Request for refund due to evacuation order Request for due to natural event Name on reservation First Last Email Reservation Number*Arrival Date* MM slash DD slash YYYY Please mark areas where you refund request is based upon* Mandatory evacuation order by State, City or County government Voluntary evacuation order I reported the issue to property manager* Yes No Date you reported the termination to us* MM slash DD slash YYYY Vacate date* MM slash DD slash YYYY Date you vacatated the propertyApprox Time you vacated the property* : Hours Minutes Terms and Conditions*I am aware that I am not legally entitled to any refund per terms and conditions of the rental agreement between me and Anna Maria Island Real Estate, LLC (Management Company). Nevertheless, I am requesting an individual review of the circumstances by the management company. I am aware, in order to qualify for a refund, there must be 1.) a mandatory evacuation order for the specific property I am staying, 2.) I must notify Anna Maria Island Real Estate LLC about my intension to vacate and 3.) only for unused days after I vacated. I agree to the terms and conditions Signature*Date MM slash DD slash YYYY