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HOMESFARMSANDLAND.COM

Kevin Lucero

Lic. Real Estate Salesperson

a Charlotteville Realty Team

Independently Owned & Operated

607-282-6242kevin@homesfarmsandland.com

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Disclosure

New York State Disclosure Form for Landlord and Tenant

This is not a contract. NY law requires real estate licensees to disclose who they represent and what duties arise from that relationship.

More Details: dos.ny.gov
  • 1. What This Disclosure Covers
  • 2. Agency Relationships
  • 3. Dual Agency
  • 4. Acknowledgment
  • 5. Questions & Help

NYS Landlord Tenant Disclosure Form

Download

What This Disclosure Covers

Real estate licensees must advise landlords and tenants of the nature of their agency relationship and the rights and obligations it creates. You may receive more than one disclosure if multiple agents assist you.

  • When presented: At first substantive contact or as otherwise required.
  • Purpose: Help you make an informed choice about representation before sharing confidential information.
  • Reminder: This disclosure is informational and not a contract.

Agency Relationships (Landlord/Tenant Transactions)

Landlord's Agent

Engaged by and owes fiduciary duties to the landlord (reasonable care, undivided loyalty, confidentiality, full disclosure, obedience, and accounting). Must deal honestly, fairly, and in good faith with tenants and disclose known material facts about the property, as permitted by law.

Tenant's Agent

Engaged by and owes fiduciary duties to the tenant (reasonable care, undivided loyalty, confidentiality, full disclosure, obedience, and accounting). Must deal honestly, fairly, and in good faith with landlords.

Broker's Agent

Assists the listing agent or tenant's agent but works for a different firm. Has no direct relationship with the landlord or tenant; instructions flow through the engaging agent.

Dual Agency & Designated Sales Agents

Dual Agency

One broker represents both landlord and tenant with informed consent in writing from both parties. Because the broker owes duties to both sides, the full range of fiduciary duties cannot be provided.

Dual Agency with Designated Sales Agents

With written informed consent, the broker may designate one sales agent to represent the landlord and another to represent the tenant. Each designated agent advocates for their assigned principal but cannot provide undivided loyalty.

Acknowledgment & Advance Consent

By signing the official NYS disclosure form, you confirm you received the disclosure. The form also allows you to give advance informed consent to dual agency or dual agency with designated sales agents.

What you'll see on the form

  • Licensee & brokerage identification
  • Check boxes for: Landlord's Agent, Tenant's Agent, Broker's Agent, Dual Agent, Dual Agent with Designated Sales Agents
  • Optional: Advance Consent to Dual Agency / Dual Agency with Designated Agents
  • Signature lines for landlord(s) and/or tenant(s) with date

Questions or Help

For questions about this disclosure or your agency relationship, you can:

  • Call the NYS Department of State, Division of Licensing Services at (518) 474-4429
  • Email our team at kevin@homesfarmsandland.com
  • Visit dos.ny.gov for official state guidance