ONLINE LEASE INPUT FORM

Please complete this input form once for each lease.  If you have used this lease input form before, please enter your email address below and click the Load button to load your contact information from memory.  If you have not used this form previously, complete the form and enter your email address in the Save contact information field at the bottom of the page before submitting.

If this is your first lease, DO NOT FORGET to put your email address in at the bottom of the form in the SAVE CONTACT INFOMATION field before you are finished so your Contact Information is saved.

If you need help on any item, please click the Help Tip icon ().

Please note, this is the lease information entry form.  We will prepare the lease from this information and your completed lease will be faxed or emailed to you when we have finished preparing it.

Load contact information (email address):   Help Tip


New Lease or Renewal:   Help Tip
Type of Lease:   Help Tip
R#:   Help Tip
Who Signs the Lease:   Help Tip
Commission on Sale:   Help Tip
Other Commission on Sale:   Help Tip
Year Built:   Help Tip

Property Address:   Help Tip
Unit/Apt:   Help Tip
City:   Help Tip
Zip Code:   Help Tip
Owner's Names:   Help Tip

Owner's Address and Phone Number:   Help Tip


Tenant Names (Lease Signers):   Help Tip

Other Occupants (Will Not Sign Lease):   Help Tip

Vehicles (Make, Year):   Help Tip

Pets Allowed:   Help Tip
Smoking Allowed:   Help Tip
Minimum Term of Lease:   month Help Tip
Lease Begins:   Help Tip
Lease Ends:   Help Tip
Prorated Rent Period starts:   Help Tip

Prorated Rent Period ends:   Help Tip
Prorated Rent Amount:   Help Tip
Monthly Rent Amount:   Help Tip
Sales Tax (If applicable):   Help Tip
County Tax:   Help Tip
Pet Fee:   Help Tip
Pet Deposit:   Help Tip
Key Fee:   Help Tip
Processing Fee:   Help Tip
Application Fee:   Help Tip
Lease Up Fee:   Help Tip
Rent Due Day (Usually 1st of Month):   Help Tip
Date Late Charge Begins (Usually 5th of Month):   Help Tip
Late Charge Amount (Usually $25-$50 or a %):   Help Tip
Daily Late Charge (Usually $2-$5):   Help Tip
Cash Payments Allowed:   Help Tip
Advance Rent Collected:   Help Tip
Security Deposit Amount:   Help Tip
Last Months Rent:   Help Tip
Sub-total:   Help Tip
Paid at Signing:   Help Tip
Balance Due:   Help Tip
Liquidated Damages:   Help Tip
Type of Security Deposit Account:   Help Tip
Name of Bank Where Security Deposit Held:   Help Tip
Address of Bank Where Security Deposit Held:   Help Tip
Bank Where Security Deposit Held:   Help Tip
Owners Bank Name and Address:   Help Tip

Discounted Rent Amount:   Help Tip
Receivership:   Help Tip Such escrow funds as the receiver has in his possession
including but not limited to security deposit and/or pet deposits are
being held in an interest bearing account at SunTrust Bank, Cocoa, FL.


Included Appliances:   Help Tip
 None
 Refrigerator
 Range
 Oven
 Dishwasher
 Microwave
 Washer
 Dryer
 Garbage Disposal
 Water Conditioner
 Other

Included Appliances:   Help Tip
 None
 Refrigerator
 Range
 Oven
 Dishwasher
 Microwave
 Washer
 Dryer
 Garbage Disposal
 Water Conditioner

Other Appliances Included:   Help Tip

Notice to Vacate Requirement (From tenant prior to lease end):   Help Tip
Regarding associations: Is there an applicable association rule that either prohibits a month-to-month tenancy or creates a one lease per year restriction or some other similar restriction?:   Help Tip

Mandatory Minimum Carpet Clean Charge:   Help Tip
Carpet Clean Amount:   Help Tip
Mandatory Minimum General Clean Charge:   Help Tip
General Clean Amount:   Help Tip
Mandatory Charge if Keys Not Returned:   Help Tip
Keys Not Returned Amount:   Help Tip

Utilities Landlord Pays:   Help Tip
 None
 Water
 Reclaimed Water
 Electric
 Sewer
 Oil
 Gas
 Garbage
 Basic Cable
 Local Phone
 Internet

Other Utilities Landlord Pays:   Help Tip

Maintenance/Repairs Tenant Pays:   Help Tip
 None
 A/C
 A/C Filters
 Heat
 Water Heater
 Refrigerator
 Dishwasher
 Microwave
 Range
 Oven
 Garbage Disposal
 Smoke Alarms
 Smoke Alarm Batteries
 Water Conditioner
 Hot Tub
 Washer
 Dryer

Maintenance/Repairs Tenant Pays:   Help Tip
 None
 A/C Filters
 Water Heater
 Refrigerator
 Dishwasher
 Microwave
 Range
 Oven
 Garbage Disposal
 Locks/Keys
 Smoke Alarms
 Smoke Alarm Batteries
 Lawn/Shrubs
 Screens
 Pool Service
 Pool Equipment
 Extermination
 Windows
 Water Conditioner
 Hot Tub
 Washer
 Dryer

Other Maintenance/Repairs Tenant Pays:   Help Tip

Pool Equipment (pump/filter/heater):   Help Tip
Pool Maintenance (If no professional pool service):   Help Tip
Pool Service (Professional service):   Help Tip
Pool Chemicals:   Help Tip
Lawn/Shrubs/Grounds:   Help Tip

Inventory Attached:   Help Tip
Rules and Regulations Attached:   Help Tip
Lead Paint Disclosure Attached:   Help Tip
Property is for Sale:   Help Tip
Special Provisions:   Help Tip

Terminate on Sale or Contract Clause:   Help Tip
Days Notice to Tenant (Usually 30-60):   Help Tip

Your Company Name:   Help Tip
Address:   Help Tip
City, State, Zip:   Help Tip
Phone:   Help Tip
Agent Name:   Help Tip
Fax:   Help Tip
Emergency Phone (For tenant emergencies):   Help Tip
Email Address (Where lease will be sent):   Help Tip

We Need This Lease By Date:   Help Tip
Time:   Help Tip
Save contact information for (email address):   Help Tip


Law Offices of Heist, Weisse & Wolk, P.A.
Phone: 1-800-253-8428 Fax: 1-800-367-9038

Serving Florida's Property Managers with main office in Fort Myers Beach. Available by appointment in Orlando and Clearwater


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