Customer Info Sheet

Brekke Storage & Trailer Rental
105 3rd Ave
Longmont, CO 80501
Phone (303)776-2610 Fax (303)651-7633

Current Address: Date________________
Address______________________________________ City________________________ State________
Zip Code_________________ Phone__________________________ Cell________________________
Driver License or ID#____________________________ State___________________ Exp___________
Spouses Name______________________________ Spouses Cell_______________________________
Employer__________________________________ Phone_____________________________________
Pay Dates__________________________________

New Address (if moving):
Address_____________________________________________ City______________________________
State________________ Zip__________________ New Phone________________________________

Disclosure of lien holder (The following persons/companies have an interest in or lien against personal property in the storage container or trailer) e.g. Furniture rental company or any property that is not completely paid for.
(The following persons/companies have an interest in or lien against personal property in the storage container or trailer) e.g. Furniture rental company or any property that is not completely paid for.
Name of person or company with lien_______________________________________________________
Address_________________________________________ City__________________________________
State________________ Zip Code___________________ Phone_______________________________
***To have your credit card billed monthly sign here

Circle one VISA Master Card Name as it appears on card________________________________
Card Number___________________________________________________ Exp Date______________
3 digit code_________ (Security code is found on the back of your card at the end of the account number)

Terms & Conditions

Rental period is from month to month  Your rent is due on or before the date of your delivery each month

Past due accounts over thirty  days will be charged a late fee of ten dollar per month


Landlord accepts no libility whatsoever for any loss to goods stored


Use of storage trailer is for storage purposes only

Toxic or flammable materials are not permitted in storage trailer

Return check charge is twenty five dollars each time your check is returned to us

Occupant shall pay to Owner in advance or on the anniversary date each month the rent for the month at the site in lawful money of the United states  Occupant agrees to pay the late charges for rent received thirty day past due  Notwithstanding the above Owner may except correctly drawn checks for payment of rent  If a check is returned uncollected payment represented by it shall be considered delinquent on the date originally due and shall be subject to the return check charge  Owner may increase the rent by notifying Occupant in writing at least ten days prior to the first day of the next rental period for which the increased rent is due  Occupant shall pay the increases rent from the date it becomes effective  An Occupant unwilling to pay the increased rent may terminate this rental Agreement as provided in the paragraph period of Occupancy  In the event the Occupant shall fail or refuse to return said trailer or container as aforesaid Owner shall have the right to take possession of said trailer or container and remove the same and for that purpose to enter any premises where said trailer or container shall be without being liable to any suit action defense or other proceedings by Occupant or anyone else  If trailer or container shall have any merchandise loaded upon it same shall not be released until full charges have been paid  And Owner shall have a lien on all contents as security for all unpaid charges

The period of Occupancy created by this Rental Agreement shall begin as of the date of this Rental Agreement and shall continue from month to month  Occupancy shall run from the date of the rental to the same date of the succeeding month  Occupant or Owner may terminate the occupancy created by this Rental Agreement by delivering written notice to the other party of its intention to do so at least ten days prior to the anniversary day of the month in which Occupancy will terminate  Any property left in the storage trailer or container after that date for which Occupant has given notice to terminate will be deemed abandoned by the Occupant  After said date Owner may remove any lock from the storage trailer or container and dispose of the contents thereof without notice or liability to the Occupant  Owner shall give notice to any lien holder with an interest in the property to be disposed of
of whom the Owner has knowledge either through the disclosure provisions on this Rental Agreement or through finding a validly filed financing statement as provided by law  Owner may also terminate this Rental Agreement by any means provided by law  Trailers or containers are not to be moved or used for any purpose other that storage unless agreed to by Owner in writing  Occupant agrees not to use trailer or container for transportation of persons or property for hire express or implied nor to use it in violation of any federal state or municipal law ordinance rule or regulation governing the use or return thereof nor to remove it from the state wherein rented without the written consent thereof  to the Owner  Nor shall said trailer or container be operated in an overloaded or improperly loaded condition

Owner shall have no liability for damage or loss caused by heat cold theft vandalism fire water dust rain explosion rodents insects or any other cause whatsoever  Owner carries no insurance covering loss to Occupants possessions  Occupant shall maintain a policy of fire extended coverage insurance with theft vandalism and malicious mischief endorsement to the extent of one hundred percent of the replacement value of the property in the storage space  To the extent Occupant does not maintain such insurance Occupant agrees to Self insure the property to the same extent as such a policy would have provided  Owner shall not be liable to Occupant or Occupants invites for personal injury or damages to personal property caused by any act or negligence of any person on said premises  Occupant here by agrees to indemnity and hold harmless the Owner from any and all claims for damages to property or personal injury and costs including attorneys fees arising from Occupants use of the premises  Owner shall not be deemed to either expressly or impliedly to provide any security protection to Occupants property maintained at the site  Any security devices which Owner may maintain at the site are for Owners convenience only  Owner may discontinue their use in whole or part at any time without notice to Occupant

Occupant shall comply with all governmental laws rules and regulations regarding use of the storage trailer or container  Occupant shall not use such trailer or container to store any flammable combustible explosive corrosive perishable noxious or dangerous material  Occupant shall not place any signs or markers about the trailer or container  Occupant shall not use the storage trailer or container for residential purposes  OCCUPANT WARRANTS THAT ALL ITEMS PLACED BY OCCUPANT IN THE STORAGE TRAILER OR CONTAINER SHALL BE OCCUPANTS OWN PROPERTY FREE OF ALL INTERESTS OR LIENS OF ANY LEIN HOLDERS EXCEPT THOSE WHICH AS REQUIRED BY LAW OCCUPANT HAS DISCLOSED IN THIS RENTAL AGREEMENT OR IN SUBSEQUENT WRITTEN NOTICE TO THE OWNER  All personal property located in the storage trailer or container shall be subject to enforcement of the owners lien for the rent labor or other changes in relation to the personal property and for expenses necessary for its preservation or reasonably incurred in its sale or other disposition as provided by law  Occupant shall not place any personal property or material outside the storage trailer or container  Any personal property or material found outside the storage trailer or container shall conclusively be presumed to be abandoned and may be disposed of by Owner without any liability to Owner or Occupant  Occupant must keep Occupant storage trailer or container locked and provide his own lock and key  Occupant may place only one lock on Occupants storage trailer or container and hereby authorized Owner to remove any additional lock by cutting or sawing the same form the latching device for such storage trailer or container

Occupants address shall be conclusively presumed to be the address provided by the Occupant in this Rental Agreement unless Occupant provides Owner with a subsequent written notice of a change of address  All notices required or permitted by this Rental Agreement shall be presumed delivered when either person or deposited with the United States Postal Service properly addressed with postage prepaid except as otherwise provided by law

Time is of the essence in the performance of obligation created by this Rental Agreement  Failure of the Occupant to perform in a timely manner any obligation or duty set forth in this Rental Agreement shall constitute default and Owner may proceed to do any or all of the following
Provide written notice of the default and the Owners claim to the Occupant to any lien holder with an interest in the property of whom the owner has knowledge either through discloser provisions in this Rental Agreement or through finding a validly fled financing statement, and to the sheriff of the county in which the description of the personal property subject to the Owners lien notification of denial of access to the personal property a demand for payment and statement that unless the claim is paid within the time stated the personal property will be sold or otherwise disposed of  as provided by law

Deny Occupant access to the personal property
Terminate Occupants right of possession of the storage trailer or container by any lawful means
Take appropriate action to enforce the Owners lien as its provided by law
In addition to the amount of the Owners lien  Occupant shall be obligated for all costs charges fees or expenses associated with enforcement by Owner of its rights without limitation reasonable attorneys fees court costs service of process fees appraisal fee and any and all cost as provided by law

If any portion of this Rental Agreement for any reason is declared invalid such decision shall not affect the validity of any remaining portion of the Rental Agreement
All the provisions hereof shall apply to bind and obligate the heirs personal representatives successors assigns agents and representatives of the parties hereto
The provisions of this  Rental Agreement and the rights of the parties hereto shall be construed in accordance with applicable law of the State of Colorado including but not limited to provisions relating to Self Service Storage Facility Liens CRS 1973 38 21 5 101 et seq
No waiver by Owner its agent representatives or employees of any breach or default in the performance of any covenant condition or term contained herein shall constitute a waiver of any subsequent breach or default in the performance of the same or any other covenant condition or term hereof
No subletting of the Occupants storage trailer or container or any portion thereof or assignment of this Rental Agreement by Occupant is permitted
The heading of the various provisions of this Rental Agreement have been included only for the convenience of the partied and are not to be used in ascertaining the intentions of the parties
This Rental Agreement is the only agreement of the parties and supersedes any prior written or oral agreement  No amendment or alteration shall be binding unless made in writing signed by both parties

Initial Here________________X

Print and Fax to 303-776-2610