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Dos Calauag, Quezon

A. Landlord/Agent:
B. Unit/Room/Bed: / / (Lower Bed/Upper Bed)
C. Tenant(s)/Lessee:
Resident Transient Guest
D. Permanent Address:
City/town: Province: Zip:
Tel. No. Cell Phone No. Email:
E. Move in Date: Length of Stay: ( ) Day/s
( ) Month/s
F. Rent Rate: Php Per ( ) Day ( ) Month Due Date: Every th Day of the month
G. Security Deposit: Php. (One Month) Date Paid:
H. Late Charge: Php.50.00 per day. ( See other fees on Item Nos. 3,6,7,15 and 23)
This agreement shall commence on , and continue: (check one below)

Month to Month Agreement OR
Until at which time thereafter shall become a month to month tenancy. If
tenant should move from premises prior to the expiration date, he/she shall liable for all the rental due until such
time the room/space is occupied by Landlord-approved resident and/or expiration of said time period, whichever
is shorter.

1. This Rental Agreement and/or Lease shall evidence the complete terms and conditions under which the parties
whose signatures appear below have agreed. Landlord/Agent shall refer to “Bank/Manager” and
Tenant(s)/Lessee(s) shall be referred to as “RESIDENTS” as consideration for this agreement, Bank/Manager agrees
to rent/lease to RESIDENT and RESIDENT agrees rent/lease from Bank/Manager for use SOLELY FOR USE OF BED
SPACE AS RESIDENCE, the premises listed above. RESIDENT acknowledges that any false statements found in
RESIDENT’S application shall constitute a breach of this agreement. RESIDENT hereby agrees to complete an
updated application. A GUEST or TRANSIENT may also take RESIDENCE in this property as defined in item nos. 7&8

2. PAYMENTS: Rent and/or other charges are to be paid at UCPB through the Bank Manager, at the dated specified
in E, F, G and H above.

Bank/Manager acknowledges receipt of the First month’s rent of: Php. , and a Security Deposit of Php.
, and delivered to UCPB, Calauag, Quezon, during business hours. Any payment due on a holiday
maybe credited on the following business day, without penalty or charges. Any payment made after due date, shall
be subject to a Php.50.00 late fee per day until paid in full. (See H above)

Non-payment of rent on due date, shall be subject