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INITIAL INFORMATION

Date of Application

Desired Move-In Date

Type and Size of Unit Owned or to be Leased (Dimensions, No. of Bedrooms, etc)

Which Community are you interested in Indian Village, Flat Rock, Wood Lake, Voyager Village, Spring Valley, Parklane/Shamrock or Five Point?

How Did You Hear About Our Community?

PERSONAL INFORMATION

Applicant’s Full Name

Date of Birth

Social Security No.

Driver’s License No. & State

Names of All Other Residents Relationship to You Date of Birth
RESIDENCE HISTORY

Present Address

Street



City



State



Zip

Telephone

Present Address/Date From :

To:

Monthly Payment

Reason for Moving

Previous Address

Previous Address/Date From:

To:

Previous Landlord or Mortgage Co.

Telephone

Monthly Payment $

Reason for Moving

EMPLOYMENT INFORMATION

Present Status:

Present Employer: (or most recent)

Employer’s Address

Street



City



State



Zip

Telephone

Dates Employed/From:

To:

Position Held

Department

Supervisor

Gross Monthly Income $

Previous Employer:

Previous Emp. Address

Street



City



State



Zip

Telephone

Dates Employed/From:

To:

Supervisor

CO-APPLICANT INFORMATION

Co-Applicant’s Full Name

Date of Birth

Social Security Number

Driver’s License No. & State

Co-Applicant's Employment:

Co-Applicant's Employer: (or most recent)

Employer's Address

Street



City



State



Zip

Telephone

Dates Employed/From:

To:

Position Held

Supervisor

Gross Monthly Income $

MONTHLY INCOME INFORMATION
Income Source Applicant Co-Applicant Total
Base Employment
Overtime
Other
Total

Notice: If you list other income above then please detail the amount, source and contact information for verification. You do NOT have to reveal alimony, child support or separate maintenance income for any applicant or co-applicant unless you wish to have it considered in this application.

1. Source:

Contact:

Monthly Amount:

2. Source:

Contact:

Monthly Amount:

OTHER INFORMATION

Total Number of Vehicles (including company vehicles)

Make/Model

Year

Color

Tag No./State

Make/Model

Year

Color

Tag No./State

Other Car, Motorcycle, etc.

How Many Pets You or Occupants Own?

Kind of Pet, Breed, Weight, and Age

In case of personal emergency, notify

Relationship

Address

Home Phone

Work Phone

APPLICATION FEE - $20

Name On Credit Card

Credit Card Number

Credit Card Expiry

Credit Card Security Code

I understand that by submitting this application I am authorizing Park Management to charge the application fee of $20 USD per adult to the Credit Card supplied above. I also understand that Park Management will be usinng the information supplied in this form to obtain the credit information of the parties listing in the application.
I accept terms
HUMAN VERIFICATION
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