Steven A. Roth, CPA 12282 N. Bloomfield Road Nevada City, CA 95959 5959 Telephone: 530-478-0556 Fax these forms to: 530-478-0550 Or mail them with your deposit. RENTAL CONTRACT DEPOSITS Your Reservation will be confirmed by our office upon receipt of your 50% Deposit. The balance of your Rental Fee must be paid in full 30 days prior to occupancy, along with a Security Deposit in the amount of $75 per night. The Security Deposit will be refunded to you in its entirety, and mailed within 5 business days of your departure, when the house, its contents and the grounds are found to be left in the same condition they were in upon your occupancy. The Security Deposit will be used, however, to pay for any accidental or deliberate damage to the home, its contents or the property in general; and/or, to pay for any additional charges incurred (See Rental Terms). Thank you! We look forward to your visit! PLEASE READ RENTAL CONTRACT TERMS, FILL IN FORM, AND SIGN IN BOTH PLACES BELOW: Name:_____________________________________________________________ Address:__________________________________________________________ City:______________________________State:______Zip Code:__________ E-Mail Address:___________________________________________________ Telephone Number: (_________)_____________________________________ Fax Number: (________) ___________________________________________ Driver's License Number:_______________State:____ Expires:________ ARRIVAL DATE First Choice:__________ Second Choice:___________ DEPARTURE DATE: First Choice:__________ Second Choice:___________ # ADULTS IN PARTY: ____ #CHILDREN:___________ AGES:______ RENTAL TYPE (Check One:) __House Rental $300/Night plus Security Deposit 15% discount on stays longer than 5 nights. __Our Travel Trailer $55/Night __Your RV or Tent Trailer $40/Night (4 persons) $15/Night per Person over 4 __Tent/Ground Campers $15/Night per Person __Group/Day Use $150 Property Rental plus $5/Person May we have a complimentary bottle of wine or sparkling cider at Mekhaye when you check in? If so, please indicate below: __Cabernet Sauvignon ___Chardonnay ___Sparkling Cider Additional Questions or Comments: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ ______________________________________ ______________________ APPLICANT'S SIGNATURE DATE ----------------------------------------------------------------- Rental Terms & Contract Please Sign at bottom PLEASE KEEP IN MIND that this is our home and while it may not be set up to your taste, we love it just as it is. Kitchen cabinets are "open" so you can easily locate and replace items. We greatly appreciate being able to find things where we left them. If you take it out, put it back - if you break it, replace it. Thank you. THIS IS A STRICTLY NON-SMOKING RENTAL PROPERTY: No smoking is permitted in any building on the premises. If evidence of smoking is apparent to our highly experienced housekeeper, the cost of clean-up to eliminate odors from carpets, draperies, furniture etc. will be paid by me. Likewise, I agree to pay for time incurred by the groundskeeper to pickup smoking materials or refuse left around the property. ANIMALS: Pets are not allowed. Should a pet or evidence of one be found anywhere on the premises, the entire rental fee will be forfeited and I shall vacate the property immediately. CONDITION OF THE PREMISES: If, upon my arrival, I find anything to be damaged, unworkable or not clean to my satisfaction, I will immediately notify the agent/owner. If no such notification is received by the agent/owner upon my occupancy, they may assume I am completely satisfied with the condition of the property. Upon my departure, I will return the premises to the same condition in which I found it on arrival, apart from the routine housekeeping generally covered in a home/property rental fee. PROPERTY USAGE: My guests and I agree to use the property at our own risk and indemnify and hold harmless the property rental agent/owner from any and all liability in regard to our use of the property. I agree not to disturb neighbors, nor to use any part of the property for unlawful purposes or violate any law whatsoever. I will not litter the property, and will see to it that all trash is picked up and placed in the provided receptacles prior to my departure. FURNISHINGS USAGE: The property rental agent/owner keeps the property and its amenities in good working order. No guarantees or refunds will be made with regard to the mechanical failure of any household appliances, VCR or audio equipment or other such furnishings. I hereby agree to care for all furnishings and to properly operate all appliances and fixtures. In the event any repairs or replacements are needed due to misuse by me or my guests, I will immediately notify the agent/owner and pay for the incurred costs. I understand that any personal property I may bring with me, I do so at my own risk, and that it is not insured by the agent/owner. CLEANING: The home is turned over to you completely clean. Upon your departure, please run the dishwasher, and remove the linens from the beds, putting them in the laundry room. (Please do not wash them.) The housekeeper will be coming ind after you leave you to clean the home. FOOD, BEVERAGE AND WATER: As we use our home between renters it is not practical for us to remove all food from the refrigerator/freezer each time we leave. The condiments/spices are for your use, of course, but you will need to provide your own food. Please feel free to use the bar equipment and glassware; we trust you will kindly provide your own libations. Water in The Gold Country is typically high in iron and manganese; ours is 1000% above normal. While it is still completely safe to drink, we don't like it and you won't, either. Therefore, a gallon of bottled water is there to get you started - you may need to purchase more depending on how long you stay. PAPER PRODUCTS AND OTHER MISC.: Like the water, enough of these items are in the home when you arrive to see you through a few days. TELEPHONE/FAX USAGE: You are on the honor system. Local usage is free. Should you wish to make a long distance call, please use your telephone credit card. CARETAKERS: live quietly on the property and are friendly and helpful if needed. KEYS: A caretaker will meet you at the property to give you your key and to answer any questions you may have - or show you around if you wish. Should you lose your key or lock yourself out at a time when no one else is on the property, we will have to pay someone to come and assist you. We must, therefore, levy a $30 charge for this service. WE HAVE A ZERO TOLERANCE DRUG POLICY --------------------------------------------------------------- SECURITY DEPOSIT: The Security Deposit will be used to pay for any accidental or deliberate damage to the home, its contents or to the property in general and to pay for any additional charges incurred should it become necessary to - - hire a carpet cleaning company to remove spots as a result of your stay - pay the housekeeper to return any furnishings to their original locations or clean up dishes and other kitchenware left soiled. -treat or replace linens due to stains. -hire professional plumbing repairs due to items other than toilet tissue, or too much tissue, being put into toilets or due to foreign objects of any kind put down drains. CHANGING A RESERVATION: If it becomes necessary for me to make any change to my existing reservation, I will pay the agent/owner a $50 "Alteration Fee." CANCELLATION POLICY: I understand I may cancel my reservation and receive a complete refund up to thirty days prior to my arrival by notifying the rental agent/owner via e-mail or by telephone. I understand I will be responsible for the full amount of the rental, however, should I cancel within 30 days of arrival, unless the agent is able to re-rent the property. IN THE EVENT OF ANY DISPUTE, California State Laws will govern. Renter agrees to mediate any dispute arising from this contract. In any resultant court action, each party agrees to be responsible for its own attorney's fees and costs. I have read the above contract conditions and agree to abide by them in their entirety. _______________________________ _________________ APPLICANT'S SIGNATURE DATE Please mail to: Steven A. Roth, CPA 12282 N. Bloomfield Road Nevada City, CA 95959