Private Financing-Apply Today!

Victor Mobile Home Parks, Inc.
784 Old Dutch Road, Victor, NY 14564
585-924-1571 585-742-3243 (fax)
Jennifer@victor-corporation.com

A separate application is required from each applicant age 18 or older. Please also note that each person over 18 will also be required to complete the background consent form, which must be mailed, delivered in person, or faxed to 585-742-3243. This PDF document can be found at the end of the application.
Background Check Fee: $20.00 per applicant. Payable by money order, bank check or cash and is non-refundable.

Part 1 of 2: Rental Application

* Indicates required field

Address of Property to be Rented *

Applicant 1:

Applicant 1: Full Name (Include all names used): *

Social Security Number: *

Birth Date: *

Address *

Phone Number: *

Driver's License Number/State: *

Applicant 2:

Applicant 2: Full Name (Include all names used) *

Social Security Number *

Birth Date *

Address *

Phone Number *

Driver's License Number *

Additional Occupants:

List everyone, including children, who will live with you:

Name & Relationship to Applicant: *

Pets:

Please check which type of animal you have *

Dog Cat None

Dog Breed *

Rental History:

Current Address: *

Dates Lived at Address: *

Reason for Leaving: *

Landlord/Manger Name & Phone Number: *

Employment History: (FOUR MOST RECENT PAY STUBS REQUIRED OR PROOF OF INCOME)

Name of Current Employer: *

Employer Address: *

Employer Phone Number: *

Name of Supervisor: *

Dates Employed: *

Position or Title: *

Income:

Source of Income: *

Your Monthly Employment Income (After deductions): *

Other Monthly Income and Source: *

Total Monthly Income: *

Ever filed bankruptcy? If yes, when? *

Ever charged/convicted of a crime? If yes, when? *

Ever accused/convicted of a sex crime? If yes, when? *

I certify that all the information given above is true and correct and understand that my lease or rental agreement may be terminated if I have made any false or incomplete statement in this application. I authorize verification of the information provided in this application from my credit sources, current and previous landlords and employers, and personal references. *

By checking this box, I agree to the above listed statement and verfiy the information I have provided is accurate.

Date: *

Signature *

Submit

Part 2 of 2: Background Consent Form

This section must be provided in person, by mail, or through fax.
Fax Number: 585-742-3243

background_consent_form.pdf
File Size:	176 kb
File Type:	pdf

Download File

Victor Mobile Home Parks, Inc.784 Old Dutch Road, Victor, NY 14564585-924-1571 585-742-3243 (fax)Jennifer@victor-corporation.com