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1. What's the landlord's name? (Enter the full name)
2. What is the tenant's name? (Enter the full name)
3. What's the rental property's address? (Enter the complete address of the property being rented)
4. What was the original lease date?
5. What's the monthly rent? (Enter the amount)
6. What was the rent due date on the original lease? Enter the day of the month (e.g., 1st, 2nd, etc.)
7. What was the last paid rent date?
8. What is the original lease expiration date?
9. What is the new termination date?
10. How much is the security deposit? (Enter the amount)
11. How much is the amount withheld? (Enter the amount)
12. What's today's date?