S H O R T T E R M R E N T A L A P P L I C A T I O N The Residences at Bonita Village I, Condominium Association, Inc.

Unit # Arrival Date _____________ Departure Date _____________ ______________________________________________________________________________ Address of Rental:

Name of Owner:

Applicants Name:

Social Security No.: Date of Birth:

Phone Number:

2nd Applicants Name:

Social Security No.: Date of Birth:

Phone Number:

Permanent Address:

Previous Address (if less than two years):

Employer:

Employer Address:

Employer Phone Number:

Car #1: Year Color License # State

Car #2: Year Color License # State

Persons to Be Notified in Case of Emergency:

Name: Phone:

Address:

I (we) hereby authorize Landlord, its employees, agents and Encore Resort Management Services to take any and all actions necessary to verify the content of this application. I (we) understand that such actions may include, but not limited to, a police and criminal records search via a criminal background check. I (we) will hold Landlord, its employees, agents and Encore Resort Management Services harmless from liability for the reporting of such information to the management and/or owners. I (we) certify that all information provided on this application is true, correct and complete and I (we) understand that any misrepresentation or omission is cause for management and/or owners to reject or decline this application and/or terminate any lease based on this application. The parties understand there is a $50.00 non-refundable application fee. Make check payable to The Residences at Bonita Village I. Signature of Applicant Signature of 2nd Applicant Date