RENTAL APPLICATION
FORM
ROADRUNNER MOBILE
HOME PARK
2047 S. Saunders
Aransas Pass, TX
78336
(361)
758-5534
ALL DOCUMENTS ARE POSTED ON
THIS WEB SITE
WWW.SOUTH-TEXAS-MOBILE-HOME-PARK.COM
PLEASE READ, UNDERSTAND
AND AGREE TO ALL DOCUMENTS BEFORE SIGNING.
____. Please initial here if you understand and agree to all documents.
Each occupant age 18 or older must sign application.
(If not enough space is available for answering
questions, additional pages may be attached)
PROSPECTIVE RESIDENT’S
INFORMATION
PERSONAL HISTORY
Full Name
____________________________________________________________
(as shown on driver’s license or other
ID)
Driver’s License #
_________________________ State ________________________
Social Security #
____________________________________________________________
Marital Status
____________________________________________________________
Birth Date
____________________________________________________________
Current Address
____________________________________________________________
____________________________________________________________
Current Phone
____________________________________________________________
RENTAL HISTORY
Would you have a secondary address for notice that
would be your primary residence address during the proposed lease in the
Community? Yes______ No_____
-If
Yes, please provide your primary residence address during the proposed
lease in the Community:
______________________________________________________
______________________________________________________
Current Monthly Rent/Mortgage
$_______________________________________________
Owner/Mgr of Current Rental:
________________________________________________
Owner/Mgr phone #
________________________________________________
Date moved in:
________________________________________________
Reason for moving:
________________________________________________
Previous Address
________________________________________________
Owner/Mgr of
Previous Rental
________________________________________________
Owner/Mgr phone #
________________________________________________
Date Moved In: __________________ Date Moved Out:
__________________
Reason for
moving:
________________________________________________
EMPLOYMENT HISTORY
Present Employer:
______________________________________________________
Address:
__________________________________________________________________
Phone #: (_______)
_____________________________________________
How Long Employed:
______________________________________________________
Monthly income:
$_____________________________________________________
Supervisors Name &
Phone:______________________________________________________
Previous Employer:
______________________________________________________
(If less than 1 year in present
employment)
Address:
__________________________________________________________________
Phone #: (_______)
_____________________________________________
How Long Employed:
______________________________________________________
Monthly income:
$_____________________________________________________
Supervisors Name & Phone:
______________________________________________________
SPOUSE'S INFORMATION
Spouse's Full
Name:___________________________________________________________
Social Security #:
___________________________________________________________
DL #
and State: ______________________
Birthdate: _______________________
Present Employer:
___________________________________________________________
Address:
_________________________________________________________________
Work Phone #: ( )__________________ Monthly Income:
$______________________
How Long
Employed ?: __________
Supervisor's Name: _______________________
Supervisor's Phone #: ( )_____________
OTHER OCCUPANTS UNDER 18 YEARS OF AGE
INFORMATION
Please Note: All Occupants must Be Listed on the Lease in Order
to Be Authorized to Reside in the Community Having Unauthorized Occupants
May Be a Violation of the Lease and the Rules
| Name: |
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DL#: |
Birth Date: |
| Sex: |
Relationship: |
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| Name: |
![]() |
DL#: |
Birth Date: |
| Sex: |
Relationship: |
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| Name: |
![]() |
DL#: |
Birth Date: |
| Sex: |
Relationship: |
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VEHICLE INFORMATION
Make: ___________
Year: _________ License # ___________ State: ___________
Make:
___________ Year: _________ License # ___________ State:
___________
CREDIT/CRIMINAL HISTORY
Bank's
Name: ___________________________ City/state:
_______________________
Active Checking Account #: _______________
Active Savings Account #: ___________
List Financial Obligations:
_____________________________________________________
Loans
__________________________________ Credit Cards
_______________________
_______________________________________ Alimony
_______________________
Have You, Your Spouse, or Any Occupant Listed above Ever:
| 1. Been Evicted or Asked
to Move Out? |
Yes |
No |
| 2. Broken a Rental Agreement or
Lease Contract? |
Yes |
No |
| 3. Declared Bankruptcy? |
Yes |
No |
| 4. Been Sued for Nonpayment of
Rent? |
Yes |
No |
| 5. Been Convicted of a Felony?
|
Yes |
No |
| 6. On Parole or Probation for Any
Offense? |
Yes |
No |
| 7. Required by law to register as a sex offender? |
Yes |
No |
Please Explain any “Yes” answers
above:
________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
PET
INFORMATION
NO PET OVER 18 POUNDS OR VICIOUS BREED IS
ALLOWED ON PARK PROPERTY.
Note: No
pet over the weight of eighteen pounds (18) will be allowed. Pet will be
house pet only. Pet is not to be allowed to run loose or be tied or penned
up. Pet droppings must be picked up immediately and disposed of properly.
Animals must have proper vaccinations.
Will you or any occupant have a pet? Yes
No
Please indicate how many and
what kind (Dog, Cat, Bird, Reptile, Etc.) the weight, breed, and age of
each pet, also note if animal(s) have been spayed or neutered and if the
animal is up to date on rabies vaccinations.
MANUFACTURED HOME
INFORMATION:
Note: All Manufactured homes must be all
electric.
Name and Address
of Legal Owner of Home
_______________________________________________
_______________________________________________
_______________________________________________
Is Your Home Financed? Yes No Monthly Payments: $
_______________
Name and Address of
Lien Holder
_______________________________________________
_______________________________________________
_______________________________________________
If New Home; Name and Address of Selling Retailer:
_______________________________________________
_______________________________________________
_______________________________________________
Insurance Provider:
____________________________________________________________
Type of Coverage:
____________________________________________________________
Make and Size (Counting Hitch)
________________________________________________
Year of Home: ______________ Number of Bedrooms
________________________
Number of
Bathrooms __________________
What
Zone Is Your Mobile Home Built For?
____________________________________
Is Your Roof Shape: oPeaked oRounded/arched
Is Your Roof: oShingled oMetal
What Type Siding Does Your Home Have? oMetal oVinyl oHardboard
Does Your Home Have Bay Window? Yes
No
If So, Where Is it Located?
_____________________________________________________
EMERGENCY INFORMATION
Name & Relationship of Emergency
Contact:
_______________________________________________
_______________________________________________
Work Address of Emergency Contact:
_______________________________________________
_______________________________________________
Work Phone
___________________________________
Home Address of Emergency
_______________________________________________
_______________________________________________
_______________________________________________
Home Phone
___________________________________
How Did You Hear of Roadrunner Mobile Home
Park?
List Anyone You Know
in Our Park
The owner
and/or manager shall not be liable to resident, resident's dependents,
guests, or employees, for any loss, to person of property, as a result of
the actions of other residents or any other person being on property with
or without the permission of owner and/or manager, or from any cause
whatsoever. Resident, residents dependents, guest and employees are
prohibited from entering into areas of construction, and any entering
therein will be considered as trespassing. By signature herewith,
applicant/resident agrees to save and hold harmless the park owner and/or
manager for any cause.
I, as an
applicant/resident, with my signature, state that I have read and
understand the rules and regulations of the roadrunner mobile home park,
that I have a copy of such rules and regulations, and that I agree to
abide by such rules and regulations, and will be responsible for the
actions of my dependents, pets, guests and employees.
Each
applicant hereby represents that all of the above statements and
information furnished are true and correct and authorizes verification of
such. Each applicant acknowledges, understands and agrees that false
information shall constitute grounds for rejection of this application, or
eviction if information is found to be false at a later date, and
applicant(s) hereby authorizes any creditor or former landlord to release
relevant data to lessor regarding this application.
Date_____________________________________
_________________________________
____________________________________
Signature of Applicant Signature of Applicant's
Spouse
Application was
received by lessor community at __________o'clock am/pm on the __________
day of _____________________ 20_______.
This application is approved on the ___________ day
of _______________________, 20____, and shall become a part of the lease
agreement between the parties hereto.
Roadrunner Mobile Home
Park
_______________________________________
____________________________________
Authorized Signature
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