No. (enter sequential number)

1. (1) Customer seeks information regarding living accommodations with the following specifications:

   Date available ______

   Geographical location______

   Type of accommodation (apartment, house, etc.) ______

   Number of rooms______

   Elevator service required ______

   Monthly rental range ______

2. (2) Vendor represents that the following listings meet customer's specifications as set forth in paragraph (1):

   Address

   (include nearest intersection)

   Name and telephone number of owner or managing agent:

   Number of rooms ____ Monthly rent ____

   Utilities included ____ Floor location ____

   Elevator service available______

   Date available______

   (Additional listings shall be set forth on reverse or attachment)

3. (3) The customer agrees to pay a fee of ______ payable when the customer rents or leases an apartment as a result of information supplied by the vendor. If, however, one month's rent for the apartment rented or leased by the customer is less than this amount, the fee shall be automatically reduced to an amount equal to one month's rent.
4. (4) The vendor agrees to be personally responsible and liable for carrying out the terms of this agreement.

5. (5) This document has been filled out and signed by:

   (Print full name and address of authorized agent)

   Signature of Customer

   Signature of Vendor, or his duly authorized agent

   ANY COMPLAINTS ABOUT THIS APARTMENT INFORMATION VENDOR SHOULD BE MADE TO:

   New York State

   Department of State

   Division of Licensing Services

   270 Broadway

   New York, N.Y. 10007

   Telephone: (212) 488-3671

   OR

   You may contact any local

   office of the New York State

   Department of State.

NO FEE IS TO BE PAID WHEN THIS CONTRACT IS SIGNED. THE CUSTOMER MUST SIGN AND RECEIVE A SEPARATE ESCROW AGREEMENT BEFORE AN ADVANCE FEE MAY BE COLLECTED.

STANDARD APARTMENT INFORMATION VENDOR CONTRACT-RENTAL

Agreement between (vendor)

[ print name and address of apartment information vendor]

and (customer) [ customer's name and address]

No. (enter sequential number)

1. (1) Customer seeks information regarding shared living accommodations with the following specifications:

   Date available ____ Monthly rental range ____

   Geographical location ______

   Type of accommodation (apartment, house, etc.) ______

   Number of rooms ____

   Elevator service required ____

   Other requirements ____

2. (2) Vendor represents that the following listings meet customer's specifications as set forth in paragraph (1):

   Address

   (include nearest intersection)

   Name and telephone number of owner or primary tenant

   Number of rooms ____ Monthly rent ____

   Utilities included ____ Floor location ____

   Elevator service available __ Date available ____

   (Additional listings shall be set forth on reverse or attachment)

3. (3) Fee ______
4. (4) The vendor agrees to be personally responsible and liable for carrying out the terms of this agreement.

5. (5) This document has been filled out and signed by:

   (Print full name and address of authorized agent)

   Signature of Customer

   Signature of Vendor, or his duly authorized agent

ANY COMPLAINTS ABOUT THIS APARTMENT SHARING AGENT SHOULD BE MADE TO:

New York State

Department of State

Division of Licensing Services

270 Broadway

New York, N.Y. 10007

OR

You may contact any local

office of the New York State

Department of State.

STANDARD APARTMENT SHARING CONTRACT

Agreement between (vendor)

[print name and address of apartment information vendor ]

and (customer)

[customer's name and address]