Manufactured Home Rental Application

MANUFACTURED HOME RENTAL APPLICATION

Date of Application:

Applicant Information

Co-Applicant (if applicable)

Manufactured Home Identification

Current Residency & Rental History

Employment & Income

References

Emergency Contact

Vehicle Information

Disclosures and Background Screening

Has the manufactured home been previously damaged by fire, flood, or structural failure? Yes No

Was the home manufactured prior to 1978 (Lead-Based Paint Warning applies)? Yes No

Are there known mold or environmental hazards in the home? Yes No

Pets allowed? Yes No

Smoking Allowed on Premises? Yes No

Application Fees, Deposits & Occupancy

Application Screening Fee (non-refundable) Amount:

Holding / Security Deposit (if accepted) Amount:

Desired Move-In Date:

Authorizations, Certifications & Notices

By signing below, Applicant certifies that all information provided in this application is true, complete and accurate. Applicant authorizes verification of reported information and consents to credit, criminal, tenancy and background checks as required for tenancy approval. Applicant releases all persons and entities from liability for supplying such information to the owner, manager or agent.

Applicant acknowledges that the application screening fee is non-refundable. False statements or omissions are grounds for denial of the application or termination of tenancy if discovered after occupancy. Approval is contingent upon satisfactory screening, acceptance by the owner or park (if applicable), and receipt of any required deposits and executed rental agreement.

Applicant understands responsibility for utilities, routine maintenance, and compliance with park or community rules as set forth in any subsequent rental agreement or space lease. Applicant agrees to provide pay stubs, tax returns, bank statements, or other documentation upon request to verify income.

Criminal Background & Sex Offender Notice

Applicant acknowledges that a criminal background check will be performed. Convictions for certain offenses may result in denial of the application consistent with applicable law. Applicant certifies that they are not a registered sex offender in any jurisdiction. If previously convicted or registered, indicate details:

Additional Remarks

Acknowledgment

I hereby certify under penalty of perjury that the foregoing statements are true and correct. I understand that landlord or manager may refuse this application based on the screening results and that acceptance of this application does not create a tenancy until all required documents are signed and funds are received.

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