Free Printable Real Estate Lease Statement Template

Printable Real Estate Lease Statement


Date: December 9, 2055

  1. Landlord Information:
    Name: [Your Name]
    Address: ________________________
    Phone Number: ________________________
    Email: [Your Email]

  1. Tenant Information:
    Name: Emily Johnson
    Address: ________________________
    Phone Number: ______________________
    Email: ___________________________


Lease Information

  1. Premises Address:
    123 Maple Drive, Springfield, IL 62703

  2. Lease Term:
    Start Date: January 1, 2055
    End Date: December 31, 2055

  3. Monthly Rent:
    Amount: $1,200
    Due Date: 1st of each month
    Late Fee (if applicable): $50 after 5 days late


Payment History

Payment Date

Rent Due

Rent Paid

Outstanding Balance

Payment Method

Notes

January 1, 2055

$1,200

$1,200

$0

Credit Card

Paid on time

February 1, 2055

$1,200

$1,200

$0

Bank Transfer

Paid on time

March 1, 2055

$1,200

$1,200

$0

Credit Card

Paid on time

April 1, 2055

$1,200

$1,150

$50

Cash

Partial payment, late fee applied

May 1, 2055

$1,200

$1,200

$0

Bank Transfer

Paid on time

June 1, 2055

$1,200

$1,200

$0

Credit Card

Paid on time


Security Deposit:

Amount: $1,200
Deposit Paid: $1,200
Refundable Amount (if applicable): _____________________


Additional Terms & Conditions

  • Tenant is responsible for utilities including electricity, gas, and water.

  • No pets allowed on the premises.

  • Landlord will perform annual property maintenance in March.

  • Rent may be subject to increase after the lease term ends.

  • Early termination of the lease requires a 30-day written notice.


Signature of Landlord:

[Your Name]
Date: December 9, 2055

Signature of Tenant:

Emily Johnson
Date: December 9, 2055

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