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TENANT ESTOPPEL CERTIFICATE and INFORMATION FORM The address of the subject premises is Apartment / Unit No. CA 9. Tenant certifies as follows PLEASE INITIAL OR FILL OUT ALL THAT APPLY This Certificate pertains to conditions under the following agreement Lease Month-to-month rental agreement Other Dated at California Entered Into by Landlord Tenant s Recorded as document No* on Mo. in County records California The lease or rental agreement is Unmodified and in effect. Modified and in effect under a modification agreement dated Year Names of all adults in possession First Name Last Name Date of Move-In approximate Mo. Names of all minors under 18 in possession Date this rent became effective Mo. Previous Monthly Rent Current Monthly Rent Parking Space s reserved to my unit and License plates for which those space s are reserved A copy of my rental agreement is / or is not attached* Tenant is in possession of the premises and has not assigned or sublet any portion of the premises. If the agreement is a lease the current term is for years ending Mo. Lease renewal/extension option term s run s until Mo. No incentives bonuses free rent discounts or refunds on the rental amount were given Tenant except Rent is paid through the period ending Mo. Tenant has not prepaid future rent except the amount of for the rental period of Mo. No Tenant liens claims offsets or charges exist against Landlord except A security deposit of is held by Landlord to cover any expenses or losses caused by Tenant s breach of the agreement. Any improvements required to have been made by Landlord or by Tenant have been satisfactory completed* No breach of the agreement by Landlord or Tenant including any habitability conditions presently exists. Tenant holds no contract option or right to buy any interest in the real estate. Tenant has caused no lien or encumbrance to attach to the leasehold interest in the property. Tenant understands that this certificate will be relied on by a buyer of the property or a lender secured by the real estate. Tenant certifies as follows PLEASE INITIAL OR FILL OUT ALL THAT APPLY This Certificate pertains to conditions under the following agreement Lease Month-to-month rental agreement Other Dated at California Entered Into by Landlord Tenant s Recorded as document No* on Mo. in County records California The lease or rental agreement is Unmodified and in effect. Modified and in effect under a modification agreement dated Year Names of all adults in possession First Name Last Name Date of Move-In approximate Mo. in County records California The lease or rental agreement is Unmodified and in effect. Modified and in effect under a modification agreement dated Year Names of all adults in possession First Name Last Name Date of Move-In approximate Mo. Names of all minors under 18 in possession Date this rent became effective Mo. Previous Monthly Rent Current Monthly Rent Parking Space s reserved to my unit and License plates for which those space s are reserved A copy of my rental agreement is / or is not attached* Tenant is in possession of the premises and has not assigned or sublet any portion of the premises. .

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