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:*