Property Application

Below is our property application. Please select one of the following options for return to us so we can process it and put you into a property TODAY!

  1. Print, fill-out, send back via directions below. 
  2. DIRECTIONS FOR SENDING:
    1. Scan & Email to us: Please send to sam@blueridgemobilehome.com
    2. Mail:
      1. Blue Ridge Mobile Homes
      2. P.O. Box 184
      3. Batesville, VA 22924

You may also CLICK HERE for a pdf of our application for download. You may return by email, in person, or through regular mail.

PROPERTY APPLICATION

APPLICANT 1:

 

Full Name:_______________________________Date of Birth (01/01/2001):______________

SSN:_______________________ Driver License Number:_____________________________

Phone Number (home)____________________________ (work or cell)__________________

Email address: ________________________________________________________________

Current Residence Address:_____________________________________________________

City/State/Zip:_________________________________________________________________

Landlord Name and Phone Number:______________________________________________

How Long?  From:__________ To:___________  Rent amount:________________________

Previous Residence Address:_____________________________________________________

City/State/Zip:_________________________________________________________________

Landlord Name and Phone Number:______________________________________________

How Long? From___________ To ____________ Rent amount:________________________

Current Employment/Company Name:____________________________________________

Address:______________________________________________________________________

City/State/Zip:_________________________________________________________________

Supervisor:________________________________Phone Number:______________________

Position:______________________________________________________________________

How Long? From:____________________________ To:______________________________

Income: _______________________ per____________________________________________

Previous/Other Employment/Company Name:______________________________________

Address:______________________________________________________________________

City/State/Zip:_________________________________________________________________

Supervisor:_________________________________ Phone Number:____________________

Position:______________________________________________________________________

How Long? From:_____________________________ To:_____________________________

Income:_________________________per___________________________________________

Total Debts per month (i.e. car, credit, settlements, etc.): $____________________________

 

Property for which you are applying: _____________________________________________

Downpayment You Can Put Down: $ _____________________________________________

 

APPLICANT 2:

 

Full Name:_____________________________ Date of Birth (01/01/2001):________________

SSN:_______________________ Driver License Number:_____________________________

Phone Number (home)____________________________ (work or cell)__________________

Email Address: ________________________________________________________________

Current Residence Address:_____________________________________________________

City/State/Zip:_________________________________________________________________

Landlord Name and Phone Number:______________________________________________

How Long?  From:_______________________ To:___________________________________

Previous Residence Address:_____________________________________________________

City/State/Zip:_________________________________________________________________

Landlord Name and Phone Number:______________________________________________

How Long? From________________________ To ___________________________________

Current Employment/Company Name:____________________________________________

Address:______________________________________________________________________

City/State/Zip:_________________________________________________________________

Supervisor:________________________________Phone Number:______________________

Position:______________________________________________________________________

How Long? From:____________________________ To:______________________________

Income: _______________________ per____________________________________________

Previous/Other Employment/Company Name:______________________________________

Address:______________________________________________________________________

City/State/Zip:_________________________________________________________________

Supervisor:_________________________________ Phone Number:____________________

Position:______________________________________________________________________

How Long? From:_____________________________ To:_____________________________

Income:_________________________per___________________________________________

Total Debts per month (i.e. car, credit, settlements, etc.): $____________________________

 

ADDITIONAL OCCUPANTS: List name and relationship including age of minor children

_____________________________________ ________________________________________

_____________________________________ ________________________________________

 

EMERGENCY CONTACT (Name and Phone Number) _____________________________ _____________________________________________________________________________

 

PETS (Description and Approximate Weight):________________________________________

______________________________________________________________________________

 

Vehicle 1: (Year/Make/Model/Payment):___________________License No.________________

Vehicle 2: (Year/Make/Model/Payment):___________________License No.________________

OTHER INFORMATION: (Explain credit problems on additional page if needed, credit card / financial information including lien holder, balance owed, monthly payment, etc.)

Yes OR No

Has applicant ever been sued for bills?___
Ever been locked out of property by sheriff?___
Has applicant ever been bankrupt?______
Ever been brought to court by any landlord?___
Applicant ever been guilty of felony?___
Ever moved owing rent or damaged apartment?__

Applicant ever broken lease?___Is total move-in amount available now(pymnt & down)?__

 

SIGNATURES

I/We certify that the information given herein is complete and correct.  The Landlord or seller or his agent is hereby expressly authorized to verify the accuracy and correctness of these statements, to communicate with my/our present and former employees, creditors and landlords, and to procure such other information (including credit & criminal reports) which the Landlord/Seller may require to evaluate this application.

 

Signature:__________________________________Date:_________________

Signature:__________________________________Date:_________________

 

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