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ROYAL PALM Resident Application 1. Primary Applicant Applying for homesite # Secondary Applicant Date Street City State Zip Code Birth Date: Social Security #: Drivers License #: Marital Status: How Long at current address? Years: Months: 2. Present Landlord or Mortgage Company: 3. Prior Landlord or Mortgage Company: 4. All Other Occupants: Birth Date: Relationship to Primary Applicant: Birth Date: Relationship to Primary Applicant: Birth Date: Relationship to Primary Applicant: Revised March 3, 2006

5. Employment (present): Company: Position: Supervisor: Salary Information Length of Employment Month: Year: Months: Years: 6. Additional Monthly Income (please specify): Amount: Source: 7. Employment (previous): Company: Position: Supervisor: Salary Information Length of Employment Month: Year: Months: Years: 8. Bank Reference: Name of Bank: Checking Account # Savings Account # 9. Credit References (major credit cards, if any): Name of Creditor: Account #: Original Balance Name of Creditor: Account #: Original Balance Amount Owing Amount Owing 10. List All Prior Judgments by Rental Housing And Give Details:

11. Personal Reference (excluding relatives or employers): 12. In Case of Emergency, please notify: 13. Pet Information: Type: Breed: Weight at Maturity: Type: Breed: Weight at Maturity: 14. Manufactured Home: Mortgage Company: Make: Model: Year: Serial Number: Cost: Amount Financed: Lot #:

15. Auto Information: A. Make: Model: License Plate #: Year: Color: B. Make: Model: License Plate #: Year: Color: 16. As a prospective resident, if accepted do you agree to abide by the lease and or rules and regulations of the Community? Yes No 17. I understand the term of the rental agreement is Month to Month. Either party has a right to terminate the lease with a thirty (30) day written notice. Yes No 18. I would like to request a one-year lease. Yes No 19. With the signing of this application, the prospective resident acknowledges receipt of a copy of the Lease, Rules and Regulations, and further agrees to be an asset to the community and to abide by all rules and regulations that are presented and may be presented from time to time. I understand that acceptance of my application shall be valid only upon the condition that all statements made herein are true. I further understand that my rental of said homesite should remain valid only upon the condition that actual occupancy remains as described in this application unless otherwise authorized by the management. Applicant s Signature Date Manager s Signature Date Co-Applicant s Signature Date

Credit Release Authorization 1. Have you ever lived at any address not listed on your application in the past five years? If yes, please explain. 2. Have you been evicted or asked to move in the past five years? If yes, please explain. 3. Have you ever been convicted of a gross misdemeanor or felony? If yes, please explain. You warrant that neither you, nor any member of your household, have any criminal charges pending, awaiting disposition or looming in any way; nor do you, nor any member of your household, have any criminal charges in the process of being filed or awaiting filing by any government entity. You warrant that neither you, nor any member of your household, have been involved in any activity that may result in an arrest or criminal charges. You agree that if tenancy is accepted and any criminal charge is later learned of by Landlord, that Landlord may immediately terminate your tenancy by eviction or otherwise and you will be responsible for the attorney s fees, costs, collection fees, concessions, other charges and rent for as long as the home is titled in your name. (Please initial) 4. Have you ever filed for bankruptcy, chapter 7 or 13? If yes, please explain. I certify that the above information is true and correct, I understand Royal Palm MHC, LLC will conduct a search of my background. I understand this may include credit, criminal, employment, banking and residential history, and may include records from state employment security agencies. I authorize Royal Palm MHC, LLC to conduct whatever search they deem necessary. I further authorize the release of any and all information to Royal Palm MHC, LLC. I understand there will be a non-refundable fee of 35.00 per individual or 70.00 per married couple to conduct this search. Applicant s Signature Date Manager s Signature Date Co-applicant s Signature Date

*APPLICATION PROCESS* APPLICATION FEE 35.00 Per Individual 70.00 Per Married Couple CURRENT DRIVER S LICENSE OR STATE ISSUED I.D. AND SOCIAL SECURITY CARD REQUIRED. OCCUPANCY LIMIT = 2 PERSON PER BEDROOM A thorough background investigation will be completed on all applicants before they are approved for residency. We do not welcome criminal activity at this property. The following is a list of reports that will be reviewed. 1. COMPLETE CRIMINAL HISTORY REPORT. 2. A NATIONWIDE CHECK OF THE REGISTERED SEX OFFENDER LIST. 3. A NATIONWIDE CHECK OF ARREST RECORDS AND CURRENT WANTS AND WARRANTS. Misdemeanors (involving bodily harm or personal injury) or felonies will result in denial. 4. A CREDIT PROFILE. 5. VERIFICATION OF EMPLOYMENT. 6. VERIFICATION OF RESIDENTIAL/RENTAL HISTORY. 7. A CHECK OF ALL CIVIL ACTIONS. 8. VERIFICATION OF SOCIAL SECURITY CARD MATCHES. We use the TransUnion national risk score which must be above 550. Approval is not limited to FICO score only.