Washington Single-Family Property Term Lease & Security Deposit Receipt (WA Single-Family Lease) | Revised 10/08/2025 Instructions

Enter any additional addenda or documents that are attached to this agreement, selecting from the provided list or adding others as needed.

Enter a short description of the additional recurring charge labeled A (e.g., pet fee, parking, storage) that is included in the monthly rent.

Enter the monthly dollar amount for the additional charge labeled A.

Enter a short description/name of the additional monthly recurring charge labeled B (what the charge is for).

Enter the monthly dollar amount charged for Additional Charge B.

Enter a short description or label that identifies the recurring charge listed as Additional Charge C (e.g., 'Parking', 'Storage', 'Pet Rent').

Enter the monthly dollar amount charged for Additional Charge C that will be added to the rent.

Enter a brief description of the Additional Charge labeled D that will be included in the monthly rent (e.g., parking, storage, pet fee).

Enter the monthly dollar amount to be charged for Additional Charge D.

Check this box if a refundable deposit is collected.

Check this box if the property is a Washington State residential rental.

Check this box if the property was built before 1978.

Check this box if the property was built before 1978.

Check this box if tenant rights information is required by local law in the property's jurisdiction.

Check this box if other addenda are required by local law in the property's jurisdiction.

Check this box if a copy of property registration or license is required in the property's jurisdiction.

Check this box if the lease term is longer than one year, as required by Washington State law for landlord signatures.

Check this box if either party in the transaction is represented by a licensed real estate broker.

Check this box when this is the initial (first) term lease and security deposit receipt between the Owner and Resident, not a renewal of a prior agreement.

Check this box when this document is a renewal of an existing lease (a renewal agreement) rather than the initial/first lease.

Enter the date on which this lease agreement is made between the Owner and Resident.

Enter the date when the term of this lease agreement begins.

Enter the date when the term lease tenancy ends.

Enter the non-refundable dollar amount charged for the application and/or screening process that the resident must pay prior to tenancy.

Enter the full names of all authorized occupants, including any minors, who will reside in the property.

Specify the number of days within which the resident must pay for utilities after receiving the bill.

Enter the amount of the service charge that will be applied for processing utility bills.

Check this box if the Resident is responsible for establishing and paying for cable services directly to the utility provider.

Check this box if the Resident will be invoiced by the Owner for cable charges.

Check this box if the Resident will pay a per-person fee to the Owner for cable charges.

Enter the per-person amount for cable utility charges that are paid directly to the owner.

Check this box if cable services are included as part of the rent, with no additional charge to the Resident.

Check this box if cable services are included with rent up to a specified limit, and the Resident will be invoiced for any overage charges.

Enter the numerical limit for cable utility charges where overages are billed by invoice.

Enter the total number of carbon monoxide detection devices provided in the premises as required by law.

Check this box if the carbon monoxide detection device is hard-wired.

Check this box if the carbon monoxide detection device is battery operated.

Check this box if the carbon monoxide detection device is plug-in with a backup battery.

Check this box if it is the responsibility of the Resident to maintain all carbon monoxide detection devices, including replacement of any batteries.

Check this box if it is not the responsibility of the Resident to maintain all carbon monoxide detection devices, including replacement of any batteries.

Enter the total security deposit amount the Resident agrees to pay, in dollars.

Enter the street address (and city/state/ZIP as needed) of the bank or credit union where the deposit will be held.

Enter the full name of the bank or credit union where the deposit account is maintained.

Enter the dollar amount to be charged per hour for labor and administrative costs for cleaning and repair.

Check this box if the resident will pay electricity charges directly to the utility company.

Check this box if the owner will invoice the resident for electricity charges.

Check this box if electricity charges are included as part of the monthly rent.

Enter the total charge for the first month's rent.

Enter the amount received for the first month's rent.

Enter the remaining balance due for the first month's rent.

Enter the due date for the first month's rent.

Provide a description for the first other payment.

Enter the charged amount for the first other payment.

Enter the amount received for the first other payment.

Enter the outstanding balance for the first other payment.

Enter the due date for the first other payment.

Provide the date the first resident signed the agreement.

Enter the full name of the fourth resident.

Provide the date the fourth resident signed this agreement.

Enter the amount of the garbage utility fee charged per person by the owner.

Enter the limit for included garbage utility charges.

Enter the maximum number of days a guest is permitted to stay within the defined week period.

Enter the number of weeks that defines the period for the guest stay limit.

Check this box if the resident will pay internet utility charges directly to the utility provider.

Check this box if the resident will pay internet utility charges to the owner upon receiving an invoice.

Check this box if the resident will pay a fixed internet utility fee per person to the owner.

Enter the per-person fee charged by the owner for internet.

Check this box if internet utility charges are included in the rent amount.

Check this box if internet utility charges are included with a limit, and any overages will be billed to the resident by invoice.

Enter the usage limit included for internet before overage charges apply.

Specify all keys and other access devices the Resident will receive upon signing this rental agreement.

Enter the charge for last month's rent, if applicable.

Enter the amount received for last month's rent, if applicable.

Enter the balance due for last month's rent, if applicable.

Enter the due date for the last month's rent, if applicable.

Enter the flat late payment charge assessed against the Resident when rent is received more than five days after the Rent Due Date.

Enter the additional late fee amount that will be charged for each day after the initial late payment charge that rent remains unpaid.

Check this box if the locking mechanisms for the property have been re-keyed or re-set before the tenancy.

Check this box if the locking mechanisms for the property have not been re-keyed or re-set before the tenancy.

Check this box if the resident is required to call a locksmith at their own expense between the specified hours when requesting the owner to unlock a door.

Enter the start time for the locksmith service.

Enter the end time for the locksmith service.

Enter the total monthly rent amount the Resident must pay for the premises.

Check this box if the tenant will pay for natural gas/oil directly to the utility provider.

Check this box if the owner will invoice the tenant for natural gas/oil charges.

Check this box if the tenant will pay a fixed natural gas/oil fee per person to the owner.

Enter the fee per person for natural gas/oil if it is to be paid to the owner.

Check this box if natural gas/oil charges are included in the rent.

Check this box if natural gas/oil charges are included in the rent up to a specified limit, with any overages invoiced to the tenant.

Enter the limit for natural gas/oil charges if they are included with rent.

Enter the dollar amount the resident agrees to pay as the non-refundable fee.

Provide a concise description of what the non-refundable fee covers (be specific). Fill only if 'Non-Refundable Fee Amount' is not zero.

Enter a description for the non-refundable fee.

Enter the total charge amount for the non-refundable fee.

Enter the amount received for the non-refundable fee.

Enter the outstanding balance for the non-refundable fee.

Enter the date the non-refundable fee is due.

Enter the amount the Owner charges for preparing and giving the notice.

Enter the fee that will be assessed for other access conditions.

Enter the name of the other utility service that is paid directly to the utility company by the resident.

Check this box if the resident is responsible for establishing, maintaining, and paying directly to the utility provider for other charges.

Check this box if other utility charges will be paid by the resident to the owner based on an invoice.

Check this box if other utility charges will be paid by the resident to the owner as a fee per person.

Enter the per-person fee for the other utility service that is paid to the owner.

Check this box if other utility charges are included as part of the monthly rent.

Check this box if other utility charges are included with rent up to a certain limit, with overages billed to the resident by invoice.

Enter the usage limit for the other utility service that is included with rent, with overages billed by invoice.

Check this box if the resident requests the owner to unlock a door and agrees to be assessed a fee for this service.

Enter the contact information for the locksmith or person to call for assistance with premises access.

Enter the start time during which the locksmith service is available.

Enter the end time during which the locksmith service is available.

Enter the fee that will be assessed for the locksmith service.

Check this box when the person named on the line is the property Owner (the landlord as defined by law).

Check this box when the person named on the line is an Agent who will act as the Landlord for service of legal notices and other landlord responsibilities.

Enter the full legal name of the owner or agent who will be the landlord for this property.

Enter the physical street address where the owner or agent accepts service of legal notices (no P.O. boxes).

Enter the name of the Owner or Agent signing this agreement.

Enter the date when the Owner or Agent signed this agreement.

Enter the higher amount of liability coverage required by the Owner, if it exceeds $300,000.

Check this box if the resident agrees to name the owner as an "additional interest" on their renters' insurance policy.

Check this box if the owner waives the renters' liability insurance requirement.

Enter any additional clauses or terms that are part of this agreement.

Check this box if pets are permitted on the premises, with details for breed, type, and number to be provided.

Enter the breed of the allowed pet.

Enter the type of the allowed pet (e.g., dog, cat, bird).

Enter the total number of pets allowed on the premises.

Check this box if residents, visitors, or guests are not permitted to maintain pets or animals on the premises.

Enter the total prepayment amount the resident must pay toward last month’s rent as stated in the lease.

Enter the total charge amount for the refundable security deposit.

Enter the amount of the refundable security deposit that has been received.

Enter the remaining balance due for the refundable security deposit.

Enter the date by which the refundable security deposit amount is due.

Enter the day of the month on which rent is due each month (e.g., 1–31).

Enter the place or method where the resident must deliver or send rent payments (for example an address, bank account or other payment instructions).

Enter the full legal name(s) of the tenant(s) who will be listed on the lease, separated by commas if there is more than one.

Enter the complete street address of the rental unit (including unit or apartment number if applicable), followed by city, state and ZIP code.

Enter the dollar amount the Owner will charge as the returned payment fee if a Resident’s payment is dishonored or fails to clear the bank.

Enter a description for the second other payment.

Provide the charge amount for the second other payment.

Provide the amount received for the second other payment.

Provide the balance due for the second other payment.

Enter the due date for the second other payment.

Enter the second resident's signature.

Enter the date the second resident signed the agreement.

Check this box if the Sewer utility charges are paid directly by the resident to the utility provider.

Check this box if the Sewer utility charges are paid by the resident to the owner based on an invoice.

Check this box if the Sewer utility charges are paid by the resident to the owner as a flat fee per person.

Enter the per-person fee for sewer utility charges that is paid to the owner.

Check this box if the Sewer utility charges are included as part of the monthly rent.

Check this box if the Sewer utility charges are included up to a certain limit, with any overages paid by the resident to the owner by invoice.

Enter the maximum limit for sewer utility charges included with rent, after which overages are invoiced.

Enter the total number of smoke detection devices provided in the premises.

Check this box if the smoke detection devices are hard-wired.

Check this box if the smoke detection devices are battery operated.

Enter the time of day when the tenancy shall terminate on the last day of occupancy.

Enter the third resident's signature.

Enter the date the third resident signed the document.

Enter the total monthly amount of rent due, including the Monthly Premises Rent and any additional recurring charges that make up the rent payable to the Owner each month.

Enter the total balance amount.

Enter the daily charge amount for each unauthorized occupant.

Check this box if the water heater is inaccessible to the resident.

Check this box if the resident has inspected the accessible hot-water heater and, to their best knowledge, its temperature control is not set higher than 120 degrees Fahrenheit.

Check this box if the water utility charges are paid directly to the utility company by the resident.

Check this box if the water utility charges are billed to the owner by invoice.

Check this box if the water utility charges are billed to the owner as a fee per person.

Enter the amount of the water utility fee that is paid to the owner per person.

Check this box if the water utility charges are included as part of the monthly rent.

Check this box if the water utility charges are included up to a specified limit, with any overages billed by invoice.

Enter the limit amount for water utility overages that are included with the rent and billed by invoice.