SMOKE-FREE POLICY ADDENDUM

Due to the increased risk of fire, and the known health effects of secondhand tobacco smoke, smoking is not permitted inside or outside on the property at ___________________________________________. This includes both private and common areas, whether enclosed or outdoors. The policy applies to all residents, guests, and servicepersons.

Smoking: The term “Smoking” means inhaling, exhaling, burning, or carrying any lighted cigar, cigarette or other tobacco product in any manner or in any form.

Resident acknowledgment:

I hereby acknowledge the above smoking policy as part of the lease or month-to-month agreement. I agree that I will not smoke inside the apartment or anywhere on the property. In addition, I will be responsible for enforcing this policy with all of my visitors, guests, and relatives who visit the premises. If I fail to abide by this policy, I agree to move within 30 days.

The designated smoking area for guests is                                                                         .

ADDRESS

NAME (please print)                          SIGNATURE                                                 Date

NAME (please print)                           SIGNATURE                                                 Date