THIS Agreement, dated _______________(MM/DD/YYYY), between Bill Carico hereinafter called the Agent, and ___________________________ , hereinafter called the Renter,

That the said Agent does hereby rent unto the said Renter, and the said Renter does hereby rent from the said Agent: Concord Manor, 9750 Village Highway, Concord, VA 24538 to be used as a tourist home.

TO HAVE AND TO HOLD ____ (specify number) Bedrooms and use of shared common areas of the house and grounds - e.g. Living Rooms, Dining Room, Kitchen, swimming pool, deck and porch areas located on the premises above described for

____ nights arriving ___________________ and departing __________________ (MM/DD/YY). This agreement requires a fully refundable security deposit of $ 500 to cover theft and damages during the Renters stay, plus a rental fee of

$_________ plus $100 cleaning fee, for a total payment of $_________, which is due in full upon booking the reservation. There are no taxes added to your rent. Renter may take occupancy at or after 5 p.m. on day of arrival and must vacate the premises by 10:00 a.m. on day of departure. Rate is based on Renter having a maximum of ______ (number) of people staying on the premises overnight on any given night during this rental period, a $35 per person per night fee required for additional guests. Renter must notify and obtain Agent's permission in advance before hosting a gathering of over 25 people, as event fees may apply. If Renter hosts a non-approved gathering Agent may keep deposit first, then Renter is obligated to pay other event charges over and above security deposit.

AND IT IS AGREED that if Renter cancels for any reason, as long as house is re-rented for same dates and amounts such that Agent does not lose money due to the cancellation, any moneys paid (rent or deposit) will be refunded. If house remains unrented, any monies paid by Renter will be forfeited up to the amount of the agreed rental fee.

AND IT IS AGREED that the Renter, members of the Renter's party, and invitees will use at their own risk any and all facilities and amenities, including the swimming pool when in season, and will hold the Agent harmless from any and all personal injuries which may result to the Renter, members of the Renter's party, or invitees during their stay. Renter agrees not to use or let children play on rear stairway, attic stairs, and basement stairs as they are very narrow.

AND IT IS AGREED that the Renter and his party shall respect the privacy and the right to quiet enjoyment of the neighborhood, and will allow the Agent to terminate this agreement immediately upon any conduct which causes a disruption or interference.

AND IT IS AGREED the Renter shall pay to the Agent, first from the security deposit, then on demand, for damages to said premises, or to any fixture or appurtenances, excepting such as are produced by accidental fire or natural decay. Smoking indoors is strictly prohibited, if this policy is violated extra cleaning charges will apply. A minimum of $200 will be deducted from deposit to cover the cost to deodorize the house, and the cost could be more depending on the extent of cleaning needed.

AND IT IS AGREED the Renter shall pay to the Agent, first from the security deposit, then on demand, for replacement of furniture, appliances and fixtures reported as shortages in inventory taken after said Renter has checked out.

AND IT IS AGREED that the Agent shall have the right of entry at any time to the house's shared common areas, either to perform maintenance, or to inspect the property for damage.

THIS AGREEMENT shall be governed by, construed, and reinforced in accordance with the laws of the state of Virginia.


Representive for Bill Carico


Mail To:
Bill Carico
9750 Village Highway
Concord, VA 24538

Phone: (434) 426 - 2287


Renter (Please Sign and Print Name)

Renter's Mailing Address:



Cell #:______________________________________

Phone:_______________ Email:_________________