In signing this application for rental of Mountain Escape, I, the tenant:
understand that this home is privately owned and managed.
agree to leave the home clean and in good order.
understand that I will be held responsible for any damage done to the home or furnishings during my occupancy.
understand that loud partying will be reported by neighbors.
understand that no pets of any kind are permitted on the property.
understand that smoking is not allowed inside the house.
understand that parking is available only in the driveway in front of the house.
understand the maximum is 20 overnight occupants w/o prior approval of the owner.
Please initial ______

When we receive BOTH the signed original copy of your request for rental AND 50% of your advanced rent, we will confirm your rental dates. We welcome personal checks but not credit cards. Your cancelled check will be your receipt.

The remainder of the rent and a security deposit of $300 are due 30 days prior to your first day of occupancy. The security deposit is fully refundable within fourteen (14) days of the termination of occupancy, provided that real and personal property are in the same condition as when occupancy commenced and all terms of this agreement are met. Applicant is liable for all replacements and repairs needed to attain the same condition as when occupancy commenced other than normal cleaning and laundry of linens.

Thank you for your rental deposit. Should you fail to utilize this confirmed reservation, we will retain all funds received, other than security deposit, as liquidated damages unless Mountain Escape is re-rented at the same rate for the same time period. If the latter occurs, we retain only a $100.00 administrative fee. We have a stringent cancellation policy because we only have one unit to rent. We hope that you understand our business position.

I accept liability for injury, damage, loss or accident and agree not to hold homeowner liable for injury in or around premises.
Please initial ____

I understand that underage drinking is a violation of the law of Pennsylvania. I agree that noone in our group under the age of 21 will drink alcoholic beverages while renting this property. I understand that failure to abide by these rules may result in the automatic eviction of the premises and forfeiture of all rental and security deposits.
Please initial ____

I have read this entire agreement and signed it voluntarily. I fully understand it and I agree to be legally bound by it. I acknowledge that I am at least 21 years of age.

___________________________________   _____________
Signature of Applicant                                    Month/Day/Year

We suggest that you make a copy of this agreement and application for your records.
We will send you a rental confirmation by letter or fax.
If you have questions, please call Bill Painter at 412-915-8003.
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MOUNTAIN ESCAPE Rental Application.
Return completed form with check made payable to:
Bill Painter
Box 4738
Pittsburgh, PA 15206
412-915-8003
laurelmtescape@gmail.com

Name: ____________________________________________________________

Address: __________________________________________________________

City, State, Zip ______________________________________________________

Daytime phone: (          ) ________ - _______________
Evening phone: (          ) ________ - ________________
Cell phone: (          ) ________ - ________________
FAX:(          ) ________ - ________________

E-Mail Address: ________________________________

Dates Requested:

Arrival date: _____ /_____ /______         Check in time 5:00 pm

Departure date: _____ /_____ /______    Check out time 10:00 am

Number in our group: # adults _______ # children _______

Parking spaces needed for #____ cars

Rental Deposit Enclosed $ _________ 50% of RENTAL FEE
Make check payable to Bill Painter  (There is a $30 charge for returned checks)

(Balance is due 30 days before your arrival, along with a separate check for the $300 security deposit.
Thank you.

Dates: ___________________________


We are curious how you heard about Mountain Escape …..
____Prior Visit ____Internet ____Ad ____Word of Mouth ____A friend

Other ________________________________________________