Application

Name*

Email*

Phone*

Anticipated Arrival Date*

Anticipated Departure Date*

Applicant Info:

Driver's License

Date of Birth*

Social Security Number

Street*

City*

State*

Employer Information:

Current Employer*

Start Date*

Employer Address*

Supervisor Name

Supervisor Phone

Employer Information:

Prior Employer Name

Start Date

End Date

Prior Employer Address

Prior Supervisor Name

Prior Supervisor Phone

Rental History:

Current Landlord

Phone

Previous Landlord

Phone

Have you or your spouse ever been evicted or asked by a landlord or his agent to leave the rented premises?*

Yes

No

Have you ever broken a rental agreement?*

Yes

No

Have you or your spouse ever been convicted of a criminal offense?*

Yes

No

Have you ever been convicted of a drug related crime?*

Yes

No

Relatives or friends in case of emergency:

Name*

Phone*

Address*

Name

Phone

Address

Application Signature:

I UNDERSTAND THAT I ACQUIRE NO RIGHTS IN THE RV UNTIL APPROVAL OF TENANCY AND THE SIGNING OF A RENTAL AGREEMENT. PURSUANT TO STATE AND FEDERAL FAIR CREDIT REPORTING ACTS. THIS IS TO INFORM YOU THAT AN INVESTIGATION INVOLVING THE STATEMENTS MADE ON YOUR RENTAL APPLICATION FOR THE ABOVE MENTIONED LOCATION, AS WELL AS INQUIRIES REGARDING YOUR CHARACTER, GENERAL REPUTATION, MODE OF LIVING AND PERSONAL CHARACTERISTICS MAY BE INITIATED. SHOULD YOUR APPLICATION BE DENIED, YOU HAVE THE RIGHT TO DISPUTE THE INFORMATION REPORTED. UPON WRITTEN REQUEST, YOU ARE ENTITLED TO A COMPLETE AND ACCURATE DISCLOSURE OF THE INVESTIGATION’S NATURE AND SCOPE, AS WELL AS A WRITTEN SUMMARY OF YOUR RIGHTS AND REMEDIES UNDER THE FAIR CREDIT REPORTING ACT.I/WE CERTIFY THAT, TO THE BEST OF MY/OUR KNOWLEDGE, ALL STATEMENTS ARE TRUE AND COMPLETE. I/WE AUTHORIZE LAKE LIFE RV RENTALS TO OBTAIN ALL REPORTS AND VERIFICATION NAMED ABOVE. FALSE, FRAUDULENT, OR MISLEADING INFORMATION MAY BE GROUNDS FOR DENIAL OF TENANCY OR SUBSEQUENT EVICTION.

I have read and agree to the Park Rules and Regulations

By check this box, you agree to have your typed full name to serve as your signature

Full name

Lake Life RV Rentals

Application

Lake Life RV Retreat

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