Fairmont Village Property Association

FAIRMONT VILLAGE PROPERTY ASSOCIATION

6222 W. Corporate Oaks Drive

Crystal River, FL 34429

Request to Lease or Rent Property

Name of Owner: ______

Property Address: ______

As a property owner in Fairmont Village, I understand that I have the right to rent my property and that the rental shall be subject to the covenants, conditions, declarations of restrictions, bylaws and rules for Fairmont Village (Fairmont rules).

I, the owner, do further understand and agree that:

1. I have read the Fairmont rules and understand my responsibility as a homeowner.

2. I will be responsible for any fines, legal action, or liens placed on the property arising out of or from any violation of the Fairmont rules during the rental term or from failure to obtain written association approval for the rental.

3. The property must be owned for one (1) year before being rented by me.

4. The rental term shall be for a minimum of three (3) months or a maximum of twelve (12) months. Any rental beyond 12 months must be approved by the Board.

5. Failure on my part to submit lease information on an annual basis will result in a minimum $50.00 fine.

6. I have completed a background check of the renter. I will submit a copy to the association upon request.

7. I have checked a minimum of three (3) references for the renter.

8. I have given a copy of the Fairmont rules to the renter.

9. The renter shall agree to be bound by all Fairmont rules.

10. I will provide the renter with a key to the pool and clubhouse.

11. I will provide the renter with a covered recycling bin and a covered trash bin and a schedule of pick up days.

12. The association will not allow any rental unless the homeowner is in compliance with all homeowner obligations, including, but not limited to, full payment of FVPOA fees, maintenance of insurance and professional termite coverages, and maintenance of the landscaping and the outside of the unit.

FVPOA will only make contact with the homeowner. Homeowner is responsible for contact with Management Company.

If I will be using a management company, the company name, address, telephone number and name of contact person are as follows:

Management Company: ______

Address: ______

Phone: ______Contact person: ______

FAILURE TO SUBMIT THIS FORM PRIOR TO RENTAL

WILL RESULT IN A $50.00 LATE FEE WITH APPLICATION.

I request notification of approval or denial of this request with 14 days after submission of this form.

Signature of Homeowner: ______

Address: ______

Telephone: ______

Witnessed by: ______Date: ______

Renter Acceptance: I, the renter, do accept and agree to be bound by and subject to the terms

set forth above.

Full Name of Renter: ______

Renter Signature: ______

Renter’s Phone: ______

Witnessed by: ______Date: ______

Intended Lease Period: Start Date ______/______/______End Date ______/______/______

Return form to:

FAIRMONT VILLAGE POA

6222 W. Corporate Oaks Drive

Crystal River, FL 34429

1/27/17