Merrymeeting River Residency Application
Your cooperation in providing complete and accurate information is appreciated. All Information is considered confidential and will remain the property of the Park. Our desire is to maintain high and exacting standards, as well as a safe environment for our Families, thus making the Park one in which you will be proud to live for many years.
Date: _______________________ email for each applicant________________________________________________________________________
Applicant(s) Name (s)_______________________________________________________________________________________________________
Home Phone Number _____________________________________ Cell Phone Numbers________________________________________________
Children’s Names & Ages who will live here_____________________________________________________________________________________
Dog – Breed, age & full grown weight – requires doggie papers______________________________________________________________________
Cat that will live Here (inside cat allowed)_______________________________________________________________________________________
Current Rent or Mortgage Payment - rent : _____________________mortgage:________________________________________________________
Personal References, relationship, phone number, address
1. __________________________________________________________________________________________________________________
2. __________________________________________________________________________________________________________________
3. __________________________________________________________________________________________________________________
Lienholder of Home at Merrymeeting & address & phone number_____________________________________________________________________
In case of emergency, notify:__________________________________________________________________________________________________
List all automobiles and other vehicles: (year, make, model, license #) ________________________________________________________________
Do you or any of your family applying for residency have a criminal record, and if yes, please explain_________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
We/I have read the Park Rules, understand them, and if accepted as a Resident(s) of the Park, we/I agree to abide by them.
We/I, also state that this application is true, complete and correct. If any of this application is found to be false now or in the future, the applicant agrees to rejection or eviction. We/I have read the reason for rejection and accept these reasons; the applicant agrees and holds the Park harmless from any and all results of said rejection and/or eviction. Any and all cost incurred by the applicant and management will be the sole responsibility of the application.
Applicant’s Signature/Date___________________________________________________________________________________________________
Applicant’s Spouse’s Signature/Date___________________________________________________________________________________________
Thank you for your cooperation.
Merrymeeting River Credit Application
Please fill out one for each person over 18 years old.
last name____________________________first name_____________________________ middle________________
social security number ______________________________________ email ________________________________________________________
date of birth________________________________________________cell phone number______________________________________________
drivers license number ____________________state_______________home phone number____________________________________________
present home address_____________________________________________________________________________________________________ city, state, zip_______________________________________________county________________________________________________________
length of time & reason for moving __________________________________________________________________________________________ landlord name & telephone_________________________________________________________________________________________________
previous home address___________________________________________________________________________________________________
length of time & reason for moving ___________________________________________________________________________________________ landlord name & telephone_________________________________________________________________________________________________
describe each and every person who will occupy the premises______________________________________________________________________
will you have any pets?_________ If yes, please describe__________________________________________________________________________
present occupation ________________________________________________________________________________________________________
employer name____________________________________________________________________________________________________________
how long with this employer _______________________________________ address & phone number_____________________________________
name of supervisor______________________________________________
previous occupation _____________________________________________ employer name_____________________________________________
how long with this employer _______________________________________ address & phone number_____________________________________
name of supervisor_______________________________________________
current gross income per year ______________________________________ name of Bank_______________________________________________
please list all of your financial obligations (use back of page for more)
creditor& address monthly payment
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
have you ever filed for bankruptcy? __________If yes, date filed. _____________________________________
have you ever been evicted or asked to move?___________________________________________________________________________________
have you ever been arrested?______________ If yes, please explain._________________________________________________________________
_________________________________________________________________________________________________________________________
Applicant represents that all of the above statements are true and correct and hereby authorizes the management of Merrymeeting River Mobile Home Park & Sales Inc. to verify the above items and agrees to furnish additional information upon request. By signing this application, applicant authorizes and directs the management to check any and all sources deemed relevant and reliable, including, but not limited to: eviction records, criminal and/or arrest history, and retail credit reports. A facsimile of this release is as valid as an original and continues with no fixed termination date. Applicant has also signed and agreed to park rules, and upon approval, agrees to pay rent is advance, as required, before occupancy.
Applicant’s Signature/Date____________________________________________________________________________________________________
Merrymeeting River Credit Application
Please fill out one for each person over 18 years old.
last name____________________________first name_____________________________ middle________________
social security number ______________________________________ email ________________________________________________________
date of birth________________________________________________cell phone number______________________________________________
drivers license number ____________________state_______________home phone number____________________________________________
present home address_____________________________________________________________________________________________________ city, state, zip_______________________________________________county________________________________________________________
length of time & reason for moving __________________________________________________________________________________________ landlord name & telephone_________________________________________________________________________________________________
previous home address___________________________________________________________________________________________________
length of time & reason for moving ___________________________________________________________________________________________ landlord name & telephone_________________________________________________________________________________________________
describe each and every person who will occupy the premises______________________________________________________________________
will you have any pets?_________ If yes, please describe__________________________________________________________________________
present occupation ________________________________________________________________________________________________________
employer name____________________________________________________________________________________________________________
how long with this employer _______________________________________ address & phone number_____________________________________
name of supervisor______________________________________________
previous occupation _____________________________________________ employer name_____________________________________________
how long with this employer _______________________________________ address & phone number_____________________________________
name of supervisor_______________________________________________
current gross income per year ______________________________________ name of Bank_______________________________________________
please list all of your financial obligations (use back of page for more)
creditor& address monthly payment
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
have you ever filed for bankruptcy? __________If yes, date filed. _____________________________________
have you ever been evicted or asked to move?___________________________________________________________________________________
have you ever been arrested?______________ If yes, please explain._________________________________________________________________
_________________________________________________________________________________________________________________________
Applicant represents that all of the above statements are true and correct and hereby authorizes the management of Merrymeeting River Mobile Home Park & Sales Inc. to verify the above items and agrees to furnish additional information upon request. By signing this application, applicant authorizes and directs the management to check any and all sources deemed relevant and reliable, including, but not limited to: eviction records, criminal and/or arrest history, and retail credit reports. A facsimile of this release is as valid as an original and continues with no fixed termination date. Applicant has also signed and agreed to park rules, and upon approval, agrees to pay rent is advance, as required, before occupancy.
Applicant’s Signature/Date____________________________________________________________________________________________________
Merrymeeting River Dog Agreement
WE DO NOT HAVE A DOG AT THIS TIME. ___________
I (we) the undersigned, agree to the Merrymeeting River Mobile Home Park Rules, Regulations, and Standards of 2008, with regards to Dogs. I (we) have read them, fully understand them, and agree to abide by them.
I (we) hereby release the Park managers, owners, and their representatives, etc., from all liability and take full responsibility for the Dog and any and all damages, personal or property, which result from the said Dog.
I (we) also state that the Dog is a family pet and shall not or has not been trained to be aggressive and is not, or will not be used as a guard or attack Dog.
I (we) understand that having a Dog in the Park is a privilege and not a right. Therefore, I (we) understand and agree that the management of the Park shall determine when the Dog is unsuitable for the Park, thus causing the removal from the Park. I (we) further agree not to contest a decision for removal.
date _________________________________________
Resident ______________________________________
Dog’s Name ___________________________________
Dog’s Breed ___________________________________
Weight _______________________________________
Last date of Rabies shot __________________________
Last date of Distemper shot _______________________
Date neutered __________________________________
Veterinarian ___________________________________
Vet’s address & telephone __________________________________________________
Please attach a copy of statement with neutering date, a copy of the Rabies certificate, and proof of distemper shots. These records shall be kept up-to-date with the Park office.
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signature & date
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signature & date
I