.

Mobile Home Rental Application

If you are interested in renting a Mobile Home in one of our 12 communities please fill in your information below and click Submit.  To view what Mobiles are available for rental please visit the Mobile Homes for Rent page on this website.

If you have any immediate questions or concerns please call the office.

Today's Date:: *

Property Information

 Select the town(s) you are interested in moving to:

Rental Mobile Home Location Applying for: *

Move-in Date: *

Term: *

Montly Rent:

How many bedrooms do you require in the rented Mobile: *

How many people to occupy home: *

Birth dates of people to occupy home: *

Do you have a service or emotional therapy animal?
Number of Cats to occupy home: *

Number of Dogs to occupy home: *

Please specify what breeds (be specific)?:

Reason for moving:

Applicant Information

Applicant Name: *

Date of Birth: *

E-Mail Address: *

Phone Number: *

Current Residence

Present Street Address: *

City: * State: * Zip Code: *
Name of Current Landlord: *

Landlord Phone Number: *

How long have you lived at present address?: *

Prior Residence

Prior Address: *

City: * State: * Zip Code: *
Name of Prior Landlord: *

Prior Landlord Phone Number: *

How long did you live at prior address?: *

Employment Information

Name of Employer: *

Employer Contact Name: *

Phone Number: *

Occupation: *

How long?: *

Monthly Salary: *

Co-Applicant Information

Co-Applicant Name (if applicable):

Relation to Applicant:

Co-Applicant Date of Birth:

Co-Applicant Phone Number:

Co-Applicant Employer:

Phone Number:

Co-Applicant Occupation:

Co-Applicant Occupation How Long?:

Monthly Salary:

References

Name of Reference #1
(Non-Relative):
*

Phone: *

Relationship: *

Name of Reference #2
(Non-Relative):
*

Phone: *

Relationship: *

Name of Reference #3: *

Phone: *

Relationship: *

Vehicle Information

Number of Vehicles: *

  Make & Model Year Plate Number
Vehicle 1: *
Vehicle 2:
Vehicle 3:

Questionairre

Please answer the following questions:
Have you ever been arrested or convicted of any crimes?: *
Do you give consent for a background check?: *
If you have been arrested or convicted of any crimes, when and why?:  
Have you ever been served an eviction notice or been asked to vacate a property you were renting?: *
If so, when and why?:  
Have you ever willfully or intentionally refused to pay rent when due?: *
If so, when and why?:  
Have you ever been sued for unlawful detainer?: *
Do you own any firearms?: *
Do you own a waterbed?: *
How were you referred to us?: *  
Additional Information:  
By filling in and submitting the above form I/We authorize Greely Properites, LLC. management investigate my/our qualifications and hereby release, in any manner, all of the information obtained by you.  I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information.

I/We declare under penalty of perjury that all of the information provided in this application is true and correct.