The disclosure summary for the lease of residential or commercial property shall be in the following format:

1. (LICENSEE) HEREBY STATES THAT WITH RESPECT TO THIS PROPERTY, (DESCRIBE PROPERTY) I AM ACTING IN THE FOLLOWING CAPACITY: (CHECK ONE)
   (I) OWNER/LANDLORD OF THE PROPERTY;
   (II) A DIRECT EMPLOYEE OF THE OWNER/LANDLORD; OR
   (III) AN AGENT OF THE OWNER/LANDLORD PURSUANT TO A PROPERTY MANAGEMENT OR EXCLUSIVE LEASING AGREEMENT.

   I ACKNOWLEDGE THAT I HAVE RECEIVED THIS NOTICE:

   DATE:

   PRINT (CONSUMER) PRINT (CONSUMER)

   SIGNED (CONSUMER) SIGNED (CONSUMER)

   ADDRESS (OPTIONAL): ADDRESS (OPTIONAL):

   PHONE NUMBER PHONE NUMBER
   (OPTIONAL): (OPTIONAL):

   I CERTIFY THAT I HAVE PROVIDED THIS NOTICE:

2. (LICENSEE) (DATE)

CONSUMER NOTICETHIS IS NOT A CONTRACT

Authority

The provisions of this § 35.337 issued under sections 404, 606—606.6 and 608—608.3 of the Real Estate Licensing and Registration Act (63 P.S. § § 455.404, 455.606—455.606f and 455.608—455.608c).

Source

The provisions of this § 35.337 adopted March 29, 2002, effective March 30, 2002, 32 Pa.B. 1644.

Cross References

This section cited in 49 Pa. Code § 35.284 (relating to disclosures of business relationships); 49 Pa. Code § 35.286 (relating to retention and production of records); and 49 Pa. Code § 35.331 (relating to written agreements generally).