FOR OFFICE USE definition

FOR OFFICE USE. File to □ 20-21 lease □ 21-22 lease □ other lease □ Approved with the following changes: □ □ $10 fee paid □ ID received □ Tenant signature/info complete □ Info Form received □ Subtenant signature/info complete □ NYSEG form received □ Subtenant Parent signature/info complete □ NYSEG form not needed □ Start/End Dates verified as correct □ Scanned/emailed to Tenant/Sub/Parent/Roommates □ Uploaded/created to RM □ Entered in FM SUBLET RESIDENT INFORMATION FORM Address: Apt. # This information is for the sole use of the Renting Office and will not be given out to any other party. IDENTIFICATION Full Legal Name: Preferred/Nickname: For Identification Purposes only: Male Female Other Date of Birth: mm/dd/yy / / HOW DID YOU PICK THIS APARTMENT? How did you first find us? What search terms did you use to look for housing? What apt. features do you like best? Did you find our web site and YouTube videos easy to use? How could we improve these to make it easier to navigate? COLLEGE and PERSONAL INFORMATION Cornell Other: _ Undergraduate Graduate Other: Expected Graduation Date? 2022 2023 2024 2025 or later Other, explain: Major: School: AAP A&S CALS ENG HA HE ILR JGSM LAW Campus affiliations Greek: Athletic Teams: Clubs/Groups Permanent Home Address: Where do you live now? Street City/State/Zip Country (if not USA) Cell Phone Number Cornell Dorm or Local Address: Permanent Home Address Other: Cornell e-mail: @xxxxxxx.xxx Alternate e-mail: EMERGENCY CONTACT/ LEASE GUARANTOR INFORMATION (A Guarantor is required for all students) Preferred Parent Contact: Both Father Mother Other FATHER Mr. Dr. Other MOTHER Mrs. Ms. Dr. Other: Name: E-mail address: Cell phone Alternate phone Name: E-mail address: Cell phone Alternate phone Address: Same as Home. OR Address: Same as Home. OR City/State/Zip Country (if not USA) Employer/Occupation: City/State/Zip Country (if not USA) Employer/Occupation: I understand that smoking is not permitted in the apartment or building and that fines will apply for smoking violations. Initials here: I understand I must submit a Government Issued Photo ID (Driver License or State ID Card, Passport) I certify the above information is correct, as this completed form and ID copy are required prior to approval of the requested Sublet.

FOR OFFICE USE. School Site: Student ID #:

FOR OFFICE USE. ONLY: Advisor: Date:

Examples of FOR OFFICE USE in a sentence

• Xxx.Xx. FAX No. FOR OFFICE USE ONLY COMMISSION TRUST AGREEMENT To: Co-operating Brokerage shown on the foregoing Agreement of Purchase and Sale: In consideration for the Co-operating Brokerage procuring the foregoing Agreement of Purchase and Sale, I hereby declare that all moneys received or receivable by me in connection with the Transaction as contemplated in the MLS® Rules and Regulations of my Real Estate Board shall be receivable and held in trust.

• No.) FOR OFFICE USE ONLY COMMISSION TRUST AGREEMENT To: Co-operating Brokerage shown on the foregoing Agreement to Lease: In consideration for the Co-operating Brokerage procuring the foregoing Agreement to Lease, I hereby declare that all moneys received or receivable by me in connection with the Transaction as contemplated in the MLS® Rules and Regulations of my Real Estate Board shall be receivable and held in trust.

• Xxx.Xx. FAX No. FOR OFFICE USE ONLY COMMISSION TRUST AGREEMENT To: Co-operating Brokerage shown on the foregoing Agreement to Lease: In consideration for the Co-operating Brokerage procuring the foregoing Agreement to Lease, I hereby declare that all moneys received or receivable by me in connection with the Transaction as contemplated in the MLS Rules and Regulations of my Real Estate Board shall be receivable and held in trust.

• No.) FOR OFFICE USE ONLY COMMISSION TRUST AGREEMENT To: Co-operating Brokerage shown on the foregoing Agreement of Purchase and Sale: In consideration for the Co-operating Brokerage procuring the foregoing Agreement of Purchase and Sale, I hereby declare that all moneys received or receivable by me in connection with the Transaction as contemplated in the MLS® Rules and Regulations of my Real Estate Board shall be receivable and held in trust.

• FOR OFFICE USE ONLY Review Date New Account Update IB Approval FOR OFFICE USE ONLY Office / Sales Code / Account Number Commission ACCOUNT APPLICATION (Please type, or print legibly and fully in ink) Legal Account Name: Social Security / Fed.

More Definitions of FOR OFFICE USE

FOR OFFICE USE booking taken by on ; Fee quoted: , payment method (pls circle): Credit Card - Cash - Invoice; staff scheduled to work: actual number of visitors: ; Fee charged/invoiced: , rung in as (pls circle): FAM - IOU/to be invoiced - other: invoice sent on by AGREEMENT CONDITIONS FOR ALL FACILITY RENTALS

FOR OFFICE USE. ONLY: ALCOHOL PERMIT RECEIVED: LICENSE # Copy D/L Date Deposit Paid Ck # Amt Paid Deposit Received by Date Balance Paid Ck # Amt Paid Balance Received by Date Balance Needs To Be Paid By Amount Due Shredded Deposit Ck (Date) _ Returned Deposit Cash (Date) Signature Verified Driver’s License Key Pickup Date: Signature: Key Returned Date: Signature:

FOR OFFICE USE. Date Paid: Cash Check M/O # Work Scheduled For: _ Homeowner Footage: Village Footage: (Due to trees or other related problems) Total Footage: Homeowner Total Yardage: Total Yardage: Job Completed □ Phone: (000) 000-0000 00 Xxxxx Xxxx Xxxxxx, Xxxxx, Xxx Xxxx 00000 TDD: 0 (000) 000-0000 This institution is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at xxxx://xxx.xxxx.xxxx.xxx/complaint_filing_cust.html, or at any USDA office, or call (000) 000-0000 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 0000 Xxxxxxxxxxxx Xxxxxx, X.X. , Washington D.C. 00000-0000, by fax (202) 000-0000 or email at xxxxxxx.xxxxxx@xxxx.xxx.

FOR OFFICE USE. ONLY: COI Received? YES NO N/A Auto Insurance Received? YES NO Fees paid? Check# Background check verified: YES NO N/A By: Fingerprints verified: YES NO N/A By: Approved: YES NO Xxxxx X. Xxxxx, CFO Date Updated 08.2019 TTSD Service Agreement with Sole Proprietor EXHIBIT A Tigard-Tualatin School District Determination of Independent Contractor Name of Contractor: Address: Please answer the following questions in sections A, B, and C. For a contractor to be classified as an Independent Contractor, all answers in section A must be “Yes” and at least four of the six answers in Section B must be “Yes”.

FOR OFFICE USE. DATE COMPLETED/SIGNED FORMS RECEIVED IN PARISH OFFICE: / /

FOR OFFICE USE only : Issue this page to the lead tenant on signing Date : Information Disclosure Clause

FOR OFFICE USE. ONLY: Reservation #: HH#: Date deposit paid: Amount Paid: Clerk: Cash Check # Credit Card Receipt#: Date Balance Paid: Amount Paid: Clerk: Cash Check # Credit Card Receipt#: Additional Comments: By signing, applicant agrees they have read and will abide by the requirements listed and described below. Please review all items:  Guests are required to sign in at the front desk upon arrival.  Food and drink are not permitted in the museum play area.  Museum staff is not permitted to handle your money or accept food deliveries on your behalf.  Food brought from home is allowed, but it cannot be served by the BTPD staff and cannot be served to anyone not in the birthday party. No raw meat or raw fish may be served.  Hanging items from the ceilings or walls is not permitted.  Trash and recycling must be disposed of in appropriate containers provided by BTPD.  Access to the museum is not allowed before your scheduled time.  You and your belongings must vacate the museum at your scheduled overnight conclusion time.  I understand if the number of guest increase and I do not notify the BTPD, there may not be enough supplies for all guests.  I understand that if not all guests show up, I still have to pay for the number of guests I reserved with (trimmings or activity-filled only).  Overnights must have one adult chaperone over the age of 21 for every 5 children. The person booking the overnight is responsible for assuring all children within overnight are adequately supervised. Any overnight which does not have adequate supervision or fails to maintain discipline will be required to leave without a refund.  No smoking is allowed inside buildings or within fifty feet of any entrance to building or playground areas.  No driving or parking on grass or sidewalks unless approved by authorized BTPD staff. Violators may be towed at owner’s expense.  No alcohol is permitted.  All activities are subject to approved ordinances and policies of the Bourbonnais Township Park District.  Persons booking a party must be at least 21 years of age. Proof of ID is required at time of booking.  The Bourbonnais Township Park District will not assume responsibility for lost or damaged property.  The BTPD reserves the right to add to, or change the policies as needed in the best interest of the Bourbonnais Township Park District.  Admission may not be charged at any parks and/or facilities for monetary gain or fundraising without approval from the BTPD Board of Commission...