Residential Application | B&D Properties, LLC

Your Last Name *

Your First Name *

Your Middle Name

Your Phone Number *

Your Email Address

Your Date of Birth *

Day

Month

Year

Your Height

Your Weight lbs

Weight in US Pounds

Your Hair Color

Your Eye Color

Your Description

Please list tattoos and such here.

Your Current Employer

Your Current Employer's Address

Your Current Employer City

Your Current Employer's State

Your Current Employer's Phone

Applicant 1 Current Employer Hire Date

Day

Month

Year

Applicant 1 Current Employer Position

Day

Month

Year

Applicant 2 Last Name

Applicant 2 First Name

Applicant 2 Middle Name

Applicant 2 Phone Number

Applicant 2 eMail Address

Applicant 2 Date of Birth

Day

Month

Year

Applicant 2 Height

Applicant 2 Weight lbs

Weight in US Pounds

Applicant 2 Hair Color

Applicant 2 Eye Color

Applicant 2 Description

Please list tattoos and such here.

Applicant 2 Current Employer

Applicant 2 Current Employer Address

Applicant 2 Current Employer City

Applicant 2 Current Employer State

Applicant 2 Current Employer Phone

Applicant 2 Current Employer Hire Date

Day

Month

Year

Applicant 2 Current Employer Position

Children's Name 1

Children's Name 2

Children's Name 3

Child1 Birthday

Day

Month

Year

Child2 Birthday

Day

Month

Year

Child3 Birthday

Day

Month

Year

Current Landlord's Name

Current Landlord's Address

Current Landlord's City

Current Landlord's State

Current Landlord's Phone

Credit Reference 1 Full Name

Credit Reference 2 Full Name

Credit Reference 1 Phone Number

Credit Reference 2 Phone Number

Felony Conviction

Felony Description

Previous Resident

If Previous Resident, which unit?

Automobile Make

Automobile Model

Automobile Vin Number

Nearest Relative Full Name

Nearest Relative Address

Nearest Relative City

Nearest Relative State

Nearest Relative Phone

Disclosure *

ALL OCCUPANTS IN MOBILE HOME MUST BE REGISTERED AT THE PARK OFFICE AND APPROVED BY THE MANAGERS. VISITORS STAYING OVER THREE (3) DAYS MUST REGISTER. THE PARK IS NOT RESPONSIBLE FOR FIRE, THEFT, LOSS, OR DAMAGES OF YOUR PERSONAL BELONGINGS. YOU SHOULD PURCHASE YOUR OWN PERSONAL INSURANCE. YOU AGREE TO PAY ALL RENT WHEN DUE AND TO FURTHER PAY COSTS OF COLLECTION, INCLUDING ATTORNEY FEES, IN THE EVENT YOU DO NOT MAKE PAYMENTS IN ACCORDANCE WITH THE TERMS OF THE RENTAL AGREEMENT. YOU FURTHER AGREE TO ALLOW B&D PROPERTIES, LLC TO VERIFY CURRENT EMPLOYMENT STATUS. YOU FURTHER AGREE TO ABIDE BY ALL RULES OF THE MOBILE HOME PARK, IN EXISTENCE NOW OR HEREAFTER AMENDED.

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