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

First Name

Last Name

Email Address

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

Why are you moving from your current address?

Is there anything negative in your credit or background check that you would like to comment on?

Any additional questions?

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

ZIP

Monthly Rent

Dates of Residency (From/To)

Reason for Moving

Owner/Manager's Name

Phone #

Previous Residence

Address

City

State

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:

Submit