Togetherland Mobile Home ParkCommunity Application Form 1. Applicant Information Name * First Name Last Name Date of Birth * Email * Contact phone number * (###) ### #### Current Address * How long have you lived at your current address? * Reason for leaving? * 2. Proposed Occupants Names and ages of all people who will live on the lot: * Will any pets live on the lot? If yes, please specify breed, size, and number: * 3. Employment & Income Current Employer: * Position: * How long have you worked there? * Monthly or annual income: * Other sources of income (e.g., pensions, disability, rental income): * 4. Current Housing Situation Do you currently rent or own? * Current landlord’s name and contact info: * Have you ever been evicted? If yes, please explain: * Have you ever broken a lease? If yes, explain: * 5. Mobile Home Details (if you are bringing their own home) Year, Make, and Model of Mobile Home: Dimensions: Proof of Insurance (Y/N): CSA Certification with classification Do you have a mobile home? * Yes, I would like to move it to Togetherland Mobile Home Park No, I would like to purchase a new mobile home and move it to Togetherland Mobile Home Park No, I would like to purchase a used mobile home already located in Togetherland Mobile Home Park. No, I would like to rent a mobile home at Togetherland Mobile Home Park 6. References Personal Reference (non-family): * Name, relationship, phone/email Rental Reference: * Former landlord name, phone/email 7. General Questions Desired move-in date: * Length of stay (how long do you plan to rent?): * Do you have any specific needs or requests? * 8. Consent & Declarations Consent to a credit check and background check. * Yes No Confirmation that all information is true and complete. * by typing and submitting your name you confirm all information is correct. Thank you for your interest in moving to Togetherland Mobile Home Park, we will be in touch shortly.