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Agenda Item Review Form
Muskegon City Commission
Commission Meeting Date: February 28, 2023 Title: 1194 Pine Lease
Agreement
Submitted By: Sharonda Carson Department: CNS
Brief Summary: Staff is seeking commission approval to adopt lease agreement for 1194 Pine St.
Unit B
Detailed Summary & Background: Tenant living at 1194 Pin Unit B is subject to protection from
displacement under the Residential Anti-displacement and Relocation Assistance Plan. The Plan was
executed by way of the Uniform Rental Assistance (URA) Act of 1070 to avoid unnecessary
displacement triggered by acquisition or demolition of properties purchased utilizing CDBG or HOME
funds.
Goal/Focus Area/Action Item Addressed:
Refer to the 2022 2.4 Develop subsidies to improve housing affordability
Amount Requested: N/A Amount Budgeted: N/A
Fund(s) or Account(s): Fund(s) or Account(s):
Recommended Motion: Approve both lease agreement for 1194 Pine St. unit B
Approvals: Get approval from division head at a minimum prior Guest(s) Invited / Presenting
to sending to the Clerk.
Immediate Division Head [Information Technology L] Yes []
Other Division Heads [] Communication Cl No
Legal Review C]
For City Clerk Use Only:
Commission Action:
RESIDENTIAL LEASE
NOTICE: Michigan law establishes rights and obligations for parties to rental agreements.
This agreement is required to comply with the Truth in Renting Act. If you have a question
about the interpretation or legality of a provision of this agreement, you may want to seek
assistance from a lawyer or other qualified person.
This Lease Agreement (the “Lease”) is entered into on _March 7, 2023 (“Effective Date”),
between the City of Muskegon of 933 Terrace St., Muskegon, MI 49440 (“City”) and Greg Chase,
of 1194 Pine Street, Apartment B, Muskegon, MI 49442 ("Tenant"), on the terms and conditions
set forth below.
In consideration of the mutual promises of the parties set forth in this Lease and other
valuable consideration, the receipt and adequacy of which is acknowledged, the parties agree
as follows:
1. Description of Leased Premises. City leases to Tenant, and Tenant rents from
City, the residential premises located at 1194 Pine Street Unit B, Muskegon, MI 49442 (the
"Premises"), subject to all the terms and conditions of this Lease.
2. Term. The term of this Lease shall be for twelve (12) months commencing on
March 7, 2023 (“Commencement Date”) and ending on _March 7, 2024 (the “Term”), unless
sooner terminated as set forth in this Lease.
3. Rent. Tenant shall pay to City the monthly rent of $_1,300.00 in advance on the
date that this Lease is signed by Tenant (the “First Payment”) and on the first day of each month
thereafter throughout the Term of this Lease (“Rent”). With respect to the rent due for the first
month of the tenancy, if the Lease is executed on a day other than the first day of the month, Tenant
shall pay City a prorated amount of $ per day for the remainder of the month. Future rent
shall be payable at the address for City listed above or at such other address as requested by City.
Tenant shall pay City a late fee of $25.00 for any Rent not received by City within five (5) days of
its due date. City’s right to collect this charge shall be in addition to City’s right to take action
under any other provision of this Lease for Tenant’s default in paying Rent or any other charges.
If Tenant fails to perform an obligation of this Lease resulting in a monetary expenditure
by City, such amounts will be deemed additional rent immediately due and payable AND all
payments made to City will be applied first to any costs and expenses of City for having to collect,
including reasonable attorney fees, then to any unpaid: Security Deposit, First Payment; late fees;
unpaid utility charges; maintenance costs, repairs, or damages, past due rent; current rent due.
4. Security Deposit. At the time this Lease is signed, Tenant will deposit $
with City as a security deposit to be held in a regulated financial institution on City’s behalf
(“Security Deposit”) which may be used only for the purposes permitted under the Michigan
Security Deposit Act (MCL 554.601, et seq.). The fact that City holds the Security Deposit shall
not affect City’s right to obtain possession of the Premises for non-payment of rent or for any other
reason permitted by law. To the extent that the Security Deposit is not applied in the manner
permitted by the Security Deposit Act, it shall be returnable to Tenant. Tenant shall receive no
1
interest on the Security Deposit. Tenant acknowledges receipt of a notice pursuant to MCL
554.603, a copy of which is attached to this Lease. It is specifically understood that the Security
Deposit shall not be considered prepaid rent and shall not be applied by Tenant on the last
month's rent.
5. Pet Charge. All pets are prohibited at the Premises unless specifically allowed in
writing by City, such authorization may be withheld for any reason. If a pet is permitted, Tenant
shall pay a nonrefundable $200.00 pet charge to City.
6. House Rules and Regulations. Tenant's use and occupancy of the Premises shall
be subject to the rules of the house furnished to Tenant with this Lease, subject to any reasonable
changes or amendments which may be made by City from time to time (the “House Rules”). Any
such changes or amendments shall be effective from the date notice is given to Tenant, or from the
effective date specified therein, whichever is later. City will give Tenant at least thirty (30) days
notice of any House Rule changes or amendments. Any violation of the House Rules, including
amendments, shall constitute an automatic default by Tenant of this Lease, and shall be grounds
for repossession of the Premises by City and forfeiture of Tenant's right to occupancy of the
Premises.
7. Use and Authorized Occupants. The only authorized occupants of the Premises
during the term of this Lease, other than Tenant, are Josie Bowen, Payten Chase, Brayden Chase,
Santana Santos, Addysen Chase.
Tenant must reside in the Premises during the Term of this Lease, and Tenant shall use the
Premises only as a private dwelling for Tenant and the authorized occupants listed above. If any
person other than the authorized occupants listed above resides overnight at the Premises for more
than a total of fourteen (14) days during the term of this Lease, that person shall be treated as an
"Extra Occupant" for purposes of this Lease, and City may, at City's option, either declare such
residency to be an automatic default under this Lease, or, not declare an automatic default but
adjust the monthly rental rate upwards by the sum of $100.00 per month for every Extra Occupant
(“Occupant Rent”). Tenant shall be responsible for all Occupant Rent from the first month the
Extra Occupant began staying at the Premises and shall continue through the remainder of the
Term. For purposes of this paragraph, neither a biological child or a legally adopted child of Tenant
shall constitute an Extra Occupant.
8. Taxes. City shall pay all real property taxes and assessments on the Premises.
9, Insurance. City may, at City’s option, keep in force general public liability
insurance protecting City against claims for damage to person or property, including damage to
the Premises. City is under no duty to keep in force any insurance to protect the person or property
of Tenant. If Tenant wishes to enjoy insurance protection for Tenant's person or property, it shall
be Tenant's sole responsibility to obtain such insurance at Tenant's sole expense.
Tenant releases City from any liability arising from loss, damage, or injury caused by fire
or other casualty for which insurance is carried by Tenant under a policy that permits waiver of
liability and waives the insurer's rights of subrogation, to the extent of any recovery by the injured
party under the policy.
10. Utilities. Tenant shall pay all utility charges on the Premises, including water,
sewer, electric, gas, telephone service, cable or satellite television, and Internet access. Tenant
shall place all such services in Tenant’s name for billing purposes immediately upon Tenant taking
possession of the Premises. Tenant’s failure to do so ten (10) days from taking possession of the
Premises shall be deemed an automatic default of this Lease.
11. Condition of Premises. Tenant accepts the Premises "AS IS", in its existing
condition. No representation, statement, or warranty, express or implied, has been made by or on
behalf of City as to the condition of the Premises. In no event shall City be liable to Tenant for
any defect in the Premises. No representation or warranty of habitability, express or implied, has
been made by or on behalf of City to Tenant. This Lease has been constructed with due
consideration of the requirements contained in MCL 554.139, which concerns a landlord's duty to
keep fit the premises and common areas, and specifically the modification of duties contained in
MCL 554.139(2). Nothing in this paragraph is intended to contradict or be in violation of the
Michigan Truth In Renting Act (MCL 554.632 et seq.).
Without limitation to the above, City specifically disclaims any warranty against,
knowledge of, or responsibility for the presence of lead-based paint, toxic mold, or any other
hazardous substance, patent or latent, in or near the Premises. Tenant may, at Tenant's expense,
prior to the commencement of the term of this Lease, conduct scientific testing of the Premises to
detect the presence of any hazardous substance, and Tenant's failure to conduct such testing shall
be deemed a complete release of City from any claim based on any hazardous substance. Tenant
acknowledges the receipt of City’s lead-based paint disclosure.
At the termination of this Lease, Tenant shall return the Premises and all equipment,
appliances, and fixtures in as good a condition as when Tenant took possession, ordinary wear and
tear excepted. Upon Tenant's failure to do so, City may restore the Premises, including all
equipment, appliances, and fixtures, to such condition, and Tenant shall be responsible to pay the
total cost of restoration.
Tenant agrees to leave the Premises clean, which shall include washing windows inside
and out, floors, walls, scrubbing the bathroom and kitchen, including the oven, refrigerator, and
kitchen cabinets. Tenant agrees to clean the carpeting in a professional manner at the termination
of this Lease. Tenant also agrees to remove all debris from the Premises at the termination of this
Lease. In the event Tenant does not complete this cleaning in a workmanlike manner, Tenant shall
be responsible for the total cost of a cleaning fee, based upon the time and cost involved in the
completion of the cleaning of the Premises.
12. Maintenance. Tenant shall maintain the Premises in reasonable repair during the
term of this Lease and comply with the health and safety laws of Michigan and the local unit of
government where the Premises are located.
All personal property in the Premises shall be at the risk of Tenant only, and City shall not
be liable for any loss of or damage to such personal property, to the Premises or to Tenant arising
from the bursting, stoppage, or leaking of water, gas, sewer or steam pipes, the stoppage or failure
of operation of any part of the mechanical plant of the building, or heating, air conditioning,
plumbing or electrical facilities, or from any acts or neglect of co-tenants, Extra Occupants, guests,
invites, or others at the Premises on Tenant’s behalf.
As a condition of this Lease, City is required (i) to accomplish snow removal from the
driveway, sidewalks, steps, and related structures, as necessary, (ii) to perform or cause to be
performed all yard work necessary to maintain the yard in its current condition, and (iii) to make
all repairs to all appliances in the Premises, so long as such repairs are not due to Tenant’s miscount
or negligence.
13. Fire or Casualty. In the event the Premises are totally destroyed by fire, wind, or
other causes beyond the control of City, or are condemned or otherwise taken by authority of local,
state, or federal government, then in any of these events this Lease shall terminate as of the date
of such destruction, condemnation, or taking. If the Premises are damaged by fire, rain, wind, or
other such causes, so as to render the same partially untenable or partially unfit for use, but are
repaitable within a reasonable time, then this Lease shall remain in full force and effect, but Rent
shall be proportionately reduced until the Premises are repaired, provided, however, City shall
have the right, at City's sole option, to place Tenant in suitable temporary quarters until the
Premises are again fully habitable.
14. Assignment or Subletting. Tenant is prohibited from assigning Tenant’s interest
in this Lease or from subletting the Premises.
15. Reserved Rights. City reserves the following rights:
a. to enter the Premises at all reasonable hours for inspection, repairs,
alterations, or additions; City intends to conduct a minimum of two regular inspections per
year and shall provide Tenant twenty-four (24) hours notice;
b. to enter the Premises for any purpose whatsoever related to the safety,
protection, preservation or improvement of the Premises or the building; and
C. to retain and use pass keys to the Premises.
The exercise of the reserved rights of City shall never be deemed an eviction or disturbance
of Tenant's peaceful use and possession of the Premises and shall never render City liable in any
manner to Tenant or to any person in the Premises.
16. Liens and Encumbrances. Tenant will not create or permit to be created or to
remain, and will promptly discharge, at Tenant's sole cost and expense, any lien, encumbrance or
charge upon the Premises or any part thereof, or upon Tenant's leasehold interest therein, which
lien, encumbrance or charge arises out of the use or occupancy of the Premises by Tenant or by
reason of any labor or materials furnished or claimed to have been furnished to Tenant or by reason
of any construction, alteration, addition, repair or demolition of any part of the Premises. Notice
is given that City will not be liable for any labor, services or materials furnished or to be furnished
to Tenant, or to anyone holding the Premises or any part thereof through or under Tenant, and that
no construction or other liens for any such labor or materials shall attach to the interest of City in
and to the Premises.
17. Abandoned Property. It is expressly agreed by the parties that any personal
property left on the Premises by Tenant after Tenant vacates the Premises or after this Lease is
terminated may be considered by City to be abandoned by Tenant, and City shall have the right,
without further notice, to sell or otherwise dispose of the personal property, and retain the proceeds,
if any, derived from the same.
18. Keys and Locks. Tenant shall not install additional or different locks on any doors
or windows of the Premises without written permission of City, which may be withheld for any
reason. If Tenant is permitted to install additional or different locks, Tenant shall provide City with
a key for each such lock. At the termination of the Lease, Tenant shall return all keys to the
Premises to City. City may charge Tenant $25.00 for each key not returned, including for any
additional or different locks installed by Tenant.
19. Improvements by Tenant. Tenant agrees that all improvements of any type made
by Tenant to the Premises, including without limitation painting, the installation of fixtures or
appliances, snow removal or yard maintenance, shall be the property of City, and that Tenant shall
receive no credit against rent owed for such improvements and such improvements shall become
part of the Premises.
20. Default and Repossession. Both City and Tenant have read, understood, and agree
to all of the paragraphs of this Lease, including the attached House Rules, and that ANY infraction
of a provision of this Lease shall constitute an automatic default, providing grounds for the
immediate institution of summary proceedings and repossession by City.
If the Premises are deserted or vacated, or if there is a default in the payment of Rent or
any part thereof for more than seven (7) days after written notice of such default by City, or if there
is a default in the performance of any other covenant, agreement, condition, rule or regulation in
this Lease or incorporated by reference for more than seven (7) days after written notice of such
default by City, this Lease (if City so elects) shall become null and void, and City shall have the
right to reenter or repossess the Premises, either by summary proceedings, surrender, or otherwise,
and dispossess and remove Tenant, Extra Occupants, and any other guests, invitees, or others at
the Premises on Tenant’s behalf, and the entirety of the effects at the Premises, without being liable
to any prosecution. In such case, City may, at City’s option, relet the Premises or any part of the
Premises, as the agent of Tenant, and Tenant shall pay City the difference between the rent set
forth in Section 2 above for the portion of the term of this Lease remaining at the time of reentry
or repossession and the amount, if any, received or to be received under such reletting.
21. Lease Renewal. If Tenant has occupied the Premises for the full Term and has
maintained the Premises in good condition, made all Rent payments, and has acted in accordance
with all other terms provided for herein, unless otherwise terminated in writing by both parties,
this Lease shall automatically renew. The Term shall be extended by another twelve (12) month
period and all provisions herein shall continue in full force in effect (“Lease Renewal”).
Notwithstanding the forgoing, Rent for each Lease Renewal shall increase by at least__% but no
more than _% and City may, at its option, require Tenant to pay additional security deposit money
to adjust for the increase in Rent.
22. Termination of Lease. Tenant may terminate this Lease for any reason during the
Term by providing City with written 30-day notice of such intent to terminate.
23. Termination of Lease (Drug Activity). In the event that Tenant, a member of
Tenant’s household, or other person under Tenant’s control has manufactured, delivered,
possessed with intent to deliver, or possessed a controlled substance on the Premises, City may
terminate this Lease on 24 hours’ notice by giving Tenant a written 24 hour notice to quit.
24. General Provisions.
a. Governing Law. This Lease is executed in accordance with, shall be
governed by, and construed and interpreted in accordance with the laws of the State of
Michigan.
b. Entire Agreement. This Lease shall constitute the entire agreement, and
shall supersede any other agreements, written or oral, that may have been made or entered
into, by and between the parties with respect to the subject matter of this Lease and shall
not be modified or amended except in a subsequent writing signed by the party against
whom enforcement is sought.
C. Binding Effect. This Lease shall be binding upon, and inure to the benefit
of and be enforceable by, the parties and their respective legal representatives, permitted
successors and assigns.
d. Counterparts. This Lease may be executed in counterparts, and each set
of duly delivered identical counterparts that includes all signatories shall be deemed to be
one original document.
e. Non-Waiver. No waiver by any party of any provision of this Lease shall
constitute a waiver by such party of such provision on any other occasion or a waiver by
such party of any other provision of this Lease.
f. Severability. Should any one or more of the provisions of this Lease be
determined to be invalid, unlawful or unenforceable in any respect, the validity, legality
and enforceability of the remaining provisions of this Lease shall not in any way be
impaired or affected.
g. Venue. The parties agree that for purposes of any dispute in connection
with this Lease, the Muskegon County District or Circuit Court, as appropriate, shall have
exclusive jurisdiction and venue.
h. Terms. Nouns and pronouns will be deemed to refer to the masculine,
feminine, neuter, singular and plural, as the identity of the person or persons, firm or
corporation may in the context require.
i. Full Execution. This Lease requires the signature of both parties. Until
fully executed, on a single copy or in counterparts, this Lease is of no binding force or
effect and if not fully executed, this Lease is void.
25. VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating
violence or stalking as serious or repeated violations of the lease or other
“sood cause” for termination of assistance, tenancy or occupancy rights of the
victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse,
engaged in by a member of a tenant’s household or any guest or other person
under the tenant’s control, cause for termination of assistance, tenancy, or
occupancy tights if the tenant or an immediate member of the tenant’s family
is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on
the victim’s behalf, certify that the individual is a victim of abuse and that the
Certification of Domestic Violence, Dating Violence or Stalking, Form HUD-
91066, or other documentation as noted on the certification form, be
completed and submitted within 14 business days, or an agreed upon
extension date, to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe
may result in eviction.
City and Tenant executed this Lease effective as of the date set forth above.
NOTICE: MICHIGAN LAW ESTABLISHES RIGHTS AND OBLIGATIONS FOR
PARTIES TO RENTAL AGREEMENTS. THIS AGREEMENT IS REQUIRED TO
COMPLY WITH THE TRUTH IN RENTING ACT. JF YOU HAVE ANY
QUESTIONS ABOUT THE INTERPRETATION OR LEGALITY OF A
PROVISION OF THIS AGREEMENT, YOU MAY WISH TO SEEK ASSISTANCE
FROM A LAWYER OR OTHER QUALIFIED PERSON.
City of Muskegon -
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Date: AfivEfa % LIPS
Tenant(s) -
Date: 327-23
Name:
Date:
HOUSE RULES
Waterbeds are prohibited.
Small dogs and cats may be permitted on the Premises on a case by case basis by City. All
other pets are prohibited, including, but not limited to, large dogs, birds, fish, rodents of all
kinds, reptiles or amphibians, bees or ants. Service animals permitted.
Tenant shall not allow visitors or guests to bring pets inside the Premises, or to keep pets
in the yard overnight.
Tenant shall not store any gasoline, fuel oil, toxic agents, or other potentially hazardous
substances on the Premises.
No auto repairs shall take place inside or on the Premises.
Motor vehicles such as motorcycles, snowmobiles, watercraft of any type, and the like shall
be kept outdoors and not stored inside the Premises, except in a garage. No vehicles shall
be parked or stored at any time in the front yard on the lawn.
Tenant and/or Tenant's guests shall not drive or park on the lawn or other landscaped
surfaces.
All garbage and refuse shall be stored in garbage pails or similar receptacles with tight
fitting lids.
Tenant shall not throw sweepings, rags, rubbish, garbage, etc., into toilets, bathtubs or
sinks, or any other place not provided for that use. Tenant shall be held strictly liable for
any damage to the Premises resulting from overflow from the toilet, sinks, and bathtub in
the Premises.
10. Tenant shall not use any method of heating the Premises other than that supplied by City.
11, Tenant shall not conduct any commercial business inside or from the Premises.
12. Tenant shall at all times control music, loud talking, and noise so as not to interfere with
the reasonable rights of the surrounding neighbors.
13. Tenant shall not perform any act or carry on any practice which may injure the Premises
or be a nuisance or menace to neighbors.
14. Tenant shall not use or permit visitors to use or possess controlled substances on the
Premises, such as marijuana, cocaine, and like substances.
15. Tenant shall fully comply with any and all local, county, state and federal ordinances which
affect the Premises.
16. Tenant shall not hang pictures or other items from walls in the Premises by any means that
is not readily repairable. In particular, without limitation, Tenant shall not tape pictures or
other items to walls as this can permanently damage the walls.
17. Tenant shall not affix any antenna or satellite dish to the Premises without City’s prior
permission.
18. Tenant shall not paint any woodwork, trim, doors, or cabinets in the Premises.
Reviewed and Approved —
City of Muskegon -
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NOTICE PERTAINING TO SECURITY DEPOSIT
Whenever provision is made for notice to City of any kind, it shall be deemed sufficient notice if
the notice is in writing and addressed to:
Whenever provision is made for notice to Tenant of any kind, it shall be deemed sufficient notice
if the notice is in writing and addressed to:
Pursuant to MCL 554.604(1), Tenant's security deposit is on deposit with the regulated financial
institution listed below:
[Name of institution]
"You must notify your City in writing within 4 days after you move
of a forwarding address where you can be reached and where you will
receive mail; otherwise your City shall be relieved of sending you an
itemized list of damages and the penalties adherent to that failure."
MCL 554.603.
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11
COMMENCEMENT AND TERMINATION INVENTORY CHECKLIST
"YOU SHOULD COMPLETE THIS CHECKLIST, NOTING THE CONDITION OF THE
RENTAL PROPERTY, AND RETURN IT TO THE CITY WITHIN 7 DAYS AFTER
OBTAINING POSSESSION OF THE RENTAL UNIT. YOU ARE ALSO ENTITLED TO
REQUEST AND RECEIVE A COPY OF THE LAST TERMINATION INVENTORY
CHECKLIST WHICH SHOWS WHAT CLAIMS WERE CHARGEABLE TO THE LAST
PRIOR TENANTS."
The following is the complete inventory checklist for the Premises located at _1194 Pine St
Unit B, Muskegon MI _ 49442. Any space left blank will be deemed an acknowledgment that
the item is in good, acceptable condition.
Beginning Ending
Condition Condition
Living Room
Door (Including locks)
Patio Door
Screen Door
Carpet
Walls
Ceiling
Plugs and Switches
Dining Room
Carpet
Walls
Ceiling
Lights & Switches
Entry
Door
Ceiling
Walls
Carpet/Floor
Hallway
Carpet
Walls
Ceiling
Switches and Plugs
Hall Closet
Door
Ceiling
Shelves
Carpet/Floor
12
Beginning Ending
Condition Condition
Kitchen
Vinyl
Walls
Ceiling
Lights and Switches
Stove/Oven
Refrigerator
Disposal
Sink
Cabinets
Counter top
Bedroom #1
Door
Windows
Screens
Carpet
Walls
Ceiling
Lights and Switches
Closet
Bedroom #2
Door
Windows
Screens
Carpet
Walls
Ceiling
Lights and Switches
Closet
Bedroom #3
Door
Windows
Screens
Carpet
Walls
Ceiling
Lights and Switches
Closet
Beginning Ending
Condition Condition
Basement
Lights & Switches
Door
Furnace
General Area
Stairway
T have received (yes or no):
Broiler Pan
Butter Dish
Ice Cube Trays
Beginning Condition Inventory Checklist made on
Ending Condition Inventory Checklist made on >
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14
NOTICE OF DAMAGES
or
Other Claim Against Security Deposit
Tenant's Name and City of Muskegon’s
Forwarding Address Mailing Address
933 Terrace St.
Muskegon Mi 49440
Item / Description of Damages or Other Charges /_ Cost or Estimate
1.
2.
3.
4,
5.
6.
7.
8.
9.
10.
Amount of Security Deposit = $
Total Damages/Charges = $
Total Rent Due + $
Amount Due to/from Tenant: = $
"YOU MUST RESPOND TO THIS NOTICE BY MAIL WITHIN 7
DAYS AFTER RECEIPT OF SAME, OTHERWISE YOU WILL
FORFEIT THE AMOUNT CLAIMED FOR DAMAGES." MCL 554.609
City of Muskegon -
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15
Lead-Based Paint Disclosure Form
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, landlords must disclose the presence of known lead-based
paint and/or lead-based paint hazardsin the dwelling. Tenants must also receive a federally approved pamphlet
on lead poisoning prevention.
City’s Disclosure (initial)
(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 hazards are present in the housing.
{explain]
City has no knowledge of lead-based paint and/or lead-based paint hazards in the
wa)
SC
7) (ii)
housing.
(b) Records and reports available to the City. [check (i) or (ii) below]
(i) City has provided the lessee with all available records and reports pertaining to lead-
based paint and/or lead-based paint hazards in the housing. [list documents below]
(ii) City has no reports or records pertaining to lead-based paint and/or lead-based paint
hazards in the housing.
Tenant's Acknowledgment (initial)
Gyrtc) Lessee has received copies of all information listed above.
) Lessee has received the pamphlet Protect Your Family from Lead in Your Home.
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.
City of Muskegon - —) Tenant(s) -
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