are completing the section that describes the leased dwelling’s address, destination, accessories and dependencies (article 1892 C.C.Q.).
|
| Full address (one line) | Text |
Enter the full street address of the leased dwelling on one line, including street number and street name as needed.
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| Street name | Text |
Enter the street name where the leased dwelling is located (for example, Main Street).
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| Street suffix / directional | Text |
Enter any street suffix or directional indicator that is part of the street name (for example, St., Ave., N, S), if applicable.
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| Apartment / Unit | Text |
Enter the apartment, suite or unit number for the leased dwelling, if applicable.
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| Street number (No.) | Text |
Enter the civic or street number of the leased dwelling (building number).
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| Postal code | Text |
Enter the postal code for the leased dwelling.
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| Lessee - Representative (Where Applicable) | ||
| Lessee Representative — Email address | Text |
Enter the email address of the lessee's representative (where applicable).
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| Lessee (Additional) - Contact Information | ||
| Additional Lessee - Email address | Text |
Enter the additional lessee's email address.
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| Additional Lessee - Full name | Text |
Enter the full legal name of the additional lessee.
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| Additional Lessee - Street | Text |
Enter the street name of the additional lessee's address (do not include the street number).
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| Additional Lessee - Apartment / Unit | Text |
Enter the apartment or unit number for the additional lessee's address, if applicable.
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| Additional Lessee - Postal code | Text |
Enter the postal code for the additional lessee's address.
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| Additional Lessee - Municipality | Text |
Enter the municipality or city for the additional lessee's address.
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| Additional Lessee - Other telephone (cell) | Text |
Provide an alternate telephone number or cell phone number for the additional lessee.
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| Additional Lessee - Telephone number | Text |
Enter the primary telephone number for the additional lessee.
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| Lessee (Primary) - Contact Information | ||
| Lessee full name | Text |
Enter the primary lessee's full legal name as it should appear on the lease.
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| Apartment/unit | Text |
Enter the apartment or unit number for the lessee's address, or leave blank if not applicable.
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| Street number | Text |
Enter the street/building number for the lessee's mailing/residence address.
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| textbox_0_77_4b52baa8 | Text | |
| Municipality | Text |
Enter the municipality (city, town or village) where the lessee's residence is located.
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| Other telephone (cell) | Text |
Enter an additional telephone number for the lessee, for example a cell phone.
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| Telephone number | Text |
Enter the lessee's primary telephone number for contact.
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| Email address | Text |
Enter the lessee's email address for correspondence and notices.
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| Lessee Acknowledgement of Notice | ||
| Lessee Acknowledgement Date | Text |
Enter the date the lessee acknowledges receipt of this notice.
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| Lessee Signature | Text |
Enter the full name of the lessee to acknowledge receipt of this notice.
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| Lessee's Reply Signature and Date | ||
| Lessee's Reply Date | Text |
Enter the date on which the lessee is providing this reply.
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| Lessee's Signature | Text |
Provide the lessee's signature.
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| Lessee's Reply to Lease Modification | ||
| Lessee's Reply for Room Lease | Text |
Provide the lessee's reply concerning the lease modification for a room.
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| Lessee's Response | ||
| I accept the renewal of the lease and its modifications. | Checkbox |
Check this box if you agree to the renewal of your lease and all the proposed modifications.
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| I refuse the proposed modifications and I am renewing my lease. | Checkbox |
Check this box if you do not agree to the proposed modifications but intend to renew your lease.
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| I am not renewing my lease and will vacate the dwelling upon termination of the lease. | Checkbox |
Check this box if you do not intend to renew your lease and will vacate the dwelling at the end of the current lease term.
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| Lessor - Representative (Where Applicable) | ||
| Lessor Representative (Where Applicable) | Text |
Enter the full name of the person or entity legally representing the lessor (for example an agent, proxy or authorized representative), if applicable.
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| Lessor (Additional) - Contact Information | ||
| Email address | Text |
Enter the additional lessor's email address.
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| Name (line 2) | Text |
Enter a second name or co-lessor's full legal name if applicable, otherwise leave blank.
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| Name (line 1) | Text |
Enter the full legal name of the additional lessor (first person or entity).
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| Apartment / Unit | Text |
Enter the apartment, unit or suite number for the address, if applicable.
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| Street number and name | Text |
Enter the street number and street name for the additional lessor's mailing address.
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| Postal code | Text |
Enter the postal code for the additional lessor's address.
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| Municipality / City | Text |
Enter the municipality or city of the additional lessor's address.
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| Other telephone number (cell) | Text |
Enter an alternate telephone number or cell phone number for the additional lessor.
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| Telephone number (primary) | Text |
Enter the additional lessor's primary telephone number, including area code.
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| Lessor (Primary) - Contact Information | ||
| Primary Lessor - Business or Legal Name | Text |
Enter the primary lessor's full legal name or company name as it should appear on the lease.
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| Primary Lessor - Contact Name | Text |
Enter the full name of the individual contact or representative for the lessor.
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| Primary Lessor - Apartment/Unit | Text |
Enter the apartment, suite or unit number for the lessor's address, if applicable.
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| Primary Lessor - Street Number and Name | Text |
Enter the civic number followed by the street name for the lessor's mailing or business address.
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| Primary Lessor - Postal Code | Text |
Enter the postal or ZIP code for the lessor's address.
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| Primary Lessor - Municipality/City | Text |
Enter the municipality, city or town for the lessor's address.
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| Primary Lessor - Other Telephone (cell) | Text |
Enter an alternate telephone number for the lessor (for example, a cell phone), including area code.
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| Primary Lessor - Telephone Number | Text |
Enter the lessor's primary telephone number, including area code.
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| Lessor's Acknowledgement of Reply Receipt | ||
| Acknowledgement Date Day | Text |
Enter the day the lessor acknowledges receipt of the lessee's reply.
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| Acknowledgement Date Month Year | Text |
Enter the month and year the lessor acknowledges receipt of the lessee's reply.
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| Lessor/Mandatary Information and Signature | ||
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| Liability of Spouses and Co-Lessees Field | ||
| Liability of Spouses and Co-Lessees | Text |
Provide details regarding the liability of spouses and co-lessees, as well as any specific conditions or agreements related to their responsibilities.
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| Locker or Storage Space | ||
| Locker or storage space (specify) | Text |
Enter the description or identifier of the locker or storage space provided with the dwelling, such as location or locker/unit number and any relevant details (e.g., number of spaces or exact placement). Fill only if 'Locker or storage space' is 'Yes'.
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| Locker or storage space | Checkbox |
Check this box if a locker or other storage space is provided or assigned in connection with the lease (then specify its location or details on the line provided).
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| Method of Payment (including Other specify) | ||
| Method of Payment (Other - specify) | Text |
If you selected Other as the method of payment, enter the exact payment method or details here (for example: money order, mobile payment app, direct debit instructions, payment service name, etc.). Fill only if 'Other (specify)' is 'Yes'.
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| Other (specify) | Checkbox |
Check this box if the rent will be paid by a method not listed and specify that method on the provided line.
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| Cash | Checkbox |
Check this box if the rent will be paid in cash.
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| Cheque | Checkbox |
Check this box if the rent will be paid by cheque.
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| Electronic bank transfer | Checkbox |
Check this box if the rent will be paid by electronic bank transfer.
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| Non-renewal Lease Type | ||
| Non-renewal Lease Type: 12 months or more | Text |
Provide information for a non-renewal lease that is 12 months or more in duration.
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| Non-renewal Lease Type: Less than 12 months | Text |
Provide information for a non-renewal lease that is less than 12 months in duration.
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| Non-renewal Lease Type: Indeterminate term | Text |
Provide information for a non-renewal lease that has an indeterminate term.
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| Non-renewal of Lease by Lessee Notice Period | ||
| textbox_6_6_335b2f4d | Text | |
| Notice To Lessee | ||
| Lessee Name | Text |
Enter the full name of the lessee.
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| Lessee Address | Text |
Enter the full address of the lessee.
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| Other Accessories and Dependencies (Specify) | ||
| Other accessories and dependencies (Specify) | Text |
Enter any additional accessories or dependencies included with the leased dwelling (for example storage space, shed, balcony, locker location or other items) and provide brief details or specifications.
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| Other Included Items (Specify) | ||
| Other included item (field 2) | Text |
Enter the name and, if applicable, the quantity of an additional appliance or piece of furniture included in the lease that is not listed in the standard items.
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| Other (Specify) | Checkbox |
Check this box when an included item is not listed among the named appliances or furniture and you will specify the item(s) on the lines provided.
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| Other included item (field 3) | Text |
Enter the name and, if applicable, the quantity of an additional appliance or piece of furniture included in the lease that is not listed in the standard items.
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| Other included item (field 1) | Text |
Enter the name and, if applicable, the quantity of an additional appliance or piece of furniture included in the lease that is not listed in the standard items.
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| Other included item (field 4) | Text |
Enter the name and, if applicable, the quantity of an additional appliance or piece of furniture included in the lease that is not listed in the standard items.
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| Other Payment Periods (1st day of month/week) | ||
| 1st - Of the month | Checkbox |
Check this box if the rent will be paid on the 1st day of each month (i.e., the rent payment date is the first day of the monthly payment period).
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| 1st - Of the week | Checkbox |
Check this box if the rent will be paid on the 1st day of each week (i.e., the rent payment date is the first day of the weekly payment period).
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| Other Services, Conditions and Restrictions (Details and Initials) | ||
| Other services, conditions and restrictions (details) | Text |
Enter any other services, conditions or restrictions that apply to the lease (for example antenna, barbecue, air conditioner, clothesline, painting, pool, laundry room), providing brief details for each item.
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| Additional details / clarifications | Text |
Provide any additional information, clarifications or specific notes about the services, conditions or restrictions that do not fit in the main details field above.
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| Initials of lessor | Text |
Enter the lessor's initials to acknowledge and confirm the listed other services, conditions and restrictions.
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| Initials of lessee | Text |
Enter the lessee's initials to acknowledge and confirm the listed other services, conditions and restrictions.
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| Outdoor Parking | ||
| Outdoor parking — Parking space(s) identifier | Text |
Enter the identifier(s) or number(s) of the specific outdoor parking space(s) assigned to the tenant (e.g., stall or space numbers). Fill only if 'Outdoor parking' is 'Yes'.
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| Outdoor parking — Number of places | Text |
Enter the total number of outdoor parking places allocated to the dwelling. Fill only if 'Outdoor parking' is 'Yes'.
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| Outdoor parking | Checkbox |
Check this box if an outdoor parking space (or spaces) is included with the dwelling and you will specify the number of places and parking space identifier(s) on the line(s) provided.
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| Particulars Header | ||
| Particulars Header 1 | Text |
Enter the first part of the particulars header.
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| Particulars Header 2 | Text |
Enter the second part of the particulars header.
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| Place of Payment | ||
| Place of Payment | Text |
Enter the location where the rent is payable (for example a street address, building name, landlord’s office, or instructions if payment is made by mail).
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| Postdated Cheques Agreement and Lessee Initials | ||
| Lessee initials (box 1) | Text |
Enter the lessee's initials exactly as they wish them to appear to acknowledge the postdated cheques agreement in the first initials box. Fill only if 'Lessee agrees to give postdated cheques - Yes' is 'Yes'.
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| Lessee initials (box 2) | Text |
Enter the lessee's initials exactly as they wish them to appear to acknowledge the postdated cheques agreement in the second initials box. Fill only if 'Lessee agrees to give postdated cheques - Yes' is 'Yes'.
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| Lessee agrees to give postdated cheques - Yes | Checkbox |
Check this box when the lessee agrees to give the lessor postdated cheques for the term of the lease.
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| Lessee agrees to give postdated cheques - No | Checkbox |
Check this box when the lessee does not agree to give the lessor postdated cheques for the term of the lease.
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| Rent Amounts and Frequency | ||
| Rent amount | Text |
Enter the dollar amount of the base rent payable for the lease period shown (the rent before services or other charges).
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| The rent is $ — Per month | Checkbox |
Check this box if the rent amount entered on the 'The rent is $' line is payable per month.
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| The rent is $ — Per week | Checkbox |
Check this box if the rent amount entered on the 'The rent is $' line is payable per week.
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| Cost of services | Text |
Enter the dollar amount for the total cost of services provided by the lessor that are charged to the lessee.
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| The total cost of services is $ — Per month | Checkbox |
Check this box if the total cost of services amount entered on the 'The total cost of services is $' line is payable per month.
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| The total cost of services is $ — Per week | Checkbox |
Check this box if the total cost of services amount entered on the 'The total cost of services is $' line is payable per week.
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| Total rent | Text |
Enter the dollar amount of the total rent due, including the base rent plus the cost of any services.
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| The total rent is $ — Per month | Checkbox |
Check this box if the total rent amount entered on the 'The total rent is $' line is payable per month.
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| The total rent is $ — Per week | Checkbox |
Check this box if the total rent amount entered on the 'The total rent is $' line is payable per week.
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| Rent Increase Option (Amount) | ||
| Current Rent for Amount Increase Option | Text |
Enter the current monthly rent amount before the increase.
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| Rent Increase Amount | Text |
Enter the specific monetary amount by which the rent will be increased.
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| Rent Increased by Fixed Amount | Checkbox |
Check this box if the rent will be increased by a specific monetary amount.
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| Rent Increase Option (New Rent) | ||
| New Rent Amount | Text |
Enter the new total monthly rent amount after the increase.
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| Current Rent for New Rent Option | Text |
Enter the current monthly rent amount before the increase.
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| 1st Rent Option: New Total Rent | Checkbox |
Check this box if you intend to increase the rent by specifying the new total rent amount.
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| Rent Increase Option (Percentage) | ||
| Current Rent for Percentage Increase Option | Text |
Provide the current rent amount that will be subject to a percentage increase.
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| Percentage Rent Increase | Text |
Enter the percentage by which the current rent will be increased.
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| Current Rent Increased by Percentage | Checkbox |
Check this box if you intend to increase the current rent by a specific percentage.
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| Rent Increase Option (Tribunal) | ||
| Tribunal Lease End Date | Text |
Enter the date the current lease ends that has given rise to an application for the fixing or review of the rent.
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| Rent Increase by Tribunal | Checkbox |
Check this box if the rent increase percentage will be determined by the tribunal after an application for fixing or review of the rent.
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| Tribunal Rent Increase Percentage | Text |
Enter the percentage by which the rent will be increased as determined by the tribunal.
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| Rent Subsidy Program (Yes/No) and Specify | ||
| Lessee is a beneficiary of a rent subsidy program — Yes | Checkbox |
Check this box if the lessee currently receives or is a beneficiary of any rent subsidy program.
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| Lessee is a beneficiary of a rent subsidy program — No | Checkbox |
Check this box if the lessee does not receive and is not a beneficiary of any rent subsidy program.
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| Rent subsidy program – Specify | Text |
Enter the name or brief description of the rent subsidy program that the lessee receives (leave blank or enter 'None' if not applicable). Fill only if 'Lessee is a beneficiary of a rent subsidy program — Yes' is 'Yes'.
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| Reply To Lessor/Mandatary | ||
| Reply To Lessor/Mandatary Name | Text |
Enter the full name of the lessor or mandatary to whom this reply is addressed.
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| Reply To Lessor/Mandatary Address | Text |
Enter the full address of the lessor or mandatary to whom this reply is addressed.
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| Reply To Leased Dwelling Address | Text |
Enter the full address of the leased dwelling this reply pertains to.
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| Repossession Lease Type | ||
| Repossession Lease Type - 6 Months or Less | Text |
Enter the details for a repossession lease type of 6 months or less.
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| Repossession Lease Type - Indeterminate Term | Text |
Enter the details for a repossession lease type with an indeterminate term.
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| Right of Access to the Land (Yes/No) and Specify | ||
| Right of access to the land — Specify | Text |
Enter a short description of the lessee’s right of access to the land, including any specifics such as permitted routes, restrictions, times, or conditions that apply. Fill only if 'Right of access to the land — Yes' is 'Yes'.
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| Right of access to the land — Yes | Checkbox |
Check this box if the lessee has a right of access to the land.
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| Right of access to the land — No | Checkbox |
Check this box if the lessee does not have a right of access to the land.
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| Right to Maintain Occupancy Field | ||
| Right to Maintain Occupancy | Text |
Enter any relevant information or declaration regarding the right to maintain occupancy.
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| Smoke Detector Compliance - Initials and Date | ||
| Lessor – Date (Day) | Checkbox |
Check this box to indicate/record the day (DD) of the date when the lessor signed/initialed the smoke-detector compliance statement.
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| Lessor – Date (Month) | Checkbox |
Check this box to indicate/record the month (MM) of the date when the lessor signed/initialed the smoke-detector compliance statement.
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| Lessor – Date (Year) | Checkbox |
Check this box to indicate/record the year (YYYY) of the date when the lessor signed/initialed the smoke-detector compliance statement.
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| Lessee initials (second) | Text |
Enter the second lessee's initials (or additional lessee/representative) to acknowledge the presence and proper working order of the smoke detector(s).
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| Lessee – Date (Day) | Checkbox |
Check this box to indicate/record the day (DD) of the date when the lessee signed/initialed the smoke-detector compliance statement.
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| Lessee – Date (Month) | Checkbox |
Check this box to indicate/record the month (MM) of the date when the lessee signed/initialed the smoke-detector compliance statement.
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| Lessee – Date (Year) | Checkbox |
Check this box to indicate/record the year (YYYY) of the date when the lessee signed/initialed the smoke-detector compliance statement.
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| Lessor initials (first) | Text |
Enter the first lessor's initials to acknowledge the presence and proper working order of the smoke detector(s).
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| Lessor initials (second) | Text |
Enter the second lessor's initials (or additional lessor/representative) to acknowledge the presence and proper working order of the smoke detector(s).
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| Lessee initials (first) | Text |
Enter the first lessee's initials to acknowledge the presence and proper working order of the smoke detector(s).
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| Snow and Ice Removal - Balcony Responsibility (Third Row) | ||
| Third Row - Balcony: Lessor | Checkbox |
Check this box if the lessor (owner) is responsible for snow and ice removal on the balcony.
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| Third Row - Balcony: Lessee | Checkbox |
Check this box if the lessee (tenant) is responsible for snow and ice removal on the balcony.
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| Snow and Ice Removal - Entrance/Walkway/Driveway Responsibility (Fourth Row) | ||
| Fourth Row - Entrance, walkway, driveway (Lessor) | Checkbox |
Check this box if the lessor (owner) is responsible for snow and ice removal for the entrance, walkway and driveway.
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| Fourth Row - Entrance, walkway, driveway (Lessee) | Checkbox |
Check this box if the lessee (tenant) is responsible for snow and ice removal for the entrance, walkway and driveway.
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| Snow and Ice Removal - Parking Area Responsibility (Second Row) | ||
| Second Row - Parking area (Lessor) | Checkbox |
Check this box when the lessor is responsible for snow and ice removal from the parking area.
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| Second Row - Parking area (Lessee) | Checkbox |
Check this box when the lessee is responsible for snow and ice removal from the parking area.
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| Snow and Ice Removal - Stairs Responsibility (Fifth Row) | ||
| Fifth Row - Stairs (Lessor) | Checkbox |
Check this box when the lessor (owner/landlord) is responsible for snow and ice removal of the stairs.
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| Fifth Row - Stairs (Lessee) | Checkbox |
Check this box when the lessee (tenant) is responsible for snow and ice removal of the stairs.
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| Water Consumption Tax for Dwelling Responsibility (First Row) | ||
| First Row - Water consumption tax for dwelling (Lessor) | Checkbox |
Check this box when the lessor (owner) will be responsible for paying the water consumption tax for the dwelling for the first row of services/charges.
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| First Row - Water consumption tax for dwelling (Lessee) | Checkbox |
Check this box when the lessee (tenant) will be responsible for paying the water consumption tax for the dwelling for the first row of services/charges.
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