Md. Code, Commercial Law § 12–1111

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

“Rental–Purchase Agreement

(1.) Lessor(s): Lessee(s):

Name ____________________________ Name ______________________________

Address __________________________ Address ____________________________

Telepohon no. _____________________ 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 Payment: _________________ (includes tax)

Total Monthly Rental Payment: _________________ (includes tax)

(5.) Other Charges:

In Home Pick–up Fee: $___________

Reinstatement Fee: $___________

Other (specify): $___________

(6.) Total Cost To Acquire 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.) Cost of Lease Services:

The cost of lease services is the difference between the final purchase price of

the rental property and the cash price of the rental property. The cost of lease

services for the rental property is $__________.

(8.) 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.

(9.) Early Purchase Option:

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

payment.

(Describe formula or method here)

(10.) 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.

(11.) 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.

(12.) 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.

(13.) 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.

(14.) 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: ___________________

______________________________ .”

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

Summary of Costs of Your Rental–Purchase Agreement

Cash Price Scheduled Final Purchase Cost of Lease

Payments Price Services

The price of the The amount you The amount you The cost of your

rental property if pay per will have paid rental–purchase.

purchased in– week/month. after all payments

store at the time made all payments

of consummation. as scheduled.

$ __________ $ __________ $ __________ $ __________ Timing of Payments: Payment in the amount of $ ________________ is due on a (weekly/bi–weekly/semi–monthly/monthly) basis. Early Payment Option: You have the right to purchase the rental property prior to the date listed above for (enter formula). Termination: You have the right to terminate this rental–purchase agreement at the end of any term by surrendering the rental property to the lessor. The disclosures above are part of the terms and conditions of your rental–purchase agreement with (company name). Lessee(s): _________________________________ Date: ________________________

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