Meadows Rental Application V2

1. Community & Home You're Applying For

Which community are you applying to? *

Meadows Mobile Home Park Shady Acres

Home / Space / Address *

Desired move-in date *

How did you hear about us?

2. Primary Applicant

First name *

Last name *

Date of birth *

Phone *

Email *

Current address *

City *

State / ZIP *

Driver license number *

Driver license state *

Social Security Number *

Your Social Security number is sent over an encrypted HTTPS connection and stored in encrypted form. It is not included in email notifications.

3. Co-Applicant & Household

Will another adult be applying with you?

No Yes

Other occupants

4. Rental History

Current Residence / Landlord

Current landlord / property manager

Landlord phone

Landlord email

Current monthly rent

Residency start date

Residency end date

Reason for moving

Previous Residence / Landlord

Previous address

Previous landlord / property manager

Previous landlord phone

Previous landlord email

Occupancy start date

Occupancy end date

5. Employment & Income

Current Employer

Employer / income source *

Position / occupation

Employment start date *

Employer phone

Supervisor's name

Supervisor phone

Supervisor email

Gross monthly income *

Additional income you want considered

Proof of income

Proof-of-income file storage will be enabled in the next backend step. Please do not upload sensitive documents during this first database test.

6. Vehicles & Animals

Vehicles

Do you have a pet?

No Yes

7. Rental Screening Information

Have you ever been evicted, had a lease terminated for a material violation, or left owing money to a landlord?

No Yes

Have you ever been late on your rent?

No Yes

Have you ever been a party to a lawsuit?

No Yes

Do you smoke?

No Yes

Is there anything in your credit history you would like to comment on?

No Yes

8. References

Please provide two personal or professional references.

Reference 1 — Name *

Relationship *

Phone *

Reference 2 — Name *

Relationship *

Phone *

9. Authorization & Signature

By submitting this application, I certify that the information I have provided is true and complete to the best of my knowledge. I understand that management may verify information provided in this application as permitted by law. Final production authorization language should match the actual screening process used by the park.

I certify the information is true and complete. * I have read and agree to the application authorization. *

Electronic signature (type full legal name) *

Date

Your application will be securely submitted to park management. Management will be notified when it is received.

1. Community & Home You're Applying For

2. Primary Applicant

3. Co-Applicant & Household

4. Rental History

Current Residence / Landlord

Previous Residence / Landlord

5. Employment & Income

Current Employer

Previous Employer

6. Vehicles & Animals

7. Rental Screening Information

8. References

9. Authorization & Signature