Automobile Rental Agreement

AUTOMOBILE RENTAL AGREEMENT AUTOMOBILE RENTAL AGREEMENT This is a sample form of automobile rental agreement. This template can be downloaded and used many times with any Word processor program. 1 of 6 AUTOMOBILE RENTAL AGREEMENT The _________ Corporation Automobile Rental Agreement APPLICANT INFORMATION Name: Date of Birth: Current Address: City: Automobile Rental Agreement No: Driver’s License No: Automobile Make: Rental By: Date of Rental: Time In: Mileage In: SSN: State: Phone: ( ZIP Code: ) - State: License No of Vehicle: Expiration Date: Body Style Location of Rent: Returned On: Time Out: Miles Driven: Color: Mileage Out: 2 of 6 AUTOMOBILE RENTAL AGREEMENT Automobile Rental Agreement ACCOUNT Deposit: Rental Charges: Miles at Hours at Days at Weeks at Total Rental Charges Damages: Collision Protection: Total Charges Refund Gas: Refund Repairs: Net Amount Due $ $ Per Mile $ Per Hour $ Per Day $ Per Week $ $ $ $ $ $ $ $ Computed by: _______________________________________ Date: ___________________________________ 3 of 6 AUTOMOBILE RENTAL AGREEMENT Terms and Conditions: In consideration of the covenants contained here, the lessor corporation, referred to as lessor, leases to the undersigned renter, upon the terms, covenants and conditions set out here, the motor vehicle described above, referred to as vehicle. (1) Renter acknowledges that the vehicle is the property of lessor and that he or she has received it in good mechanical condition. (2) Renter agrees that he or she will return the vehicle to lessor station from which it was rented, in the same condition as he or she received it, ordinary wear and tear excepted, on the return date stated above or sooner upon demand of lessor. (3) Renter agrees not to use the vehicle for the transportation of persons or property for hire, express or implied; not to use it in violation of any federal, state or municipal law, ordinance, rule or regulation governing the use or return of it; nor to remove it from this state without the written consent of lessor. (4) Renter being one of the assured under the insurance policy covering the vehicle agrees to comply with all the terms and conditions of the policy, which by reference are incorporated here and made a part of this agreement, and to comply with the terms and conditions appearing on reverse side of this agreement. 4 of 6 AUTOMOBILE RENTAL AGREEMENT (5) Renter further expressly agrees to indemnify the insurance company for any and all loss, damage, cost and expense paid or incurred by the insurance company because of injuries or damages sustained by occupants of the vehicle, in states where the law makes lessor or its insurance carrier liable for injuries to occupants of the vehicles or because of injuries or damages resulting from the operation of the vehicle in violation of any of the terms and conditions appearing on the reverse side of this agreement. (6) Renter expressly agrees to pay lessor on demand: a) A mileage charge computed at the rate specified in the current lessor rate schedule for the mileage covered by the vehicle during the period of this rental. b) Service and time charges computed at the rate specified in the current lessor rate schedule for the period of this rental. c) A sum equal to the cost of all damages to the vehicle during this rental period provided, however, that renter's liability shall be limited to $_____ unless vehicle was operated i