Become a Resident

Residency Application

Osprey Mobile Home Community

1559 N. Port Washington, Grafton, WI 53024

THIS APPLICATION IS FOR EQUAL HOUSING OPPORTUNITIES

Location (lot) Requested

If you selected "Other", please specify how you heard about us below. If not, please enter N/A

PRIMARY APPLICANT

Primary Applicant Name

Social Security Number

Driver's License Number

Date of Birth

Phone

Make & Model of Vehicle

License Plate Number

Income Information - Current Employer

Current Employer's Address

Job Title

How Long?

Monthly Gross Income

Supervisor Name

Supervisor Phone

Name of your Banking Institution

Checking

Savings

SECONDARY APPLICANT

Secondary Applicant Name

Social Security Number

Driver's License Number

Date of Birth

Phone

Make & Model of Vehicle

License Plate Number

Income Information - Current Employer

Current Employer's Address

Job Title

How Long?

Monthly Gross Income

Supervisor Name

Supervisor Phone

Name of your Banking Institution

Checking

Savings

Please list the name, age & relationship of any others that will occupy the property. *Anyone over the age of 18 MUST complete an application.

RESIDENTIAL HISTORY

Current Address

How Long at Current Address?

Why are you moving?

Current Landlord Name

Current Landlord Phone

Previous Address

How Long at Previous Address?

Why did you move?

Previous Landlord Name

Previous Landlord Phone

BACKGROUND QUESTIONS

If you answered yes, please explain

If you answered yes, when?

PET INFORMATION

If you answered yes, how many?

Please indicate the breed, color, weight and age of each pet

PERSONAL AND/OR ADDITIONAL CREDIT REFERENCES

Please include the name, address, phone and relationship

*A $35 PAYMENT MUST BE COLLECTED TO COMPLETE THE BACKGROUND CHECK PORTION OF THE APPLICATION. OUR MANAGEMENT WILL CONTACT YOU TO COORDINATE A PAYMENT METHOD

I, undersigned applicant, certify that the answers I have given in this application are true and correct. I authorize and consent to the release of any information the landlord may need to obtain a credit report or any other necessary report to verify the accuracy of my application to determine my eligibility. I understand that a payment of $35 must be made to complete this application. I understand that if any part of my application has been falsified, it shall be grounds for denial of residency, or future eviction if discovered after moving into a home. I understand that the home will cotinue to be offered for lease until I have paid a deposit to hold the home for my move in. I understand that my deposit is NOT refundable if I cancel my application or it is discovered that I falsified my application to hide information that could have caused my application to be denied.

Your Signature

Thank you for your submission. Our management team will review and be in touch!