DocuSign Envelope ID: AC867D66-A375-4DCC-A2DA-C708C9559E78

TENANT ESTOPPEL LETTER

LANDLORD:

Address of Leased Premises:

Rented to:
Tenant(s)

Other Occupants: (1)

(2)

Type of Lease (check one): Month to Month

Annual/Written x
Other (specify)

Amount of Rent Paid Monthly: $

Sales Tax if any: $
Additional amount paid (specify) $

My Lease began (date): Terminates:

Rent is Due on the: day of each month.
Landlord holds a Security Deposit of $
Landlord holds Prepaid Rent of $ ________________________

Last Rent Payment made on (date):

Next Rent Payment due on (date):

Property was rented: FURNISHED / UNFURNISHED x

Please list any item of personal property belonging to Tenant: (ceiling fans, light fixtures,
window treatments, specify other improvements, etc):

The undersigned has/have no options to purchase the above property from the present
owner(s) or any other contracts or interest thereon other than the above-described
interest, nor any cause of action of any nature arising out of my/our tenancy.

THE ABOVE INFORMATION IS TRUE, COMPLETE, AND ACCURATE.

TENANT’S SIGNATURE(S)

LANDLORD’S SIGNATURE(S)