Acknowledgement of State Disclosure Statement Sample Clauses

Acknowledgement of State Disclosure Statement. The signature below acknowledges that the lessor or potential lessor has disclosed to me information about lead-based paint hazards as required by 22 M.R.S.A. Section 1328. This acknowledgement does not constitute a waiver of any rights. Lessor Signature Date Lessee Signature Date Southern Angel Properties, LLC Lessor Name printed Lessee Name printed Lessee Signature Date Lessee Signature Date Lessee Name printed Lessee Name printed Acknowledgement of federal 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. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor’s Disclosure
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Acknowledgement of State Disclosure Statement. The signature below acknowledges that the lessor or potential lessor has disclosed to me information about lead-based paint hazards as required by 22 M.R.S.A. Section 1328. This acknowledgement does not constitute a waiver of any rights. ______________________________ __________________________________ Lessor Signature Date Lessee Signature Date Southern Angel Properties, LLC __________________________________ Lessor Name printed Lessee Name printed _______________________________ __________________________________ Lessee Signature Date Lessee Signature Date _______________________________ __________________________________ Lessee Name printed Lessee Name printed 1 Acknowledgement of federal 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. Lessees must also receive a federally approved pamphlet on lead poisoning prevention. Lessor’s Disclosure Presence of lead-based paint and/or lead-based paint hazards (check (i) or (ii) below): _____ Known lead-based paint and/or lead-based paint hazards are present in the housing (explain). ___________________________________________________________________________________ _____________________________________________________________________________
Sample 1
Acknowledgement of State Disclosure Statement. The signature below acknowledges that the lessor or potential lessor has disclosed to me information about lead-based paint hazards as required by 22 M.R.S.A. Section 1328. This acknowledgement does not constitute a waiver of any rights. Lessor Signature Date Lessee Signature Date Xxxxxxx X Xxxxxxxxxx Xxxxx X Xxxxxxxx Lessor Signature Date Lessee Signature Date Xxxxxx X Xxxx Initial MOLD ADDENDUM D The Lessee acknowledges that it is necessary for Lessee to provide appropriate climate control, keep the unit clean and take other measures to retard and prevent mold and mildew from accumulating in the dwelling. Lessee agrees to clean and dust the unit on a regular basis and to remove visible moisture accumulation on windows, walls and other surfaces as soon as reasonably possible. Lessee agrees not to block or cover any heating or air conditioning ducts in the unit. Lessee agrees to immediately report to the management office: 1) any evidence of a water leak or excessive moisture in the dwelling, as well as any storage room or other common area; 2) any evidence of mold- or mildew-like growth that cannot be removed by simply applying a household cleaner and wiping the area; 3) any failure or malfunction in the heating or air conditioning systems or laundry system within the building; and 4) any inoperable windows. Lessee further agrees that Lessee will be responsible for damage to the premises and Lessee's property as well as injuries to the Lessee(s) resulting from Lessee's failure to comply with the terms of this paragraph. LESSEE Xxxxx X Xxxxxxxx LESSEE Xxxxxx X Xxxx LESSOR Xxxxxxx X Xxxxxxxxxx LESSOR
Sample 1
Acknowledgement of State Disclosure Statement. The signature below acknowledges that the lessor or potential lessor has disclosed to me information about lead-based paint hazards as required by 22 M.R.S.A. Section 1328. This acknowledgement does not constitute a waiver of any rights. May 15, 2015 May 15, 2015 Lessor Signature Date Lessee SignatureDate Lessor Signature Date Lessee SignatureDate Lessor Signature Date Lessee SignatureDate Lessor Signature Date Lessee SignatureDate ADDENDUM C Energy Efficiency Disclosure Form for Rental Units in Maine Address of Rental Unit: 00 Xxxxxx Xx Xxx 0 Xxxxxxxx XX 00000 This rental unit meets/ does not meet/ partially meets (check one) the minimum energy efficiency guidelines suggested below for rental units in Maine. You can expect your energy bills to be lower if your dwelling is insulated and has efficient appliances. There are several factors that affect energy costs. The areas below are the most important ones and indicate where this dwelling exceeds, meets, or falls below minimum efficiency guidelines suggested for Maine. The bold items below are suggested minimum guidelines. Heating Systems Fuels: oil natural gas propane solar electric other yes no Water Heat Accessible domestic hot water pipes insulated? Exposed pipes or ducts in unheated crawl space insulated? yes no Heating fuels: oil natural gas propane kerosene wood electric other Test date: Space Heat Tested heating system efficiency (minimum: 82%) % unknown Insulation Walls Insulated? (minimum: cavity filled) filled partially filled no insulation unknown Insulation thickness: less than 3” 3-6” more than 6” Ceiling Insulated? (minimum: R-38 or cavity filled) filled partially filled no insulation unknown Insulation thickness: inches or R- Floors over unheated areas Insulated? (minimum: R-21 or cavity filled) filled partially filled no insulation unknown Basement wall Insulated? (minimum: 2’ below grade) yes no unknown Windows and Doors Doors (minimum: insulated or with storm) insulated storm insulated + storm neither Windows (minimum: 2 panes of glass) single pane single + storm double (DG) DG + low-e (DG + low-e + argon gas) triple or better
Sample 1

Related to Acknowledgement of State Disclosure Statement

  • ACKNOWLEDGEMENT AND DECLARATION I/We sign this declaration as the customer:-

  • ACKNOWLEDGEMENT OF ADDENDA The Bidder shall acknowledge receipt of any addenda issued to this solicitation by completing the blocks below or by completion of the applicable information on the addendum and returning it not later than the date and time for receipt of the bid. Failure to acknowledge an addendum that has a material impact on this solicitation may negatively impact the responsiveness of your bid. Material impacts include but are not limited to changes to specifications, scope of work/services, delivery time, performance period, quantities, bonds, letters of credit, insurance, or qualifications. Addendum No. , Date Addendum No. , Date Addendum No. , Date Addendum No. , Date AUTHORIZED SIGNATORIES/NEGOTIATORS The Bidder represents that the following principals are authorized to sign bids, negotiate and/or sign contracts and related documents to which the bidder will be duly bound. Principal is defined as an employee, officer or other technical or professional in a position capable of substantially influencing the development or outcome of an activity required to perform the covered transaction. Name Title Telephone Number/Email (Signature) (Date) (Title) (Name of Business) The Bidder shall complete and submit the following information with the bid: Type of Organization Sole Proprietorship Partnership Non-Profit Joint Venture* Corporation State of Incorporation: Principal Place of Business (Florida Statute Chapter 607): City/County/State THE PRINCIPAL PLACE OF BUSINESS SHALL BE THE ADDRESS OF THE BIDDER’S PRINCIPAL OFFICE AS IDENTIFIED BY THE FLORIDA DIVISION OF CORPORATIONS. Federal I.D. number is: * Joint venture firms must complete and submit with their Bid Response the form titled “Information for Determining Joint Venture Eligibility”, and a copy of the formal agreement between all joint venture parties. This joint venture agreement must indicate the parties’ respective roles, responsibilities and levels of participation for the project. If proposing as a Joint Venture, the Joint Venture shall obtain and maintain all contractually required insurance in the name of the Joint Venture as required by the Contract. Individual insurance in the name of the parties to the Joint venture will not be accepted. Failure to timely submit the required form along with an attached written copy of the joint venture agreement may result in disqualification of your Bid Response

  • Acknowledgement Statement The results published here are in whole or part based upon data generated by The Cancer Genome Atlas managed by the NCI and NHGRI. Information about TCGA can be found at xxxx://xxxxxxxxxxxx.xxx.xxx. Name : General Research Use Consent Group # : 1 Abbreviation : GRU

  • Statement of Agreement The parties hereby acknowledge the accuracy of the foregoing Background Information and hereby agree as follows:

  • Acknowledgement of Understanding I have read this waiver of liability, assumption of risk, and indemnify, fully understand its terms, and understand that I am giving up my rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to a complete and unconditional release of liability, to the greatest extent allowed by law. Printed Name Signature

  • Acknowledgement of Support Unless the Province directs the Recipient to do otherwise, the Recipient will, in respect of any Project-related publications, whether written, oral, or visual, acknowledge the Province’s and Canada’s support for the Project.

  • Assignment Amendments Waiver and Contract Complete 8.1 The Contractor may neither assign nor transfer any rights or obligations under this Agreement without the prior consent of the Authority and a fully executed Assignment Agreement, executed and approved by the same parties who executed and approved this Agreement, or their successors in office. Any attempted assignment without said consent shall be void and of no effect. The Authority may assign or otherwise transfer or dispose of all or a portion of this Agreement in its sole discretion and without the consent of the Contractor. The Contractor shall execute all consents reasonably required to facilitate such assignment or other transfer.

  • Acknowledgement of Existing Physical Conditions In undertaking the work under this Contract, the Contractor acknowledges that he has visited the premises and has taken into consideration all open and apparent conditions that might affect his work. No claim based on lack of knowledge of existing conditions shall be allowed unless the existing physical conditions cannot be discovered by a reasonably observant person. Any claims relating to conditions that are materially different from the Contract Documents that were not open and apparent may be adjusted as provided in this Part.

  • Amendment of Bidding Documents 10.1 Before the deadline for submission of bids, the Employer may modify the bidding documents by issuing addenda.

  • Dissemination of Research Findings and Acknowledgement of Controlled-Access Datasets Subject to the NIH GDS Policy It is NIH’s intent to promote the dissemination of research findings from use of controlled-access dataset(s) subject to the NIH GDS Policy as widely as possible through scientific publication or other appropriate public dissemination mechanisms. Approved Users are strongly encouraged to publish their results in peer-reviewed journals and to present research findings at scientific meetings.

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