STANTON REALTY, INC.
WINTER RENTAL CONTRACT


Mail to P.O. Box 1965

Westerly, RI 02891
Fax to 401-596-7174 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 OFBEDS_____________________________________________________
OTHER SLEEPING ACCOMMODATIONS______________________________

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