The Village Mobile Home Park

Rental Application

RENTAL APPLICATION

Make sure you have filled out Qualifying Criteria as well as this Application Form. If no Qualifying Criteria is filed along with this Rental Application then you will not be contacted.

MAKE SURE THAT THE PHONE NUMBER YOU LEAVE AND SUBMIT IS A CURRENT WORKING NUMBER. WE WILL ATTEMPT TO CONTACT YOU VIA PHONE IF YOU ARE SELECTED FROM THIS APPLICATION PROCESS.

 A VALID STATE OR GOVERNMENT ISSUED ID AND  A SOCIAL SECURITY CARD WILL BE NEEDED IF WE CONTACT YOU AND WILL BE PHOTOCOPIED AT THE OFFICE AND STORED IN YOUR FILE.
 Name of Applicant: *  
 Phone Number: *  

TWO YEARS OF RENTAL HISTORY IS REQUIRED

 
 Current Address: *  
How Long?: *
 Landlord Name: *  
Contact Number: *  
 Previous Address: *  
 How Long?: *  
 Landlord Name: *  
 Contact Number: *  
 Previous Address:  
 How Long?:  
 Landlord Name:  
 Contact Number:  

TWO YEARS WORK HISTORY IS REQUIRED

 
 Current Employment: *  
 How Long?: *  
 Address: *  
 Phone #: *  
Previous Employment: *
How Long?: *
Address: *
Phone #: *
Previous Employment:
How Long?:
Address:
Phone #:
Other Income:

TWO YEARS OF RENTAL HISTORY REQUIRED

 
** Name of Applicant:  
 Phone Number:  
 Current Address:  
 How Long?:  
 Landlord Name:  
 Contact Number:  
 Previous Address:  
 How Long?:  
 Landlord Name:  
 Contact Number:  
 Previous Address:  
 How Long?:  
 Landlord Name:  
 Contact Number:  

TWO YEARS WORK HISTORY IS REQUIRED
 
 
 Current Employment:  
 How Long?:  
 Address:  
 Phone Number:  
 Previous Employment:  
 How Long?:  
 Address:  
 Phone Number:  
 Previous Employment:  
 How Long?:  
 Address:  
 Phone Number:  
 Other Income:  
 
Vehicle Information:

 
 Year:  
 Make:  
 Model:  
 Licence Plate Number:  

**OTHER OCCUPANT(S) SUCH AS CHILDREN AND DEPENDENTS
 
                                                            
 
 Name:  
 Age:  
 Name:  
 Age:  
 Name:  
 Age:  
 Name:  
 Age:  
**WHILE NOT A REQUIRED FIELD LYING ABOUT APPLICANTS LIVING IN THE HOUSE OR OCCUPANTS IS A VIOLATION OF THE LEASE AND CAN RESULT IN EVICTION.   
 
 

LIMIT TWO PETS PER HOME
$150 Pet Deposit

 
 

NO PIT BULL DOGS, DOBERMANS OR ROTTWEILERS ARE ALLOWED ON OUR PROPERTY`
 
 
 List of Pets You Have:  

RENTAL HISTORY INFORMATION:
Includes you, spouse, or any occupant listed above.
 
 
 Ever Been evicted or asked to move out?: *  
 Broken A Rental Agreement or Lease Contract: *  
 
Relatives:

 
 Name:  
 Address:  
 Phone:  
 Name:  
 Address:  
 Phone:  
 
EMERGENCY INFORMATION:
Emergency Contact over the age of 18 that will not be living in the home with you.

 
 Name: *  
 Address: *  
 City/State/Zip: *  
 Work/Home Phone: *  
 Relationship: *  
If you are seriously ill, missing, or in jail or penitentiary according to an affidavit of the above person, or if you die, you authorize (check one or more):  
   the above person
   your spouse
   your parent/relative
 to enter your dwelling to remove all contents, as well as your property in the mailbox, storerooms, and common areas. If you are seriously ill or injured, you authorize us to send for an ambulance at your expense. We are not legally obligated to do so.  
   
 
CRIMINAL HISTORY:


A Conviction does not necessarily mean your application will be denied.  
 HAVE YOU EVER BEEN CONVICTED OF A FELONY?:
If so Explain.
*
 
 Date and Sentence:  
 HAVE YOU EVER BEEN CONVICTED OF A SEX OFFENSE?:
If so Explain.
*
 
 Date and Sentence:  
   

ACKNOWLEDGEMENT:
 
 
 YOU DECLARE THAT ALL YOUR STATEMENTS ON THIS APPLICATION FORM ARE TRUE AND COMPETE, AND AUTHORIZE US TO VERIFY THIS INFORMATION THROUGH ALL AVAILABLE MEANS. IF YOU'VE FAILED TO ANSWER ANY QUESTION, WE'RE ENTITLED TO REJECT THIS APPLICATION. WE RESERVE THE RIGHT TO FURNISH INFORMATION TO CONSUMER REPORTING AGENCIES AND OTHER RENTAL HOUSING OWNERS ABOUT THE PERFORMANCE OF OUR RESIDENTS ON THEIR LEASE CONTRACT OBLIGATIONS. THIS INFORMATION MAY BE REPORTED AT ANY TIME AND INCLUDE BOTH FAVORABLE AND UNFAVORABLE INFORMATION REGARDING YOUR COMPLIANCE WITH THE LEASE, THE RULES, AND YOUR FINANCIAL OBLIGATIONS.  
 
 Applicant's Signature:: *  
 Date: *  
 Applicant's Signature:: *  
 Date: *  
   Understand that typing my name in the signature field is considered an Electronic Signature
Web Hosting