STATE OF SOUTH AFRICA

MONTH-TO-MONTH LEASE AGREEMENT

This Lease Agreement (this “Agreement”) is made this day of July, 2022, by and among/between:

Landlord: LETSOLENTSHA TRUST (“Landlord”) and

Tenant(s): ____________"Tenant “_________________collectively, "Tenant").

In the event there is more than one Tenant, each reference to “Tenant” shall apply to each of them, jointly
and severally. Each Tenant is jointly and severally liable to Landlord for payment of rent and performance
in accordance with all other terms of this Agreement. Each Landlord and Tenant may be referred to
individually as a “Party” and collectively as the “Parties.”

1. Premises. The premises leased is a/an (Check one) ☐ apartment ☒ house ☐ condominium ☐
room ☐ townhouse ☐ duplex ☐ semi-detached house ☐ other: _______________ with the
following: (Check if applicable)
(a) ☒ 3 bedroom(s)
(b) ☒ 1 bathroom(s) with Toilet
(c) ☒ 1 parking space(s)/Garage/Car Port
(d) ☐ 1 outside Toilet
(e) ☒ 1Kitchen
(f) ☐ 1 food storage room
(g) ☒ 1 Dining room
(h) ☒ 1 Sitting room
(i) ☒ 1 corridor space
(j) ☒ 3 forecourt space(s)/stoep(s) front and back

Located at Stand No. 669, TSHUKUDU STREET, UNIT 1 MOGWASE [Premises address] (the
“Premises”).

Storage: (Check if applicable)

☐ The Premises includes the following storage space: _______________________________________.

Furnishings: (Check one)

☐ The Premises is NOT furnished.
☐ The Premises includes the following furnishings: __________________________________________
___________________________________________________________________________________.

Additional description of the Premises: _____________________________________________________

____________________________________________________________________________________
____________________________________________________________________________________

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2. Agreement to Lease. Landlord agrees to lease to Tenant/Guaranty and Tenant agrees to lease from
Landlord, according to the terms and conditions set forth herein, the Premises.

3. Term. This Agreement will be for a term beginning on 2022 and continuing month-to-month until
either Landlord or Tenant terminates this Agreement by providing the other Party with proper written
notice of termination (the “Term”).

4. Rent. Tenant will pay Landlord a monthly rent of R 4500. 00 (Four Thousand Five Hundred Rand) for
the Term. Rent will be payable on the day of each month during the Term. The first rent payment after the
registration of the Trust (LETSOLENTSHA TRUST) is payable to Landlord on/or before the 2022
when/as/after Tenant signs this Agreement. Rent will be paid to Landlord at Landlord's address provided
herein (or to such other places as directed by Landlord) by mail or in person by one of the following
methods: (Check all that apply) ☒ Direct Bank Deposit / EFT ☐ Cash

Proration: (Check if applicable)

☐ Rent for any period during the Term which is for less than one month will be a pro rata portion of the
monthly installment.

5. Guaranty. (Check one)

☐ A Guarantor is required for the Tenant. ________________________ [Guarantor name] located at

________________________________________ [Address] ("Guarantor") promises to unconditionally
guarantee to Landlord, the full payment and performance by Tenant of all financial duties and obligations
arising out of this Agreement. Guarantor agrees to joint and several liabilities with Tenant for Tenant's
financial duties and obligations under this Agreement including rent, damages, fees and costs. Guarantor
further agrees that this guaranty shall remain in full force and effect and be binding on Guarantor until this
Agreement is terminated.

☐ A Guarantor is NOT required for the Tenant.

6. Late Fee. (Check one)

☐ A late fee will be charged if rent is not paid on time. Rent paid after the day of each month will be
deemed as late; and if rent is not paid within 3 days after such due date, Tenant agrees to pay a late
charge of 1.5% of the balance due per day for each day that rent is late ☒ R 4500, 00.

7. Additional Rent. There may be instances under this Agreement where Tenant may be required to pay
additional charges to Landlord. All such charges are considered additional rent under this Agreement and
will be paid with the next regularly scheduled rent payment. Landlord has the same rights and Tenant has
the same obligations with respect to additional rent as they do with rent.

8. Rent Increment(s)

Landlord agrees to lease to Tenant/Guaranty and Tenant agrees to lease from Landlord, according to the
terms and conditions set forth herein, the Premises and both parties agrees and accepts that the rental
amount will increase by R250, 00(One Hundred Rand) after each year (12 Months) of this rental
agreement or period of which the Tenant(s) occupies the premises.

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8.1 Utilities. Tenant is responsible for payment of all utility and other services for the Premises, with the
exception of the following, which will be PAID BY THE LANDLORD:

☐ Electric
☐ Water
☒ Trash
☒ Sewage
☐ Hot water (geyser)
☐ Other:

9. Security Deposit. Upon signing this Agreement, Tenant will pay a security deposit in the amount of
R 4500, 00 to Landlord Trust Account (Nedbank Ltd SA, A/C No. 1211533662). The security deposit will
be retained by Landlord as security for Tenant’s performance of its obligations under this Agreement to
cater for damages that might have caused by the Tenant(s). The security deposit may not be used or
deducted by Tenant as the last month’s rent of the Term. Tenant will be entitled to a full refund of the
security deposit if Tenant returns possession of the Premises to Landlord in the same condition as
accepted, ordinary wear and tear excepted. Within thirty (30) days after the termination of this Agreement,
Landlord will return the security deposit to Tenant (minus any amount applied by Landlord in accordance
with this section). Any reason for retaining a portion of the security deposit will be explained in writing.
The security deposit (Check one) ☒ will not ☐ will bear interest while held by Landlord in accordance
with applicable state laws and/or local ordinances.

10. Landlord's Failure to Give Possession. In the event Landlord is unable to give possession of the
Premises to Tenant on the start date of the Term, Landlord will not be subject to any liability for such
failure, the validity of this Agreement will not be affected, and the Term will not be extended. Tenant will
not be liable for rent until Landlord gives possession of the Premises to Tenant.

11. Holdover Tenancy. If Landlord accepts a rent payment from Tenant, other than past due rent or
additional rent, after the Term expires, both Parties understand that a month-to-month holdover tenancy
will be created at the agreed upon monthly rent, unless proper notice has been served as required by
applicable laws. If either Tenant or Landlord wishes to end the month-to-month tenancy, such Party must
provide at least thirty (30) days' written notice before the desired termination date.

12. Use of Premises. The Premises will be occupied only by Tenant(s) and Tenant’s immediate family
and used only for residential purposes. Tenant will not engage in any objectionable conduct, including
behavior which will make the Premises less fit to live in, will cause dangerous, hazardous or unsanitary
conditions or will interfere with the rights of others to enjoy their property. Tenant will be liable for any
damage occurring to the Premises and any damage to or loss of the contents thereof which is done by
Tenant or Tenant’s guests or invitees.

13. Condition of the Premises. Tenant has examined the Premises, including the appliances and
fixtures , and acknowledges that they are in good condition and repair, normal wear and tear excepted,
and accepts them in its current condition, except: ____________________________
____________________________________________________________________________________
___________________________________________________________________________________.

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14. Maintenance and Repairs. Tenant will maintain the Premises, including the grounds and all
appliances and fixtures (☒ and furnishings), in clean, sanitary and good condition and repair. Tenant will
not add/remove Landlord’s appliances and fixtures (☒ and furnishings) anything or/and others, from the
Premises for any purpose without the without first obtaining Landlord’s written consent. If repairs other
than general maintenance are required, Tenant will notify Landlord for such repairs. In the event of default
by Tenant, Tenant will reimburse Landlord for the cost of any repairs or replacement.

☐ Tenant will also maintain the grounds, which is part of the Premises. (Do not check if leasing an
apartment)

15. Rules and Regulations. (Check one)

☒ Landlord has prescribed the rules and regulations governing Tenant's use and enjoyment of the
Premises, attached hereto as Exhibit A, and incorporated by reference herein. Tenant acknowledges
receipt of and agrees to adhere to such regulations.

☐ There are NO seprarate rules and regulations governing the Premises.

☐ The Tenant may NOT terminate their lease early for active duty.

17. Reasonable Accommodations. ☐ Landlord agrees to comply with all applicable laws providing
equal housing opportunities, including making reasonable accommodations for known physical or mental
limitations of qualified individuals with a disability, unless undue hardship on Landlord would result.
Tenant is responsible for making Landlord aware of any such required accommodations that are
reasonable and will not impose an undue hardship on Landlord. If Tenant discloses a disability and
requests an accommodation, Landlord has the right to have a qualified healthcare provider verify the
disability if the disability is not readily apparent, and Landlord has the right to use the qualified healthcare
provider verifying the disability as a resource for providing the reasonable accommodation.
NB (Do not check/uncheck if not applicable)

18. Sex Offender Registry. Pursuant to law, information about specified registered sex offenders is
made available to the public. Tenant understands and agrees that Tenant is solely responsible for
obtaining any and all information contained in the state or national sex offender registry for the area
surrounding the Premises, which can be obtained online or from the local sheriff’s department or other
appropriate law enforcement officials. Depending on an offender’s criminal history, this information will
include either the address at which the offender resides or the community of residence and zip code in
which he or she resides.

19. Compliance. Tenant agrees to comply with all applicable laws, ordinances, requirements and
regulations of the state (South Africa), county, municipal or other Local authorities.

20. Mechanics’ Lien. Tenant understands and agrees that Tenant and anyone acting on Tenant’s behalf
do not have the right to file for mechanic’s liens or any other kind of liens on the Premises. Tenant agrees
to give actual advance notice to any contractors, subcontractors or suppliers of goods, labor or services
that such liens are invalid. Tenant further agrees to take the additional steps necessary to keep the
Premises free of any and all liens that may result from construction completed by or for Tenant.

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21. Alterations. Tenant will not make any alteration, addition or improvement to the Premises without first
obtaining Landlord’s written consent. Any and all alterations, additions or improvements to the Premises
are without payment to Tenant and will become Landlord’s property immediately on completion and
remain on the Premises, unless Landlord requests or permits removal, in which case Tenant will return
that part of the Premises to the same condition as existed prior to the alteration, addition or improvement.
Tenant will not change any existing locks or install any additional locks on the Premises without first
obtaining Landlord's written consent and without providing Landlord a copy of all keys.

22. Smoking. (Check one)

☒ Smoking of any kind is strictly prohibited on any part of the Premises. This prohibition applies to
Tenant and any visitors, guests or other occupants on the Premises.

☒ Smoking may be permitted on the Premises but not in the house to deter possible fire damages and
possible wear and tear.

☒ Tenant is NOT allowed to have or keep any pets, even temporarily, on any part of the Premises unless
whether with a written consent of Landlord

The unauthorized presence of any pet will subject Tenant to penalties, damages, deductions and/or
termination of this Agreement. Properly trained service animals that provide assistance to individuals with
disabilities may be permitted on the Premises with the prior written consent of Landlord, which shall not
be unreasonably withheld. Tenant will be responsible for the costs of de-fleaing, deodorizing and/or
shampooing all or any portion of the Premises if a pet has been on the Premises at any time during the
Term (whether with or without written consent of Landlord). If Tenant does keep an authorized pet on the
Premises, Tenant will pay to Landlord a pet deposit in the amount of R 0.00.

24. Inspection Checklist. (Check one)

☒ In order to avoid disagreements about the condition of the Premises, at the time of accepting
possession of the Premises, Tenant will complete the Inspection Checklist incorporated herein by
reference and attached hereto as Exhibit B and record any damage or deficiencies that exist at the
commencement of the Term. Landlord will be liable for the cost of any cleaning or repair to correct
damages found at the time of the inspection. Tenant will be liable for the cost of any cleaning and/or
repair to correct damages found at the end of the Term if not recorded on the inspection checklist, normal
wear and tear excepted.

☐ Tenant is NOT required to complete an inspection checklist.

25. Fire and Casualty. If the Premises are damaged by fire or other serious disaster or accident and the
Premises becomes uninhabitable as a result, (a) Tenant may immediately vacate the Premises and
terminate this Agreement upon notice to Landlord or (b) Landlord may terminate this Agreement upon
notice to Tenant without charge only if the tenant be found not responsible for the damage caused due to
negligence and will be responsible for any unpaid rent or will receive any prepaid rent up to the day of
such fire, disaster or accident. If the Premises are only partially damaged and inhabitable, Landlord may
make full repairs and will do so within a prompt and reasonable amount of time. At the discretion of
Landlord, the rent may be reduced while the repairs are being made.

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26. Liability. Landlord is not responsible or liable for any loss, claim, damage or expense as a result of
any accident, injury or damage to any person or property occurring anywhere on the Premises, unless
resulting from the negligence or willful misconduct of Landlord.

27. Renter's Insurance. (Check one)

☐ Tenant is required to obtain, and maintain at all times during the Term, a renter’s insurance policy with
a minimum of R100, 000.00 personal liability coverage. Tenant will name Landlord as an interested party
or additional insured. Tenant will provide Landlord with a certificate or proof of insurance upon request.

☒ Tenant is NOT required to obtain a renter’s insurance policy.

28. Assignment and Subletting. (Check one)

☐ Tenant may assign this Agreement as to any portion or all of the Premises or make or permit any total
or partial sublease or other transfer of any portion or all of the Premises. (☐ Tenant must obtain
Landlord’s written consent prior to assignment or sublease of the Premises.)

☒ Tenant may NOT assign this Agreement as to any portion or all of the Premises or make or permit any
total or partial sublease or other transfer of any portion or all of the Premises.

29. Insurance Requirements. Tenant will not do or permit to be done any act or thing that will increase
the insurance risk under any policy of insurance covering the Premises. If the premium for such policy of
insurance increases due to a breach of Tenant’s obligations under this Agreement, Tenant will pay the
additional amount of premium as additional rent under this Agreement.

30. Right of Entry. Landlord or its agents may enter the Premises at reasonable times to inspect the
Premises, to make any alternations, improvements or repairs or to show the Premises to a prospective
tenant, buyer or lender. In the event of an emergency, Landlord may enter the Premises at any time.

31. Surrender. Tenant will deliver and surrender to Landlord possession of the Premises immediately
upon the expiration of the Term or the termination of this Agreement, clean and in as good condition and
repair as the Premises was at the commencement of the Term, reasonable wear and tear excepted.

32. Default. In the event of any default under this Agreement, Landlord may provide Tenant a notice of
default and an opportunity to correct such default. If Tenant fails to correct the default, other than a failure
to pay rent or additional rent, Landlord may terminate this Agreement by giving a thirty (30) day written
notice. If the default is Tenant’s failure to timely pay rent or additional rent as specified in this Agreement,
Landlord may terminate this Agreement by giving a thirty (30) day written notice to Tenant. After
termination of this Agreement, Tenant remains liable for any rent, additional late, costs, including costs to
remedy any defaults, and damages under this Agreement.

33. Remedies If this Agreement is terminated due to Tenant’s default, Landlord may, in addition to any
rights and remedies available under this Agreement and applicable law, use any dispossession, eviction
or other similar legal proceeding available in law or equity.

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34. Subordination. This Agreement and Tenant’s right under it shall be subject and subordinate to the
lien, operation and effect of each existing or future mortgage, deed of trust, ground lease and/or any other
similar instrument of encumbrance covering any or all of the Premises, if any, and each renewal,
modification, consolidation, replacement or extension thereof.

35. Condemnation. If all or substantially all of the Premises are covered by a condemnation including the
exercise of any power of eminent domain by a governmental authority, this Agreement shall terminate on
the date possession of the Premises is taken by the condemning authority, and all rent under this
Agreement shall be prorated and paid to such date. Landlord is entitled to collect from the condemning
authority the entire amount of any award made in any proceeding. Tenant waives any right, title or
interest which Tenant may have to any such award and agrees to not make any claim for the Term of this
Agreement.

36. Hazardous Materials. Tenant shall not keep on the Premises any item of a dangerous, flammable, or
explosive character that might unreasonably increase the danger of fire or explosion on the Premises or
that might be considered hazardous or extra hazardous by any responsible insurance company.

38. Notices. All notices given under this Agreement must be in writing. A notice is effective upon receipt
and shall be delivered in person, sent via certified or registered mail to the following addresses (or to
another address that either Party may designate upon reasonable notice to the other Party):

Notices shall be sent to the Landlord at the following address: 455 THAKADU STREET, MOGWASE
UNIT 1 or via WhatsApp during emergency / for urgent matters
>
Notices shall be sent to the Tenant at the following address: 669 TSHUKUDU STREET, MOGWASE
UNIT 1 or via WhatsApp during emergency / for urgent matters

__________________________________________________________________________________

39. Quiet Enjoyment. If Tenant pays the rent and performs all other obligations under this Agreement,
Tenant may peaceably and quietly hold and enjoy the Premises during the Term.

40. No Waiver. No Party shall be deemed to have waived any provision of this Agreement or the exercise
of any rights held under this Agreement unless such waiver is made expressly and in writing.

41. Severability. If any provision of this Agreement is held to be invalid, illegal or unenforceable in whole
or in part, the remaining provisions shall not be affected and shall continue to be valid, legal and
enforceable as though the invalid, illegal or unenforceable part had not been included in this Agreement.

42. Successors and Assigns. This Agreement will inure to the benefit of and be binding upon the
Parties and their permitted successors and assigns.

43. Governing Law. The terms of this Agreement and the rights and obligations of the Parties hereto
shall be governed by and construed in accordance with the laws of the State of South Africa, without
regard to its conflicts of laws provisions.

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44. Disputes. Any dispute arising from this Agreement shall be resolved through: (Check one or two)

☒ Mediation, then binding arbitration. If the dispute cannot be resolved through mediation, then the
dispute will be resolved through binding arbitration conducted in accordance with the rules of the South
African Arbitration Association and Law.

If the dispute further still cannot be resolved then

☒ Court litigation. Disputes shall be resolved in the courts of the State of South Africa.
If either Party brings legal action to enforce its rights under this Agreement, the prevailing party
will be entitled to recover from the other Party its expenses (including reasonable attorneys' fees and
costs) incurred in connection with the action and any appeal.

45. Amendments. This Agreement may be amended or modified only by a written agreement signed by
the Parties.

46. Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be
deemed to be an original, and all of which together shall constitute one and the same document.

47. Headings. The section headings herein are for reference purposes only and shall not otherwise
affect the meaning, construction or interpretation of any provision in this Agreement.

48. Entire Agreement. This Agreement constitutes the entire agreement between the Parties and
supersedes and cancels all prior agreements of the Parties, whether written or oral, with respect to the
subject matter.

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IN WITNESS WHEREOF, the Parties hereto, individually or by their duly authorized representatives, have
executed this Agreement as of the Effective Date.

LETSOLENTSHA TRUST
represented by
Sephiwe Moses Mafilika
Signature Landlord Full Name

Tenant Signature Tenant Full Name

Tenant Signature Tenant Full Name

Guarantor Signature Guarantor Full Name

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 Disclosure of Information on Lead-Based Paint and/or
Lead-Based Paint Hazards
Lead Warning Statement
Housing built before 1978 may contain lead-based paint. Lead from paint, paint chips, and dust can pose
health hazards if not managed properly. Lead exposure is especially harmful to young children and
pregnant women. Before renting pre-1978 housing, lessors must disclose the presence of known lead-
based paint and/or lead-based paint hazards in the dwelling. Tenants must also receive a federally
approved pamphlet on lead poisoning prevention.

Landlord's Disclosure
(a) Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below):

(i) ____ Known lead-based paint and/or lead-based paint hazard are present in the housing (explain):
_________________________________________________________________________________
_________________________________________________________________________________

(ii) ____ Lessor has no knowledge of lead-based paint and/or lead-based paint hazards in the
housing.

(b) Records and reports available to the lessor (check (i) or (ii) below):

(i) ____ Lessor has provided the lessee with all available records and reports pertaining to the lead-
based paint and/or lead-based paint hazards in the housing (list documents below):
_________________________________________________________________________________
_________________________________________________________________________________

(ii) ____ Lessor has no reports or records pertaining to lead-based paint and/or lead-based paint
hazards in the housing.

Tenant's Acknowledgment (initial)

(c) _____ Tenant has received copies of all information listed above.

(d) _____ Tenant has received the pamphlet Protect Your Family from Lead in Your Home.

Agent's Acknowledgment (if any) (initial)

(e) _____ Agent has informed Landlord of Landlord’s obligations under 42 U.S.C. 4852d and is aware of
his/her responsibility to ensure compliance.

Certification of Accuracy
The following Parties have reviewed the information above and certify, to the best of their knowledge, that
the information they have provided is true and accurate.

LETSOLENTSHA
TRUST represented by
Sephiwe Moses
Mafilika July, 2022
Landlord Signature Landlord Name Date

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 July, 2022
Tenant Signature Tenant Name Date

July, 2022
Tenant Signature Tenant Name Date

Agent Signature Agent Name Date

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 EXHIBIT A

RULES AND REGULATIONS

Tenant shall abide by the following rules and regulations while occupying the Premises: (Check all that
apply)

☒ Tenant will not obstruct the driveways, sidewalks, courts, entry ways, stairs and/or halls.

☒ Tenant will not obstruct or cover the windows or doors.

☒ Tenant will keep all windows, glass, window coverings, doors, locks and hardware in good, clean order
and repair.

☒ Tenant will not leave windows or doors in an open position during any inclement weather.

☒ Tenant will not hang any laundry, clothing, sheets, etc. from any window, rail, porch or balcony nor air
or dry any of same within any yard area or space.

☒ Tenant will not cause or permit any locks or hooks to be placed upon any door or window without the
prior written consent of Landlord.

☒ Tenant will keep all air conditioning filters clean and free from dirt.

☒ Tenant will keep all bathrooms, sinks, toilets, and other water and plumbing supplies in good order and
repair, and shall use same only for the purposes for which they were constructed.

☒ Tenant will not allow any sweepings, rubbish, sand, rags, ashes or other substances to be thrown or
deposited into any sinks or toilets.

☒ Tenant's family and guests shall not make or permit any loud or improper noises, or otherwise disturb
other residents in the immediate area.

☒ Tenant will deposit all trash, garbage, rubbish or refuse in the locations provided therefore.

☒ Tenant will abide by and be bound by any and all rules and regulations affecting the Premises or the
common areas of the Premises which may be adopted or promulgated from time to time by Landlord.

☐ Other: ____________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

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 EXHIBIT B

RENTAL INSPECTION CHECKLIST

Complete this inventory checklist as soon as you sign the lease. Do not move anything into the Premises
until after you have filled out this checklist. Take time-stamped pictures of any damages, dents, marks, or
problems you find. Ask your Landlord to sign the checklist and/or send them a copy. You should keep the
original for your records.

Living Room Condition on Arrival Condition on Departure

Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Lamp(s)
Furniture (if applicable)
Baseboards/Moldings
Other: _______________________

Kitchen Condition on Arrival Condition on Departure

Stove, Oven, Range, Hood, Broiler, Pans,
Burners, etc…
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Cabinets/Drawers
Counter Surfaces
Sink, Garbage Disposal, Faucet
Microwave Oven
Refrigerator
Furniture
Dishwasher
Other: _______________________

Bathroom Condition on Arrival Condition on Departure

Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)

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Doors
Light Fixtures
Cabinets/Drawers
Counter Surfaces
Sink and Faucet
Toilet/Tissue Holder
Shower and Tub
Towel Racks
Mirror/Medicine Cabinet
Water (heat and pressure)
Dishwasher
Other: _______________________

Bedroom Condition on Arrival Condition on Departure

Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Closets (Doors and tracks)
Book Shelves
Molding and Baseboards
Furniture (if applicable)
Mirror
Other: _______________________

Other Areas: ________________ Condition on Arrival Condition on Departure

Walls and Ceiling
Floor Covering
Windows (curtains, blinds, etc….)
Doors
Light Fixtures
Closets (Doors and tracks)
Book Shelves
Molding and Baseboards
Furniture (if applicable)
Doorbell/Knocker
Mailbox (check lock)
Yard, Patio, Deck

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External Doors and Locks
Outside Lights
Other: _______________________

Move in:

Tenant Signature Tenant Name Date

Accepted and acknowledged by:

July, 2022
Landlord Signature Landlord Name Date

Move out:

Tenant Signature Tenant Name Date

Accepted and acknowledged by:

LETSOLENTSHA
TRUST represented by
Sephiwe Moses
Mafilika July, 2022
Landlord Signature Landlord Name Date

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