Vacation
House Rental Application
Rental Unit # 828-321-9083
Owner:
Karen Shields
Mail address: 8031 Pebble Creek
Ln W
Contact
#:904-273-0475 / E mail:rentalcasa@ aol.com
Fax
904-273-2147
Date:_______________
Name:____________________________ Arrival
Date:_____________________________
Address:_________________________ Departure Date: ________________________
City/St/Zip_______________________
Email:___________________________________
Name of all
Individuals in your party:_(Max. 12 people) ____________________
_______________________________________________________________________________
_______________________________________________________________________________
Home Phone: ( )
______________________ Business
Phone: ( )________________
Driver’s License:_______________________ Tag #:________________________________
Reservation fee / Security fee due now: $500 Date Received:_______________
Total Rent Due upon check-in: Rental fee = $_____________
There is a 9.5 % sales/occupancy tax
Cleaning fee = $125
Utilities are included, local phone service only (need
Long distance calling card)
********Full rental amount is due 14
days before check in**********
In the event the
owner is unable to deliver said property to tenant under this lease agreement
because of fire, eminent domain, Act of God or if the property is unavailable
because of lack of water or sewer or if the property is sold, Tenant hereby
agrees that owners sole liability as a result of any of these conditions is the
full refund of all deposits previously tendered by tenant pursuant to the terms
of this lease and Tenant expressly acknowledges that in no event shall Owner be
held liable for any consequential or secondary damages. The owner and his agent
shall not be liable for any damages destruction or loss. The tenant agrees to release and indemnify
the owner and his agent from and against liability for injury to the person of
the Tenant or to any member of his household resulting from any cause
whatsoever, except only personal injury caused by negligent or intentional acts
of the Owner and his agent. Tenant is responsible for any damages done to the
subject property by himself, his family, guests, or unauthorized pets during
the term of this lease. Tenant
acknowledges receipt and acceptance of the rental house guidelines attached. This lease can not be sub leased or assigned
to another individual.
Tenant Signature: _____________________ Tenant Signature: ______________________
Date
of Acceptance:
________________________