Maryland Commercial Law Section 12-1111

      The following is an example of a form which shall be used to satisfy the disclosure requirements of §§ 12-1103(c) and 12-1104 of this subtitle:

"Rental-Purchase Agreement

1.            Lessor(s):

Name      

Address      

Telephone no.      

Lessee(s):

Name      

Address      

Telephone no.      

2.            Description of Rental Property:

                        Identification           

Item             Quantity            Number            Condition

____________            ______            ____________            New____ Used ____

Cash Price: __________

3.            Total Initial Payment:

Rental Payment:      $_________

Delivery Charge:      $_________

Tax:      $_________

Other (specify):      $_________

Total:      $_________

4.            Rental Payments:

Total Weekly Rental Payments: _______________ (includes tax)

Total Monthly Rental Payment: _______________ (includes tax)

5.            Other Charges:

In Home Pick-up Fee:      $_________

Reinstatement Fee:      $_________

Other (specify):      $_________

6.            Total Cost To Aquire Ownership:

If you renew this rental agreement each week/month, for __________ weeks/months, you will pay a total of $__________ to own the rental property. This amount includes your total initial payment but does not include other charges such as damage, reinstatement or pick-up fees for which you may be liable.

7.            No Ownership Until Total Paid:

You will not acquire ownership of the rental property until you pay the total rental payments necessary to acquire ownership, or unless you exercise an early purchase option.

8.            Early Purchase Option:

You may purchase the rental property at any time after your first rental payment.

(Describe formula or method here)

9.            Maintenance:

We (lessor) are responsible for maintaining the rental property in good working condition while it is being rented. We will provide all necessary service, repair or replacement (specify if in home or in store) if you notify us by phone or mail that service is needed. We will not be responsible for repairs done by anyone other than us.

10.            Warranty:

If allowed by the manufacturer, the manufacturer's express warranty covering the rental property rented under this agreement will be transferred to you if, and at the time, you acquire ownership of the rental property.

11.            Damages:

You (lessee) are entirely responsible for loss, damages, theft or destruction of the rental property while it is in your possession. Your liability for such damage will not exceed the early purchase option price of the rental property as of the date it is lost, stolen, damaged or destroyed.

12.            Termination:

You (lessee) may terminate this agreement without penalty at the end of any weekly or monthly term by returning the rental property to us in good condition. You will be liable for any unpaid rental payments due upon the date of return.

13.            Reinstatement:

If you (lessee) fail to make a timely payment, you may reinstate the agreement without penalty, if:

            1) You pay all past due rental charges and a reinstatement fee within 2 days (weekly renters) or 5 days (monthly renters) of your renewal date; or

            2) You return or voluntarily surrender the rental property within 2 days (weekly renters) or 5 days (monthly renters) of your renewal date. If you choose to reinstate the agreement after returning the rental property, you will have up to 21 days (or longer depending on how long you have rented the rental property) to pay all past due rental charges, a reinstatement fee and a reasonable redelivery fee if we deliver the rental property.

I have read the above disclosures before signing this rental-purchase agreement.

Lessee(s):____________________________      Date:__________

____________________________."