STANTON REALTY, INC. WINTER RENTAL CONTRACT

Mail to P.O. Box 1965
Westerly, RI 02891
Fax to 401-596-2885 or Email

OWNER NAME & ADDRESS ________________________________
OWNER TEL. (H)__________________(W)______________________
EMAIL______________________________OTHER_______________
PROPERTY ADDRESS______________________________________

MONTHLY RENT $___________ SECURITY DEPOSIT $___________
DATES OPEN FOR RENTAL:  FROM__________TO______________
UTILITIES INCLUDED, IF ANY________________________________
HEAT SOURCE:____________ IF PROPANE , PLEASE PROVIDE US
WITH THE NAME:___________________________________________

PLEASE CHECK ALL ITEMS BELOW THAT APPLY:

TV_____ CABLE_____ DVD_____VCR_____ PHONE_____ AC_____
MICRO_____ WASHER_____  DRYER_____   DISHWASHER_____
PETS O.K._____ SMOKING_____  NO SMOKING_____
OTHER_____________________________________________________

MAXIMUM # OF OCCUPANTS ALLOWED________

# OF BEDROOMS_____
# OF BATHROOMS_____
TYPE OF BEDS_____________________________________________
OTHER SLEEPINGACCOMMODATIONS______________________

I HEREBY GIVE PERMISSION TO STANTON REALTY, INC. TO
PROCURE A WINTER RENTAL FOR MY PROPERTY STATED
ABOVE.  AND, IF SUCCESSFUL, I FURTHER AGREE TO
COMPENSATE THEM 15% OF THE GROSS MONTHLY RENTAL.

_______________________________________    ___________________
OWNER(S)                                                              DATE

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