Residential Lease Addenda - Mold Disclosure - Indiana
INDIANA MOISTURE AND MOLD CONDITION AND RESPONSE RECORD
NOT AN OPERATIVE LEASE ADDENDUM. Use this record to document facts and prepare a counsel-approved addendum after current state, local, lease, building, health, and insurance requirements are checked.
1. Property and Lease
| Item | Entry |
|---|---|
| Property address | [________________________________] |
| County and municipality | [________________________________] |
| Unit and building type | [________________________________] |
| Landlord / owner | [________________________________] |
| Manager or agent | [________________________________] |
| Tenant or tenants | [________________________________] |
| Lease date and term | [________________________________] |
| Existing moisture, leak, ventilation, or mold clause | [________________________________] |
| Local housing, building, or health authority | [________________________________] |
2. Pre-Occupancy Condition
| Area | Moisture or staining | Visible growth or odor | Photo / report | Date |
|---|---|---|---|---|
| Kitchen and plumbing areas | [________] | [________] | [________] | [__/__/____] |
| Bathrooms and laundry | [________] | [________] | [________] | [__/__/____] |
| Bedrooms and living areas | [________] | [________] | [________] | [__/__/____] |
| Roof, windows, walls, and foundation | [________] | [________] | [________] | [__/__/____] |
| HVAC, ventilation, and common areas | [________] | [________] | [________] | [__/__/____] |
Prior leak, water event, inspection, or remediation: [________________________________]
Records supplied to tenant: [________________________________]
3. New Report
| Item | Entry |
|---|---|
| Date and time reported | [________________________________] |
| Reporting person and method | [________________________________] |
| Condition described | [________________________________] |
| Location and extent | [________________________________] |
| Leak or moisture source suspected | [________________________________] |
| Health or safety concern reported | [________________________________] |
| Photos, samples, or other record | [________________________________] |
| Other affected units or areas | [________________________________] |
| Emergency condition asserted | ☐ No ☐ Yes — describe: [________________] |
4. Access and Inspection Plan
Do not insert a fixed notice or response period until counsel verifies the governing requirements.
| Step | Responsible person | Proposed date / time | Authority or lease source | Confirmed? |
|---|---|---|---|---|
| Notice of access | [________] | [________] | [________] | [________] |
| Leak or moisture-source inspection | [________] | [________] | [________] | [________] |
| Building-envelope or HVAC review | [________] | [________] | [________] | [________] |
| Environmental or remediation professional | [________] | [________] | [________] | [________] |
| Follow-up inspection | [________] | [________] | [________] | [________] |
5. Findings and Response Record
| Item | Entry |
|---|---|
| Inspector or provider | [________________________________] |
| Credential or qualification checked | [________________________________] |
| Inspection date | [__/__/____] |
| Moisture source and measurements | [________________________________] |
| Materials affected | [________________________________] |
| Recommended correction | [________________________________] |
| Containment or safety instruction | [________________________________] |
| Occupant preparation required | [________________________________] |
| Work date or dates | [________________________________] |
| Drying, cleaning, repair, or replacement completed | [________________________________] |
| Follow-up result | [________________________________] |
6. Responsibility and Cost Review
A provider's factual observations do not by themselves determine legal responsibility.
| Issue | Facts and records | Lease term | Current official authority | Counsel conclusion |
|---|---|---|---|---|
| Building or maintenance condition | [________] | [________] | [________] | [________] |
| Occupant reporting or conduct | [________] | [________] | [________] | [________] |
| Multiple-unit or common-area condition | [________] | [________] | [________] | [________] |
| Personal property impact | [________] | [________] | [________] | [________] |
| Inspection and remediation cost | [________] | [________] | [________] | [________] |
| Temporary access or occupancy impact | [________] | [________] | [________] | [________] |
| Deposit, reimbursement, or rent treatment | [________] | [________] | [________] | [________] |
7. Optional Contract Terms for Counsel
☐ Reporting method and contact information
☐ Ventilation, housekeeping, and moisture-control practices
☐ Access coordination
☐ Provider-selection process
☐ Document-sharing procedure
☐ Cause-specific cost allocation
☐ Nonwaiver of governing law and lease remedies
☐ Local-property or housing-program requirements
Drafting instructions: [________________________________]
8. Factual Acknowledgment
The signatures below acknowledge receipt of this factual record only. They do not create a waiver, admission, causation finding, cost allocation, default, remedy, or operative lease amendment.
| Role | Name | Signature | Date |
|---|---|---|---|
| Landlord / agent | [________________________________] | [________________________________] | [__/__/____] |
| Tenant | [________________________________] | [________________________________] | [__/__/____] |
| Tenant | [________________________________] | [________________________________] | [__/__/____] |
About this template
- Last updated
- August 27, 2026
- Last reviewed
- August 27, 2026
- Jurisdiction
- Indiana
- Category
- Real Estate
Real estate documents transfer ownership, define who can use a property, and record agreements between buyers, sellers, landlords, and tenants. Deeds, purchase agreements, leases, and easements have to be drafted to meet state recording requirements, and mistakes show up at closing or years later in title disputes. Good real estate paperwork moves transactions forward quickly and avoids the kind of problems that only surface when it is time to sell or refinance.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on August 27, 2026.
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