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Date
MM slash DD slash YYYY
Agreement
I have read and agree to the Application Agreement.
Click Here to read
Application Agreement.
Application Fees are $25.00 per person over the age of 18 in the household. (NOTE: An application will not be processed until fees are received.)
Property Information
Lot Number
Date you will take occupancy:
MM slash DD slash YYYY
Date Submitted
02/22/2025
Applicant type
Individual
Co-Applicant
Applicant Information
Name
First
Last
Date of Birth:
MM slash DD slash YYYY
SSN
Cell Number
Email
Driver License #
Expiration Date
MM slash DD slash YYYY
State
Zipcode
Any other name(s) used (including maiden name):
Automobile Information
Make
Model
Year
Color
License plate#
State
Second Vehicle
Make
Model
Year
Color
License plate#
State
Co-Applicant Information
Relation to Applicant
Co-Head of Household
Spouse
Tenant/Roommate
Name
First
Middle
Last
Date of Birth
MM slash DD slash YYYY
SSN
Cell Number
Email
Driver License #
State
Expires
MM slash DD slash YYYY
Any other name(s) used (including maiden name
Automobile Information
Make
Model
Year
Color
License Plate Number
License Plate State
Make
Model
Year
Color
License Plate Number
License Plate State
Residential History
Current Address
Street Address
Address 2
City
State
Residency
Rent
Own
Landlord Name
Phone
Fax
Email
Monthly Rent
Date In
MM slash DD slash YYYY
Date Out
MM slash DD slash YYYY
Reason for Moving
Is your lease expired?
Yes
No
If no, when is your lease expiration date?
MM slash DD slash YYYY
Have you given your 30 day notice to vacate?
Yes
No
If yes, what date was your notice given?
MM slash DD slash YYYY
If no, is it ok for us to contact your current landlord?
Yes
No
Mortgage Company
Monthly Mortgage
Date In
MM slash DD slash YYYY
Date Out
MM slash DD slash YYYY
Reason for Moving
Residential History – Co-Applicant
Current Address
Street Address
Address 2
City
State
Residency – co-applicant
Rent
Own
Landlord Name
Phone
FAX
Monthly Rent
Date In
MM slash DD slash YYYY
DateOut
MM slash DD slash YYYY
Reason for Moving
Is your lease expired?
Yes
No
If no, when is your lease expiration date?
MM slash DD slash YYYY
Have you given your 30 day notice to vacate?
Yes
No
If yes, what date was your notice given?
MM slash DD slash YYYY
If no, is it ok for us to contact your current landlord?
Yes
No
Mortgage Company
Monthly Mortgage
Date In
MM slash DD slash YYYY
DateOut
MM slash DD slash YYYY
Reason for Moving
Previous Address
Street Address
Address 2
City
State
Residency
Rent
Own
Landlord Name
Cell Phone
FAX
Email
Monthly Rent
Date In
MM slash DD slash YYYY
Date In
MM slash DD slash YYYY
Reason for Moving
Mortgage Company
Monthly Mortgage
Date In
MM slash DD slash YYYY
Date Out
MM slash DD slash YYYY
Reason for Moving
Applicant Questions
Have you ever been asked to move out of a residence?
Yes
No
Have you ever been party to an eviction?
Yes
No
Please Explain
Please Explain
Are you a registered sex offender?
Yes
No
Please Explain
Have you or any member of your household been convicted or pleaded no contest to a felony?
Yes
No
Name
First
Last
Offence Date
MM slash DD slash YYYY
Description
Have you ever filed bankruptcy?
Yes
No
Have you ever had any collections?
Yes
No
Please Explain
Please Explain
Emergency Contact
Name
First
Middle
Last
Cell Phone
Email
Street Address
Address 2
City
State
Nearest Relative (Not residing in the property.)
Name
First
Middle
Last
Cell Phone
Email
Street Address
Address 2
City
State
Additional Comments or Notes
Comments
Application Completion
DISCLOSURE AND AUTHORIZATION
The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage. The undersigned does further understand that all persons or firms associated with Liberty Tiny Village may freely give any requested information concerning me. I also hereby authorize Liberty Tiny Village to verify my past and present employment earnings records, bank statements, previous residences and/or any information given for the purposes of renting and/or leasing through Liberty Tiny Village including but not limited to a credit check. I further understand and agree that Liberty Tiny Village will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true. If any facts prove to be untrue, Liberty Tiny Village may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from. Liberty Tiny Village welcomes all applicants and supports fair housing. We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.
Investigational Background Search Disclosure
Liberty Tiny Village conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations. Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant. Liberty Tiny Village will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found. We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted. If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report. An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected. The consumer reporting agency will advise you of the procedures that you should follow in order to do so. Under California Civil Code section 1786.22, you are entitled to find out from an ICRA what is in the ICRA’s file on you with proper identification, as follows:
In person, by visual inspection of your file during normal business hours and on reasonable notice. You also may request a copy of the information in person. The ICRA may not charge you more than the actual copying costs for providing you with a copy of your file.
A summary of all information contained in the ICRA’s file on you that is required to be provided by the California Civil code will be provided to you via telephone, if you have made a written request, with proper identification, for telephone disclosure, and the toll charge, if any, for the telephone call is prepaid by or charged directly to you.
By requesting a copy be sent to a specified addressee by certified mail. ICRA’s complying with requests for certified mailings shall not be liable for disclosures to third parties caused by mishandling of mail after such mailings leave the ICRAs.
“Proper identification” included documents such as a valid driver’s license, social security account number, military identification card, and credit cards. Only if you cannot identify yourself with such information may the ICRA require additional information concerning your employment and personal or family history in order to verify your identity. The ICRA will provide trained personnel to explain any information furnished to you and will provide a written explanation of any coded information contained in files maintained on you. This written explanation will be provided whenever a file is provided to you for visual inspection. You may be accompanied by one other person of your choosing, who must furnish reasonable identification. An ICRA may require you to furnish a written statement granting permission to the ICRA to discuss your file in such person’s presence.
I live in California and would like a copy of any criminal or credit report acquired:
Yes
Valid Photo Identification must be presented prior to final approval of this application.
I the undersigned Applicant, agree
I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief. By clicking “Apply Now” you agree to the terms stated above. Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information. Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.
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Shady Creek RV Park & Storage
1893 FM 1385
Aubrey,
Texas
76227
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