London, August 18th, 18—
Received of A. Wigram, Esq., Fifteen pounds, being one quarter's rent due on Midsummer Day last, for the premises occupied by him at No. 14, South Rupert Street, W.C.
£15 0s. 0d.T. Phillips.
Form of Agreement for Taking a House.
Memorandum of an undertaking entered into this —— day of ——, 18—, between A. B. of ——, and C. D. of ——, as follows:—
The said A. B. doth hereby let unto the said C. D. a dwelling-house, situate in the parish of ——, for the term of one year certain, and so on from year to year, and so on until half a year's notice to quit be given by or to either party, at the yearly rent of £——, payable quarterly; the tenancy to commence at —— day next.
And the said A. B. doth undertake to pay the land-tax, the property-tax, and the sewer-rate, and to keep the said house in all necessary repairs, so long as the said C. D. shall continue therein. And the said C. D. doth undertake to take the said house of A. B. for and at the before-mentioned term and rent, and pay all taxes except those on land or property and the sewer-rate, and to abide by the other conditions aforesaid.
Witness our hands the day and year aforesaid.
A. B.