Cottonwood Mobile Home Park - Rental Application

Rental Application
Applicant Information
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
SSN
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Mailing Address (PO Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many will be living in the unit?
Adult:
Children:
Do you have any pets?
Dog Breed (s):
Have you ever filed for bankruptcy?
If yes, when?
Have you ever been served an eviction notice?
Have you ever willfully/intentionally refused to pay rent when due?

Site Information
What type of site are you applying for?
Anticipated Rent Start Date

MonthDayYear
Date
Length of Stay

Employment Information
Current Employer
How long?
Employer address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Income Type
Annual Income

Vehicle Information
Make/Model
VIN
Color
Year
Plate #
State

Co-applicant Information - Spouse/Partner/Roommate
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
SSN
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address (PO Box)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Co-applicant Employment Information
Current Employer
How long?
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position
Income Type
Annual Income

I, the undersigned, declare under penalty of perjury that the information listed in this application is true and correct. I understand that Cottonwood Management is the leasing agent and representative for the owner and the leasing agent’s fee will be paid by the owner.
Signature of applicant
Date

MonthDayYear
Date
Signature of co-applicant
Date

MonthDayYear
Date
Should be Empty: