RV Rental Application

Application for long Term

Step 1 of 6

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Applicant's Complete Name(Required)

Name

Date of Birth(Required)

MM slash DD slash YYYY

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SSN#

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DL#/State issued

Tel(Required)

Email Address(Required)

Other occupants name:(Required)

Age:(Required)

Relationship:(Required)

add more people

Yes

Name of occupant number two

Age:

Relationship:

Name of occupant number three

Age:

Relationship:

Complete Every Item on the Application. Incomplete and/or Inaccurate Information May Result in Process Delay or Denial of Tenancy.

VEHICLES

Be aware that Liberty Lane only accepts one vehicle per lot and the RV or trailer must be registered to a person living in the RV/Trailer. We also only accept RVs, and trailers from 2009 or newer.

RV Trailer: Year/Make/ Length/ Lic #(Required)

Auto /Year/Make/Lic #(Required)

CURRENT EMPLOYER(Required)

Tel(Required)

Supervisor(Required)

Position(Required)

Hire Date(Required)

MM slash DD slash YYYY

Monthly Salary(Required)

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Part Time(Required)

Full Time(Required)

Address of employment(Required)

State/Zip(Required)

CURRENT ADDRESS (Required Entry)

Street(Required)

City(Required)

State(Required)

Zip(Required)

Apt #

Name of Apts(Required)

From(Required)

MM slash DD slash YYYY

How Long (Mo/Da/Yr)

To(Required)

MM slash DD slash YYYY

How Long (Mo/Da/Yr)

Rent/mortgage paid to(Required)

Amt(Required)

Landlord/Mgmt Co.(Required)

Address of landlord/mortgage co(Required)

Tel(Required)

Rent/Own/Lease(Required)

Land Lord or mortgage Email(Required)

EMERGENCY CONTACT INFORMATION

Primary contact(Required)

Address(Required)

Phone(Required)

Nearest Relative(Required)

Address(Required)

Phone(Required)

HAVE YOU OR ANY OTHER HOUSEHOLD MEMBER

Ever been evicted or refused to pay rent?(Required)

When?

Ever used any other name(s)?(Required)

If yes, list name(s)

Are you or any other household member a Registered or Unregistered Sex Offender?(Required)

What other states have you lived in?(Required)

Do you or any other household member smoke?(Required)

Have you or any other household member filed for bankruptcy?(Required)

If yes, when:

Pets?(Required)

If yes, number, size, and type(s)

Disability status and require special accommodations?(Required)

Are you a full-time student?(Required)

**** Please complete this application with 4 pictures of your RV Trailer: (front, back, right side, and left side)(Required)

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 2 GB, Max. files: 4.

Driver’s License of Renter(Required)

Max. file size: 2 GB.

RV or Trailer‘s Insurance(Required)

Max. file size: 2 GB.

Vehicle’s Insurance(Required)

Max. file size: 2 GB.

What is the date you are planning to move in(Required)

MM slash DD slash YYYY