VERANDAH COMMUNITY ASSOCIATION, INC.

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VERANDAH COMMUNITY ASSOCIATION, INC. APPLICATION FOR APPROVAL TO LEASE This application must be submitted by the Unit Owner along with the required enclosures and a $100.00 non-refundable application fee, no less than twenty (20) days prior to occupancy to allow for processing time. The Unit Owner agrees to pay a non-refundable expedited application fee of $200 for all applications submitted less than twenty (20) days prior to occupancy. Application must be received at least ten (10) days prior to occupancy. Please note that, per the terms of the Governing Documents specific to the Neighborhood where the Unit is being leased, your home or Unit can only be rented, depending upon the Neighborhood, a total of two or three times within a calendar year, and for a term of no less than 30 days. For all lease extensions and lease renewals, a new lease application must be filled out, signed and submitted at least ten (10) days prior to the expiration of the lease. A new lease or an addendum to the original lease must be submitted as well. The application fee is waived for all extensions and renewals filed and approved PRIOR to the expiration of the original lease. Unit Address: Lot / Unit # Current Owner of Record: Term of Lease: For the period Beginning: Ending: As the owner of the Unit, please list your mailing address and phone number for all correspondence with the Verandah Community Association ( VCA ) and/or Neighborhood Associations. Owner's Mailing Address: City: State: Zip: Phone: Cell Phone: E-Mail: I AGREE THAT THE ASSOCIATION, IN THE EVENT IT APPROVES THIS LEASE, IS AUTHORIZED TO ACT AS MY AGENT WITH FULL POWER AND AUTHORITY TO TAKE WHATEVER ACTION MAY BE REQUIRED TO PREVENT VIOLATIONS BY LESSEES AND THEIR GUESTS OF PROVISIONS OF THE RULES AND REGULATIONS OF THE VERANDAH COMMUNITY ASSOCIATION AND ANY NEIGHBORHOOD ASSOCIATION. Signature of Homeowner or Rental Agent on behalf of Homeowner: Date: - 1 -

Lessee Information The undersigned prospective Lessee hereby makes application for approval to lease in the Neighborhood indicated on page 5 and page 6 below and agrees to abide by all Rules and Regulations and Covenants of the Verandah Community Association as well as any applicable Neighborhood Association. The applicant(s) represent that the following information is true and correct and consent to further investigation concerning this information or any information which comes from that inquiry which is necessary for approval of this request. Persons who will occupy the above Residence are as follows: Lessee Name: Date of Birth: Co-Lessee Name: Date of Birth: Lessee s Current Address: City: State: ZIP: Phone: Cell Phone: Email: Previous Landlord: Phone number: Current or Last Employer: How Long: Position: Employer address: Phone: Others who will occupy the unit: Name Relationship DOB NOTE: Occupancy is restricted to the residential, non-business use of a Unit by one person or a single household as these terms are defined in the Verandah Community Association Use Restrictions. - 2 -

Lessee Information (continued) Automobile Information Make Model Year Color License Plate State Auto #1 : Auto #2 : NOTE: *Please refer to the Verandah Community Association and if applicable, Neighborhood Association documents for Vehicle and Parking restrictions. Violations of Parking Restriction rules and regulations may lead to lease termination and eviction. Pet Information Pet #1: Pet #2: Pet s Name: Type: Breed: Weight: Pet s License # State: Date: Rabies Vaccination Date: Pet s Name: Type: Breed: Weight: Pet s License # State: Date: Rabies Vaccination Date: NOTE: Please refer to the Verandah Community Association and if applicable, Neighborhood Association documents for Animal, Pet and Noise restrictions. Persons to be notified in Case of Emergency: Name: Phone No: Name: Phone No: *The Unit owner is responsible to provide you with copies of all Verandah Community Association and if applicable, Neighborhood Association documents. If your vehicle is one that requires it be garaged it is your responsibility to ascertain that you can do so or risk being denied a vehicle access sticker. - 3 -

Tenant/Applicant Representations: 1. I am aware of, and agree to abide by and be bound by the Declaration of Covenants, Conditions and Restrictions for Verandah, and any applicable Supplemental Declarations, the By-Laws, the Use Restrictions and the Rules and Regulations (collectively the Governing Documents for purposes of this Lease Application ) of Verandah and any applicable Neighborhood Association. It is the Owner s obligation to make these Governing Documents available to me. My signature acknowledges: (i) my receipt of these Governing Documents; and (ii) my concurrence that they have been read in their entirety and understood by me before entering into any agreement for the rental of the above Unit and before the execution of this application form; and (iii) my agreement to comply with all Governing Documents as written. I FURTHER UNDERSTAND AND AGREE THAT THE VERANDAH COMMUNITY ASSOCIATION ( VCA ) OR NEIGHBORHOOD ASSOCIATION, IN THE EVENT IT APPROVES A LEASE, IS AUTHORIZED TO ACT AS THE OWNER S AGENT WITH FULL POWER AND AUTHORITY TO TAKE WHATEVER ACTION MAY BE REQUIRED TO PREVENT VIOLATIONS BY LESSEES AND THEIR GUESTS OF PROVISIONS OF THE RULES AND REGULATIONS OF THE VCA AND/OR ANY NEIGHBORHOOD ASSOCIATION. 2. I ACKNOWLEDGE THAT I MAY NOT OCCUPY THE PREMISES PRIOR TO RECEIVING APPROVAL TO DO SO FROM THE VCA AND/OR AUTHORIZED NEIGHBORHOOD ASSOCIATION. 3. IF, AT ANY TIME DURING THE TERM OF MY LEASE, THE UNIT OWNER BECOMES DELINQUENT IN THE PAYMENT OF ASSESSMENTS TO THE VCA OR NEIGHBORHOOD ASSOCIATION EITHER ASSOCIATION MAY MAKE A DEMAND UPON ME AND I WILL FORWARD ALL RENT PAYMENTS AFTER THE DATE OF THE DEMAND TO THE ASSOCIATION UNTIL THE ASSESSMENTS ARE PAID IN FULL, PURSUANT TO FLORIDA STATUTES SECTION 720.3085. 4. MY SIGNATURE AUTHORIZES THE VCA AND/OR NEIGHBORHOOD ASSOCIATION TO OBTAIN ANY AND ALL BACKGROUND INFORMATION RELATING TO ME AND FURTHER AUTHORIZES ANY AND ALL OF THE MY CREDITORS AND CREDIT BUREAUS TO RELEASE ANY AND ALL OF MY CREDIT HISTORY TO THE VCA AND/OR NEIGHBORHOOD ASSOCIATION. 5. I AUTHORIZE THE RELEASE OF ANY OF THE INFORMATION INCLUDED IN THIS APPLICATION TO ANY TAXING AUTHORITY REQUESTING IT. 6. MY SIGNATURE CERTIFIES THAT ALL THE INFORMATION PROVIDED ABOVE IS TRUE AND CORRECT AND THAT THE OCCUPANCY OF THE ABOVE UNIT IS BASED UPON THE ACCURACY OF SAID INFORMATION AND THAT REMOVAL PROCEEDINGS MAY RESULT AGAINST ME AND ALL OTHER OCCUPANTS OF THE UNIT SHOULD IT BE ESTABLISHED THAT ANY OF SAID INFORMATION IS NOT TRUE AND CORRECT. SIGNATURE OF APPLICANT: DATE: SIGNATURE OF CO-APPLICANT: DATE: SIGNATURE OF UNIT OWNER Or REAL ESTATE AGENT: DATE: - 4 -

Name of Real Estate Company: Address of Real Estate Agent: City: State: Zip: Phone: Cell: The following items MUST be included at the time the application is submitted for approval. An incomplete Packet will cause delays in processing. o o o Fully Completed Application For Approval To Lease Copy of Executed Lease $100.00 NON-REFUNDABLE Application Fee if submitted prior to the twenty (20) day requirement; $200 NON-REFUNDABLE Expedited Application Fee if submitted less than twenty (20) days prior to occupancy. Applications must be submitted at least ten (10) days prior to occupancy. Make checks payable to the Property Management Company that manages your property: Verandah Community Association for these Neighborhoods: Arlington Oaks Amblewind Cove Brantley Oaks Cedar Hammock Cypress Marsh Hammock Creek Oak Bend Mossy Oak River Point Royal Palm Sanctuary Point Whispering Oaks Fairway Cove Torrey Pines Woodhaven Willow Bend Willow Ridge Address: 11571 Verandah Blvd, Fort Myers, FL 33905 Contact Person: Trisha Snook (239) 694-5930 - Fax (239) 694-1137 - email: trishs@verandah.com - 5 -

Cardinal Management Group for these Neighborhoods: Shady Bend Address: 4670 Cardinal Way, Suite 302, Naples, FL 34112 Contact Person: Phillip Guzzone, CAM (239) 774-0723 x302 - Fax (239) 775-0723 - email: p.guzzone@cmgflorida.com Vesta for these Neighborhoods: Citrus Creek Orangetree Bend Cottonwood Bend Sabal Point Address: 27180 Bay Landing Dr. Ste #4, Bonita Springs, FL 34135 Contact Person: Tina Roppe (239) 947-4552 - Fax (239) 495-1518 - email: troppe@vestapropertyservices.com and tboehm@vestapropertyservices.com Sentry Management for these Neighborhoods: Lakeview Address: 6330 Techster Blvd. #1, Fort Myers, FL 33966 Contact Person: Lindsay Hernandez email : (239) 277-0112 Ext. 51830 email : lindsay.hernandez@sentrymgt.com -Lucia Bonadies, CAM (239) 277-0112 Ext. 36 - email : lbonadies@sentrymgt.com Vision Association Management for these Neighborhoods: Otter Bend Palmetto Grove Address: 11691 Gateway Blvd, Fort Myers, FL 33913 Contact Person: Valerie Nolan (239) 561-1444 - Fax (239) 561-5770 - email: valerien@visiongolfmanagement.com Alliant Property Management for these Neighborhoods: Pebblebrook Idlewild Bramble Cove Address: 13831 Vector Ave, Fort Myers, FL 33907 Contact Person: Tara Horton (239) 454-1101 - Fax (239) 454-1147 - email: tara.horton@alliantproperty.com - 6 -

ACTION OF THE BOARD/AGENT APPROVED: DISAPPROVED: DATE OF DECISION: BY: Title: - 7 -