COMMUNITY APPLICATION FOR RESIDENCY
Home You Are Applying For: __________________________
Circle One: Cash Sale Financing Sale Lease/Rental Resident to Resident
One application should be filled out for each applicant.
First Name: M.I.: Last Name:
SSN#: Drivers License #:
Date of Birth: Phone Number:
Email: # of Occupants:
CURRENT RESIDENCY
Circle One: Own Rent Live w/Family Circle One: Apt House Manufactured Home
Current Housing Payment: $ How Long There: ______ years ______ months
Current Address: City/State/Zip:
Landlord/Mortgage Holder Name: Landlord/Mortgage Holder Phone #:
PREVIOUS RESIDENCY Only required if the current is less than 2 years!
Circle One: Own Rent Live w/Family Circle One: Apt House Manufactured Home
Current Housing Payment: How Long There: ______ years ______ months
Current Address: City/State/Zip:
Landlord/Mortgage Holder Name: Landlord/Mortgage Holder Phone #:
EMPLOYMENT/CURRENT INCOME
Employer Name: Job Title: How Long:
City/State Of Employer: Supervisor Name:
Phone Number: Gross Income (Before Taxes): $ per ______
PREVIOUS EMPLOYMENT Required if not at current job for 2+ years:
Employer Name: Job Title: How Long:
City/State Of Employer: Supervisor Name:
Phone Number: Gross Income (Before Taxes): $ per _____
COMMUNITY APPLICATION FOR RESIDENCY
OTHER INCOME SSI, Disability, Pension, Dividends, Other, etc.
Type: Amount: $
Type: Amount: $
Type: Amount: $
YES/NO QUESTIONS Please circle yes or no for the following:
Are there any outstanding judgments against you? Yes No
Are you a party to a lawsuit? Yes No
Are you a co-signer or endorser on a note? Yes No
If so, how much: ____________ How long: _________
Do you make any support or maintenance payments? Yes No
If so, how much: ____________ How long: _________
Are you presently delinquent or in default on any Yes No
Federal Debt or any other loan, mortgage, bond, or
guarantee?
Are you a U.S. Citizen? Yes No
Are you a permanent resident alien? Yes No
Do you intend to occupy the property as your Yes No
primary residence?
If Resident-to-Resident Purchase: Will you be financing Yes No
the purchase of this home?
If yes, which lending institution: ___________________
Were you referred to us by anyone? Yes No
If yes, by whom: ______________________________
You warrant that the information you are furnishing above is true, accurate, supplied voluntarily, and not misleading. You authorize us, at our option:
to check your credit and employment histories, criminal background, and credit references: and to keep this application whether or not it is
approved. If you ask, you will be told whether a credit report was requested, and if so, the name and address of any credit bureau from which we or
our affiliates obtained your credit report. We may also verify your employment, pay assets and debts. The cost to process an application is $50.00
(per application) and this is a one-time non-refundable fee. Applications expire 60-days from the date they are processed if conditions are not met. If
your application expires, you will need to have another application run. Additional fees may be required.
_________________________________________________________________ ___________________________________
Applicant Signature Date
COMMUNITY APPLICATION FOR RESIDENCY
APPLICATION ADDENDUM
Only one (1) application addendum is required per household.
Site Lease Occupant Information: Pursuant to the terms of the SIte Lease, each person living in the Home must be
identified and approved by the Community. Identified below are all requested Lease Occupants.
Name Date of Birth Relationship to Applicant Cell Phone # (if applicable)
Pets: List any and all pets that will be residing in the home (maximum of 2, where applicable)
Type: Cat/Dog/Other Height Weight Breed Shots up to Date?
Emergency Contact: Please provide the information for your closest living relative that does NOT live with you:
Name
Phone Number
Street Address
City/State/Zip
Relationship
Personal Reference: Please provide the information for your personal reference that does NOT live with you:
Name
Phone Number
Street Address
City/State/Zip
Relationship
