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 #
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 ($30) 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

    

 

 

 

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