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.
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.
Microwave oven Checkbox
Check this box if a microwave oven is provided with the dwelling and is included under the lease.
Dishwasher Checkbox
Check this box if a dishwasher is provided with the dwelling and is included under the lease.
Refrigerator Checkbox
Check this box if a refrigerator is provided with the dwelling and is included under the lease.
Bottom Initials
Initials of lessee (bottom) Text
Enter the lessee's initials as they should appear in the bottom-right area of the form.
Initials of lessor (bottom) Text
Enter the lessor's initials as they should appear in the bottom-right area of the form.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
First Payment Date
First payment date Text
Enter the date of the first rent payment for the lease (day, month and year).
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.
Lease start – Day Text
Enter the day component of the lease start date.
Lease start – Month Text
Enter the month component of the lease start date.
Lease start – Year Text
Enter the year component of the lease start date.
Lease end – Day Text
Enter the day component of the lease end (termination) date.
Lease end – Month Text
Enter the month component of the lease end (termination) date.
Lease end – Year Text
Enter the year component of the lease end (termination) date.
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'.
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.
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'.
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.
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'.
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.
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'.
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.
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.
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.
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.
General
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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.
Habitation Day Text
Enter the day the immovable became ready for habitation.
Habitation Month Text
Enter the month the immovable became ready for habitation.
Habitation Year Text
Enter the year the immovable became ready for habitation.
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.
Alternative Habitation Date Text
Enter the date the immovable became ready for habitation for the alternative condition.
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Lowest Rent Paid Text
Provide the lowest rent paid for your dwelling during the 12 months preceding the beginning of your lease.
Other Payment Frequency Text
Specify the frequency of rent payment if it is neither per month nor per week.
Rent Frequency Per Week Checkbox
Check this box if the lowest rent was paid per week.
Rent Frequency Other Checkbox
Check this box if the lowest rent was paid at an 'Other' frequency.
Rent Frequency Per Month Checkbox
Check this box if the lowest rent was paid per month.
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.
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.
Lessor's Signature Text
Provide the name of the lessor for their signature.
Signature Date G Text
Enter the date of the lessor's signature.
Lessor Signature 1 Text
Provide the signature of the first lessor or their mandatary.
Lessor Signature Date 1 Text
Enter the date of the first lessor's signature.
Lessee Signature 1 Text
Provide the signature of the first lessee or their mandatary.
Lessee Signature Date 1 Text
Enter the date of the first lessee's signature.
Lessor Signature 2 Text
Provide the signature of the second lessor or their mandatary.
Lessor Signature Date 2 Text
Enter the date of the second lessor's signature.
Lessee Signature 2 Text
Provide the signature of the second lessee or their mandatary.
Lessee Signature Date 2 Text
Enter the date of the second lessee's signature.
Lessee Initials 1 Text
Provide the initials of the first lessee.
Lessee Initials 2 Text
Provide the initials of the second lessee.
Lessees Solidarily Liable - No Checkbox
Check this box if the lessees do not undertake to be solidarily liable for the lease.
Lessees Solidarily Liable - Yes Checkbox
Check this box if the lessees undertake to be solidarily liable for the lease.
Signatory Name 1 Text
Enter the full name of the first additional signatory.
Signatory Capacity 1 Text
State the capacity in which the first additional signatory is signing the lease.
Signatory Signature 1 Text
Provide the signature of the first additional signatory.
Signatory Address 1 Text
Enter the address of the first additional signatory.
Signatory Signature Date 1 Text
Enter the date of the first additional signatory's signature.
Signatory Name 2 Text
Enter the full name of the second additional signatory.
Signatory Signature 2 Text
Provide the signature of the second additional signatory.
Signatory Capacity 2 Text
State the capacity in which the second additional signatory is signing the lease.
Signatory Address 2 Text
Enter the address of the second additional signatory.
Signatory Signature Date 2 Text
Enter the date of the second additional signatory's signature.
Spouse's Name Text
Enter the full name of the spouse.
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Lessee/Spouse Signature Text
Provide the signature of the lessee or the lessee's spouse.
Lessee/Spouse Signature Date Text
Enter the date of the lessee's or spouse's signature.
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Lessor Initials Text
Provide the initials of the lessor.
Lessee Initials Text
Provide the initials of the lessee.
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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.
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.
First Row - Heating of dwelling: Lessee Checkbox
Check this box if the lessee (tenant) will bear the cost of heating the dwelling.
First Row - Heating of dwelling: Electricity Checkbox
Check this box to indicate that electricity is the energy source used for heating the dwelling.
First Row - Heating of dwelling: Gas Checkbox
Check this box to indicate that gas is the energy source used for heating the dwelling.
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.
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.
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.
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.
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.
Indeterminate Term Lease - Start Date
Start date (day) Text
Enter the numeric day (DD) on which the indeterminate-term lease begins.
Start date (month) Text
Enter the numeric month (MM) in which the indeterminate-term lease begins.
Start date (year) Text
Enter the four-digit year (YYYY) in which the indeterminate-term lease begins.
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'.
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).
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.
Telephone number Text
Enter the primary telephone number for the contact person, including area code and any required dialing prefixes.
Email address Text
Enter the contact person's email address for written or electronic communications.
Other telephone (cell) Text
Enter an alternate telephone number for the contact person, for example a cell phone number, including area code.
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.
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.
Lease Modification Lease Type
Indeterminate Term Lease Type Text
Please enter the specific type of lease with an indeterminate term being modified.
Lease for a Room Type Text
Please enter the specific type of lease for a room being modified.
Lease Renewal Term
Lease Renewal End Date Text
Enter the end date for the lease renewal term.
Lease Renewal Start Date Text
Enter the start date for the lease renewal term.
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.
Street name Text
Enter the street name where the leased dwelling is located (for example, Main Street).
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.
Apartment / Unit Text
Enter the apartment, suite or unit number for the leased dwelling, if applicable.
Street number (No.) Text
Enter the civic or street number of the leased dwelling (building number).
Postal code Text
Enter the postal code for the leased dwelling.
Lessee - Representative (Where Applicable)
Lessee Representative — Email address Text
Enter the email address of the lessee's representative (where applicable).
Lessee (Additional) - Contact Information
Additional Lessee - Email address Text
Enter the additional lessee's email address.
Additional Lessee - Full name Text
Enter the full legal name of the additional lessee.
Additional Lessee - Street Text
Enter the street name of the additional lessee's address (do not include the street number).
Additional Lessee - Apartment / Unit Text
Enter the apartment or unit number for the additional lessee's address, if applicable.
Additional Lessee - Postal code Text
Enter the postal code for the additional lessee's address.
Additional Lessee - Municipality Text
Enter the municipality or city for the additional lessee's address.
Additional Lessee - Other telephone (cell) Text
Provide an alternate telephone number or cell phone number for the additional lessee.
Additional Lessee - Telephone number Text
Enter the primary telephone number for the additional lessee.
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.
Street number Text
Enter the street/building number for the lessee's mailing/residence address.
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Municipality Text
Enter the municipality (city, town or village) where the lessee's residence is located.
Other telephone (cell) Text
Enter an additional telephone number for the lessee, for example a cell phone.
Telephone number Text
Enter the lessee's primary telephone number for contact.
Email address Text
Enter the lessee's email address for correspondence and notices.
Lessee Acknowledgement of Notice
Lessee Acknowledgement Date Text
Enter the date the lessee acknowledges receipt of this notice.
Lessee Signature Text
Enter the full name of the lessee to acknowledge receipt of this notice.
Lessee's Reply Signature and Date
Lessee's Reply Date Text
Enter the date on which the lessee is providing this reply.
Lessee's Signature Text
Provide the lessee's signature.
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.
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.
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.
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.
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.
Lessor (Additional) - Contact Information
Email address Text
Enter the additional lessor's email address.
Name (line 2) Text
Enter a second name or co-lessor's full legal name if applicable, otherwise leave blank.
Name (line 1) Text
Enter the full legal name of the additional lessor (first person or entity).
Apartment / Unit Text
Enter the apartment, unit or suite number for the address, if applicable.
Street number and name Text
Enter the street number and street name for the additional lessor's mailing address.
Postal code Text
Enter the postal code for the additional lessor's address.
Municipality / City Text
Enter the municipality or city of the additional lessor's address.
Other telephone number (cell) Text
Enter an alternate telephone number or cell phone number for the additional lessor.
Telephone number (primary) Text
Enter the additional lessor's primary telephone number, including area code.
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.
Primary Lessor - Apartment/Unit Text
Enter the apartment, suite or unit number for the lessor's address, if applicable.
Primary Lessor - Street Number and Name Text
Enter the civic number followed by the street name for the lessor's mailing or business address.
Primary Lessor - Postal Code Text
Enter the postal or ZIP code for the lessor's address.
Primary Lessor - Municipality/City Text
Enter the municipality, city or town for the lessor's address.
Primary Lessor - Other Telephone (cell) Text
Enter an alternate telephone number for the lessor (for example, a cell phone), including area code.
Primary Lessor - Telephone Number Text
Enter the lessor's primary telephone number, including area code.
Lessor's Acknowledgement of Reply Receipt
Acknowledgement Date Day Text
Enter the day the lessor acknowledges receipt of the lessee's reply.
Acknowledgement Date Month Year Text
Enter the month and year the lessor acknowledges receipt of the lessee's reply.
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.
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'.
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).
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'.
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.
Cash Checkbox
Check this box if the rent will be paid in cash.
Cheque Checkbox
Check this box if the rent will be paid by cheque.
Electronic bank transfer Checkbox
Check this box if the rent will be paid by electronic bank transfer.
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.
Non-renewal Lease Type: Less than 12 months Text
Provide information for a non-renewal lease that is less than 12 months in duration.
Non-renewal Lease Type: Indeterminate term Text
Provide information for a non-renewal lease that has an indeterminate term.
Non-renewal of Lease by Lessee Notice Period
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Notice To Lessee
Lessee Name Text
Enter the full name of the lessee.
Lessee Address Text
Enter the full address of the lessee.
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.
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.
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.
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.
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.
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.
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).
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).
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.
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.
Initials of lessor Text
Enter the lessor's initials to acknowledge and confirm the listed other services, conditions and restrictions.
Initials of lessee Text
Enter the lessee's initials to acknowledge and confirm the listed other services, conditions and restrictions.
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'.
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'.
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.
Particulars Header
Particulars Header 1 Text
Enter the first part of the particulars header.
Particulars Header 2 Text
Enter the second part of the particulars header.
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).
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'.
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'.
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.
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.
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).
The rent is $ — Per month Checkbox
Check this box if the rent amount entered on the 'The rent is $' line is payable per month.
The rent is $ — Per week Checkbox
Check this box if the rent amount entered on the 'The rent is $' line is payable per week.
Cost of services Text
Enter the dollar amount for the total cost of services provided by the lessor that are charged to the lessee.
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.
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.
Total rent Text
Enter the dollar amount of the total rent due, including the base rent plus the cost of any services.
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.
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.
Rent Increase Option (Amount)
Current Rent for Amount Increase Option Text
Enter the current monthly rent amount before the increase.
Rent Increase Amount Text
Enter the specific monetary amount by which the rent will be increased.
Rent Increased by Fixed Amount Checkbox
Check this box if the rent will be increased by a specific monetary amount.
Rent Increase Option (New Rent)
New Rent Amount Text
Enter the new total monthly rent amount after the increase.
Current Rent for New Rent Option Text
Enter the current monthly rent amount before the increase.
1st Rent Option: New Total Rent Checkbox
Check this box if you intend to increase the rent by specifying the new total rent amount.
Rent Increase Option (Percentage)
Current Rent for Percentage Increase Option Text
Provide the current rent amount that will be subject to a percentage increase.
Percentage Rent Increase Text
Enter the percentage by which the current rent will be increased.
Current Rent Increased by Percentage Checkbox
Check this box if you intend to increase the current rent by a specific percentage.
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.
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.
Tribunal Rent Increase Percentage Text
Enter the percentage by which the rent will be increased as determined by the tribunal.
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.
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.
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'.
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.
Reply To Lessor/Mandatary Address Text
Enter the full address of the lessor or mandatary to whom this reply is addressed.
Reply To Leased Dwelling Address Text
Enter the full address of the leased dwelling this reply pertains to.
Repossession Lease Type
Repossession Lease Type - 6 Months or Less Text
Enter the details for a repossession lease type of 6 months or less.
Repossession Lease Type - Indeterminate Term Text
Enter the details for a repossession lease type with an indeterminate term.
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'.
Right of access to the land — Yes Checkbox
Check this box if the lessee has a right of access to the land.
Right of access to the land — No Checkbox
Check this box if the lessee does not have a right of access to the land.
Right to Maintain Occupancy Field
Right to Maintain Occupancy Text
Enter any relevant information or declaration regarding the right to maintain occupancy.
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.
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.
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.
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).
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.
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.
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.
Lessor initials (first) Text
Enter the first lessor's initials to acknowledge the presence and proper working order of the smoke detector(s).
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).
Lessee initials (first) Text
Enter the first lessee's initials to acknowledge the presence and proper working order of the smoke detector(s).
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.
Third Row - Balcony: Lessee Checkbox
Check this box if the lessee (tenant) is responsible for snow and ice removal on the balcony.
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.
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.
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.
Second Row - Parking area (Lessee) Checkbox
Check this box when the lessee is responsible for snow and ice removal from the parking area.
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.
Fifth Row - Stairs (Lessee) Checkbox
Check this box when the lessee (tenant) is responsible for snow and ice removal of the stairs.
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.
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.