Application Form – Plaza Court Homes

General Information

Name

First

Last

Date of Birth

Phone Number

Email

Drivers License # / State

Any Other Names You May Go By or Have Been Know As (Such as nicknames or married names)

Marital status

Residential Information

Total # of Occupants

Full Name of Other Occupants (Each person over 18 living at the park must fill out a separate application)

Dependents (Under 18 that will live with you)

Do you have a pet that you plan to bring to park? Breed and Size

How did you hear about us?

Residence and Rental History

Current Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Current Monthly Rent or Mortgage Amount

Start Date

Landlord/Manager Name

Landlord / Manager Phone

Residence Prior to Current (Address and Duration)

Background Check

Do you agree to a Background Check?

Yes

No

Reason if Selected NO

Have You Ever Been Evicted?

Is There Anything That May Appear On The Background Check That You Would Like To Explain?

Employment and Income History

Employer Name

Occupation

Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Employment Started

Employer Phone

Monthly Gross Pay

Current Supervisor’s Name and Number

Additional Income Sources

Additional Income

References

Name 1

Phone 1

Name 2

Phone 2

Co-signer/Guarantor (If applicable)

Name

Address

Street Address

Address Line 2

City

State / Province

ZIP / Postal Code

Email

Phone

Emergency Contact

Name

Email

Phone

Do you have any allergies or conditions that we should be aware of for your safety?

Section Field

I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on misstatement made above.

Name

Date

Section Field

Please make the payment for $20 towards the application fee using the Payment link below and enter the Paypal receipt Id in the field below.

Paypal Receipt Id

Application Fee

Application Fee: $20.00