Application

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PEBBLE SPRINGS MANUFACTURED HOUSING COMMUNITY
Application

1st Applicant's Name

Birth Date

Address

Phone

Driver's License # and State

Social Security #

Employer

Phone

Address

How long employed?

2nd Applicant's Name

Birth Date

Address

Phone

Driver's License # and State

Social Security #

Employer

Phone

Address

How long employed?

Rental History

Name

Address

Phone

Name

Address

Phone

Name

Address

Phone

Credit References

Name

acc't #

Address

Phone

Name

acc't #

Address

Phone

Name

acc't #

Address

Phone

Mobile Home Make

Year

Serial #

Size

Color

Roof Type

If financed, by what company:

Name

acc't #

Address

Phone

Vehicle 1: Type

Year

Make

License #

Vehicle 2: Type

Year

Make

License #

Referred By:
Name

Phone

Address

Each applicant must provide a criminal background check from their current home state at the time of the application. A criminal background may be grounds for rejection of this application.

A non-refundable application fee of thirty ($35) dollars per tenant is due at the time of application.

I have read and understand this application and the information I have provided is true and accurate. I have also read all PSMHC rules and regulations and agree to all.

My signature /or / Personal Email Address below authorizes PSMHC to acquire a credit history report of my person. (PSMHC may reject any applicant due to credit history.)

Applicant 1: Signature/Email Date

Applicant 2: Signature/Email Date