Rental Registration Form

CITRUS MOBILE PARK RV TENANT INFORMATION

TENANT NAME:______________________________ D.O.B.:______________________

TENANT NAME: _____________________________ D.O.B.:_______________________

HAVE YOU STAYED WITH US BEFORE? YES _____NO_____

REQUESTED/ASSIGNED LOT #:________________________________________

EXPECTED ARRIVAL DATE: __________________________________________

PHONE NUMBER: (____)_____________LOCAL/CELL#(___ )______________

DRIVERS LICENSE #: _________________ STATE_______ EXPIRATION DATE:_______

SS#__________________________(REQUIRED IF YOUR RV IS STORED HERE OFF-SEASON)

RV MAKE:_____________________________ RV LENGTH/WIDTH: ____________________

VEHICLE MAKE: ______________________MODEL:______________COLOR:__________

VEHICLE PLATE NUMBER:__________________________ YEAR:______________

DO YOU HAVE A PET?____________COLOR:______________NAME:__________________

TYPE OF ANIMAL:____________________________________

HOME/SUMMER ADDRESS:________________________________________

CITY:_________________________ST:_______________ZIP:_____________

EMERGENCY CONTACT PERSON:___________________________________

RELATIONSHIP:_______________________PHONE #: (______)______________

*******PLEASE NOTE *******

A COPY OF YOUR DRIVER'S LICENSE AND PROOF OF AUTO LIABILTY INSURANCE

WILL BE REQUESTED AT THE TIME OF CHECK IN.

TENANT SIGNATURE:____________________________DATE:__________________

MANAGER SIGNATURE:__________________________ DATE:__________________


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