ARCAP, LC Lot Rental Application

I Plan to *
Buy a homeMove a home into the communityMove in as a roommate with another person(s)


If purchasing will you *
OccupyRent unit to othersRe-sell unit
How many units do you own now *
None orNumber owned


Do you have any pets *
NoYesNumber Of Pets

Pet Type *
DogCatOther

Breed (See Restriction): *

Name (as it appears on your ID):*
Choose one:*
Social SecurityITIN NumberOther


Date of birth*
Age*
Driver's license number:*
NoYes

State License was Issued:*

Current physical Street Address, City, State & Zip Code*

If less than 2 years, above address
Previous Address: *

Do you currently reside in the community *
YesNo
Number of Occupants*
Purchase Price $*
Payments to current owner $
Choose One*
RentLoanPayments to bank / finance company $


Monthly gross wage Income: $*
Other monthly Income: $*
Describe other income:*
Total monthly income: $*
Unit Interested in:*
Number of Bedrooms:*

Telephone:
Is this:CELLHOMEOTHER

Have you been convicted of a felony in the last 7 years:*
YESNO

Has your name appear on a sexual predator list in the last 10 years:*
YESNO
Have you been evicted in the last 12 months for:*
Non-PaymentOther ViolationsNo

Employer Name & Address:*
Name(s) of others applying with you:*
Length of Employment:*

Applicant Signature:*
Date:*
Email Address:*