LEASE ADDENDUM FOR LIVE-IN ATTENDANT OR AIDE ...



LEASE ADDENDUM FOR LIVE-IN ATTENDANT OR AIDE ___________________________ APARTMENTS

(Attachment to the Rental Agreement)

Attendant/Aide's Name:

Resident(s) Name:

Apartment Number: Date:

Legal Guardian's Name (if applicable):

Attendant or Aide Certification:

The attendant/aide listed above has been retained by

the resident(s) listed above, OR

the legal guardian listed above

to provide services that are essential to the care and well-being of the resident(s) named above.

My temporary residency will begin on:

My temporary residency will end on: *

*This ending date is an estimate at this time, as it depends on the needs of the resident(s) I am serving.

The services that will be provided will be paid for by:

resident

insurance company, please list:

other source, please list:

I have been provided a copy of the Rental Agreement (lease) including the House or Management rules and policies that apply to this property. I understand that I am obligated to abide by all of these rules and policies. I further understand that I will be required to leave the apartment if I do not comply with these policies and rules. It has also been explained to me that these policies and rules are periodically updated and/or amended. I understand that I will be obligated to comply with all changes and updates when provided.

I also understand that I do not have any independent right of occupancy other than my agreement to provide services that are essential to the resident(s) care and well being. If the resident(s) discontinues residency for any reason or I am no longer providing the prescribed support services essential to that individual’s care and well being, my occupancy of the apartment will end within seven (7) days.

This Lease Addendum is incorporated into the lease executed or renewed this day of _________________, 20____ between the Owner and the Resident.

Signature of Attendant or Aide Date

Signature of Resident or Legal Guardian Date

Signature of Owner’s Agent Date

NOTE: This Apartment Community does not discriminate on the basis of handicapped status in the admission or access to, or treatment or employment in, its federally assisted programs and activities.

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