Mobile Home Rental/Purchase Application

PRESENT / PREVIOUS LANDLORD

Present Landlord Name

Present Landlord Telephone#

Present Landlord Address/City/State/Zip

How long at current address?

Previous Landlord Name

Previous Landlord Telephone#

Previous Landlord Address/City/State/Zip

How long at previous address?

YOUR WORK INFORMATION

If retired or unemployed, please write that on each line.

Employer Name *

Employer Telephone# *

Employer Address/City/State/Zip *

How long have you been employed with current employer? *

CO-TENANT (IF APPLICABLE)

Co-Tenant Name

Co-Tenant Date Of Birth

Co-Tenant Driver's License#

Co-Tenant Social Security#

Co-Tenant Current Address Zip

Co-Tenant Home Telephone#

Co-Tenant Work Telephone#

Co-Tenant Cell Telephone#

Co-Tenant Employer Name

Co-Tenant Employer Phone#

Co-Tenant Employer Address/City/State/Zip

How long? (Co-Tenant Employment)

NEAREST RELATIVE

Relative Name

Relative Telephone#

Relative Address/City/State/Zip

CHILDREN / PETS

Any children? Please list their names and their ages:

Any pets? (Y/N and describe if Yes!) *

FINANCIAL / INCOME INFORMATION

Current Gross Income Per Month (Before Deductions) *

List Other Sources Of Income (Amount $) *

VEHICLES

Vehicle Year, Make, Model & Plate#

Vehicle Year, Make, Model & Plate#

HAVE YOU EVER BEEN ...

Evicted (Yes/No. Explain if Yes.)

Filed for Bankruptcy (Yes/No. Explain if Yes.)

Sued or Sued Someone (Yes/No. Explain if Yes.)

Convicted of a Crime (Yes/No. Explain if Yes.)

COMMENTS

Any comments? Write them in this box.

FORM ACCEPTANCE

CHECK THIS BOX that you declare that the statements above are true and correct, and that you hereby authorize verification of references given, credit check, criminal check, and verification of your employment.

Refund Policy

During High Season, January 1st through April 30th, there are no refunds and payment is required in full for all reservations. The above refund policy also applies during Holidays like July 4th, Labor Day, Memorial Day, Thanksgiving, New Years, and Christmas. We will, however, in certain situations, like if you are nice to us, give you a credit to be applied during times other than High Season and Holidays.
The Management