Rental Agreement Agoura bits + Bakertetd Redlands + San Diego Billing Inquiries: 909-798-2985 or 877-888-8863 (tol free) Sania Barbara + Valencia | Nick Rail Music Renter / Parent (1st 8 ost) “Gre cu ~ Jess Home Ph ( — — - (Peontor mus be a feast 18 yours) —) Email S/Mass _, ell Ph( 4 ¢ Mailing Address 2)! 1 (. + Do Apt City Se te i Zip _ AN. Physical Address /\\or ey, ( \\eUc _apt__ccity - Zip. (Location of tudet& insturett arent Hon above) No PO Bares CA Drivers License 1D!“ _ Date of Bith OF OS y= Employer Name / Source of Income _| Work Ph() Spouse / Partner Name __ ! GellPhT Nearest Relative not ving theme Home Ph( —) Student Name (tet & Las) Schoo! _Grade Pease spell out te school name OPTIONS FOR ONGOING PAYMENT OF RENT #1 CREDIT/DEBIT CARD Charge: Please initiate a monthly charge to the credit card printed below (intial) #2 CHECKING ACCOUNT Charge: Please initiate a monthly charge from bank acct (attach voided check) (intial) MINIMUM RENTAL IS 2 MONTHS (2 CYCLES). 1ST MONTH IS PAID IN ADVANCE AND MONTHLY THEREAFTER. ID Verified: 1D Number Date of Binh c/ Signature Match Address Match - Location: 1 2)4 6 7 Affiliate d Oftice Use Only account # | C1HYS Cop ( % rs) inp a | ~ Attach Label Here ~ Economy 1 Standard) Monthly Rent $_' |: vatue $ l Optional Theft & Damage Liability Waiver I. the renter, agree to uphold and abide by the terms and conditions outlined on the front and back of this contract, | acknowledge receipt $6 /mo (initia 22 ——_ of a copy of this contract. By signing below, | authorize Nick Rail ‘Music to properly (#1) charge the credit card imprinted below and/or (#2) debit my bank account acgording to the terms of this contract, Note: Waiver doos not apply o past due accounts! 8 Liability Waiver Declined (intial) agree || Renter Stansturé 7 ee to be financially responsible in fal for this rontal jad insteurnent (refer to details on the back ofthis form). | | Date 1) Month's Rent sl R Liswat 1 B| | Tax Ae E48 Hae c {Card Here E | | Labilty Waiver 1 Subtotal She A S SBhh P - \ T | | sortp tes? ‘Accessory Total Total Paid 5 |Nick Rail Music 25868 WoBean PKny Valencia CA 91355 (661) 288-2345 Acct 121448-1 Benjamin Mason H(803)240~7681 CONTRACT 2113992 KYLE 10/09/2018 Next Oue Date 11/08/2018 Next Pay Amt 27,86 1 Bach TRIOOH USA Standard Trumpet 655064 Subtotal 25.95 L.A. County 1,80 Total 27.85 Revd 27.85 Visa/MC ...0248 062664 27.85, x Signature (Visa/MC ...0248 082664)