APPLICATION FOR LEASE
I am looking to rent the following:
Lot only ________ (I have my own Mobile Home)
Lot only ________ (I am looking to purchase a new or used Mobile Home)
Park Rental Home _____ *Would you consider Lease Option to Buy? Yes ___ No ____
Lease Term: 1 Year Tentative Move-in Date: _____________________
How did you find us?
Website: _____ Facebook: _____ Drive By: _____ Referral: _____ Other: _____
.
APPLICANT
1. Name:______________________________________________________________
E-mail: _______________________________ SSN: __________________________
Phone (cell): _____________________ (home/work): _________________________
Date of Birth: _______________ Driver Lic./ID#: ___________________ State: _____
2. List all residences for the last 2 years (most current first):
Address: _______________________________________________ Apt:. ________
City, State, Zip: ________________________________________________________
Move-in Date: _____________________ Move-out Date: _____________________
Landlord or Manager: ___________________________________________________
Phone: ________________________________________ Rent: $ _______________
Address: _______________________________________________ Apt:. ________
City, State, Zip: ________________________________________________________
Move-in Date: _____________________ Move-out Date: _____________________
Landlord or Manager: ___________________________________________________
Phone: ________________________________________ Rent: $ _______________
3. Current Employer: ____________________________________________________
Address: _____________________________________________________________
Supervisor's Name: ____________________________ Phone: ________________
Position: ____________________________________ Monthly Income: $________
Length of Employment: __________________________________________________
Dates of Employment (begin): _________________ (end): _________________
Previous Employer: ____________________________________________________
Address: _____________________________________________________________
Supervisor's Name: ____________________________ Phone: ________________
Position: ____________________________________ Monthly Income: $________
Length of Employment: __________________________________________________
Dates of Employment (begin): _________________ (end): _________________
4. Bank where checking/savings is located: __________________________________
CO-APPLICANT
1. Name:______________________________________________________________
E-mail: _______________________________ SSN: __________________________
Phone (cell): _____________________ (home/work): _________________________
Date of Birth: _______________ Driver Lic./ID#: ___________________ State: _____
2. List all residences for the last 2 years (most current first):
Address: _______________________________________________ Apt:. ________
City, State, Zip: ________________________________________________________
Move-in Date: _____________________ Move-out Date: _____________________
Landlord or Manager: ___________________________________________________
Phone: ________________________________________ Rent: $ _______________
Address: _______________________________________________ Apt:. ________
City, State, Zip: ________________________________________________________
Move-in Date: _____________________ Move-out Date: _____________________
Landlord or Manager: ___________________________________________________
Phone: ________________________________________ Rent: $ _______________
3. Current Employer: ____________________________________________________
Address: _____________________________________________________________
Supervisor's Name: ____________________________ Phone: ________________
Position: ____________________________________ Monthly Income: $________
Length of Employment: __________________________________________________
Dates of Employment (begin): _________________ (end): _________________
Previous Employer: ____________________________________________________
Address: _____________________________________________________________
Supervisor's Name: ____________________________ Phone: ________________
Position: ____________________________________ Monthly Income: $________
Length of Employment: __________________________________________________
Dates of Employment (begin): _________________ (end): _________________
4. Bank where checking/savings is located: __________________________________
5. Name all other persons who will occupy the Property:
Name: _______________________________________________________________
Relationship: __________________________ Age: __________________________
Name: _______________________________________________________________
Relationship: __________________________ Age: __________________________
Name: _______________________________________________________________
Relationship: __________________________ Age: __________________________
Name: _______________________________________________________________
Relationship: __________________________ Age: __________________________
6. Will any waterbeds or water filled furniture be in the Property? Yes _____ No _____
7. Does any occupant smoke? Yes _____ No _____ *Note: Smoking is not allowed
inside of park owned rental homes.
8. Renter applicant agrees to maintaining a renter's insurance policy? Yes ___ No ___
9. List all vehicles to be parked on the Property (cars, trucks, trailers, recreational
vehicles, motorcycles, boats, etc.):
Type _______________ Year _______ Make _________________
Type _______________ Year _______ Make _________________
Type _______________ Year _______ Make _________________
10. Will there be any pets on the Property: Yes _____ No _____ # of Pets: _______
Type: __________________________ Breed: _____________________________
Weight: _____________ Age: ___________ Gender: _________________________
Spayed/Neutered? _______ Declawed? _______ Rabies Shot Current? ___________
Other (e.g. fish, birds, reptiles, etc.):________________________________________
Manner in which kept: ___________________________________________________
11. Write Yes (Y) or No (N): Has Applicant, Co-Applicant, or any other occupant ever:
Been evicted? __________ Filed bankruptcy? _____________
Lost property due to foreclosure? _________ Been convicted of a felony? _________
If the answer to any of the preceding questions is Yes, explain (attach additional sheets
if necessary):
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
12. If Applicant or Co-Applicant is a member of the Armed Forces:
Has Applicant or Co-Applicant requested or received military orders transferring
applicant within one year? ________
Is Applicant or Co-Applicant presently serving temporary orders limiting Applicant's/
Co-Applicant’s stay to one year or less? _______
13. Emergency Contact:
Name:________________________________________________________________
Relationship: _________________________ Phone (hm): _____________________
(wk): _____________________________ (cell): ______________________________
Address: _____________________________________________________________
14. Closes Relative (not living with you):
Relationship: _________________________ Phone (hm): _____________________
(wk): _____________________________ (cell): ______________________________
Address: _____________________________________________________________
15. Closest Friend:
Name: _______________________________________________________________
Phone (hm): ________________________ (cell): __________________________
Address: _____________________________________________________________
16. Additional Information that may affect your lease application:
_____________________________________________________________________
_____________________________________________________________________
17. Approximately how long are you planning on living at Briarmeade Estates?
_____________________________________________________________________
18. Why do you wish to live at Briarmeade Estates?
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Authorization: Applicant authorizes Landlord and/or Landlord’s agent, at any time
before, during, or after any tenancy, to:
(1) obtain a copy of Applicant’s and Co-Applicant’s consumer or credit report;
(2) obtain a criminal background check related to Applicant, Co-Applicant, and any
occupant; and
(3) verify any rental or employment history or verify any other information related to
this application with persons knowledgeable of such information.
Notice of Landlord’s Right to Continue to Show the Property: Unless Landlord and
Applicant(s) enter into a separate written agreement otherwise, the Property remains
on the market until a lease is signed by all parties. Landlord may continue to show the
Property to other prospective tenants and accept another offer.
Fees: Each applicant must submit a non-refundable fee of $ 33.00 for processing
and reviewing this application.
Acknowledgement & Representation:
(1) Signing this application indicates that Applicant and Co-Applicant have had the
opportunity to review Landlord’s Tenant Selection Criteria, which is available upon
request. The Tenant Selection Criteria may include factors such as criminal history,
credit history, current income and rental history.
(2) Applicant and Co-Applicant understand that providing inaccurate or incomplete
information is grounds for rejection of this application and forfeiture of any application
fee and may be grounds to declare Applicant and Co-Applicant in breach of any lease
the such may sign.
(3) Applicant and Co-Applicant represent that the above statements are true and
complete. Providing false information is grounds for rejection, termination of a lease,
and retention of money tendered to Landlord as liquidated damages.
NOTICE: As a condition of the lease, all prospective tenants must sign and agree to
the terms and conditions of the Briarmeade Estates Park Rules & Regulations.
____________________________________________________________________
Applicant’s Signature Dated
_____________________________________________________________________
Co-Applicant’s Signature Dated
_____________________________________________________________________
Co-Applicant’s Signature Dated