Residential Lease Agreement Questionnaire

Lessor: person or entity granting the lease (usually the landlord)
Lessee: person or entity who receives the use and possession of leased property (usually the tenant)

1. Lessor

Lessee

2. Lessor's Details:

Surname

Given Names

Address

Phone (Home)

Phone (Work)

Fax

Mobile

3. Lessee's Details:

Surname

Given Names

Address

Phone (Home)

Phone (Work)

Fax

Mobile

4. Premises

5. Utilities

Water

Electricity

Gas

Phone

6. Term (including any option term)

7. Commencement Date

8. Termination Date

9. Rental Details

Amount of rental

Date from which rent must be paid

Due date

10. Consequences of default in payment of rent

11. Basis of rent increases

12. Mechanics of rent increases

13. Insurance Details

14. Method by which any option for a further lease must be exercised

15. Use of premises

16. Security Bond?

Yes No

If yes, please provide details of the type and amount of any security bond

17. Further Information and Additional Comments