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Credit Application
This Form is to be filled out if you choose to stay monthly in our RV Park and only want to pay the first months rent plus the $30 of this application, instead of paying last months rent. After the credit check is done, we will contact you and let you know whether or not it was approved.
First Name
Last Name
Email Address
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References (please provide 2)
Name
Phone #
Relationship
Name
Phone #
Relationship
General Information
If the answer is YES to any of these questions, please check the box
Have you ever been late or delinquent on rent?
Have you ever been party to a lawsuit?
Do you smoke?
Do you have any pets?
If you answered YES to any of these questions, please explain WHY
If a pet- please list type, breed, age, and weight
Is there anything negative in your credit or background check that you would like to comment on?
Credit Application Fee
Credit Application Fee
non-refundable credit application fee
$30.00
QTY
1
2
3
4
5
6
7
8
9
10
Rental Application
Birth Date
Social Security #
Information will be deleted once approved
Home Phone #
Cell Phone #
Drivers License #
Rental History
Current Residence
Address
City
State
Select State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZIP
Monthly Rent
Dates of Residency (From/To)
Reason for Moving
Owner/Manager's Name
Phone #
Previous Residence
Address
City
State
Select State
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZIP
Monthly Rent
Dates of Residency (From/To)
Reason for Moving
Owner/Manager's Name
Phone #
Employment History
Current Employer
Occupation
Employer's Address
Employer's Phone
Dates of Employment
Name of Supervisor
Monthly Pay
Credit History
Please list the Bank/Institution and the Balance on deposit or Balance owed for each item listed:
Checking Account
Savings Account
Credit Card
Auto Loan
Additional Debt:
Any additional questions?
Submit
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