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Bit-O-Heaven Application

1051 W. Business Hwy. 83 Donna, TX 78537 (956) 464-5191 oce@bit-o-heaven.net www.bit-o-heaven.net

SITE #:

Arrival Date:

Departure Date:

Date:

Primary Guest:

Date of Birth:

Driver's License Number:

Home Address:

Telephone Number:

Email Address(es):

Type:

Manufacturer:

Model:

Width / Length:

Year:

License Plate Number:

Any Liens on the RV, Park Model or Mobile Home?
If yes, list name of leinholder(s):
Please give a copy of title to the office to keep on file.

LIST ADDITIONAL OCCUPANTS BELOW:

VEHICLES:

IN CASE OF EMERGENCY:

DO YOU HAVE PETS ON THE SITE? (If yes, please list below):

HOW DID YOU FIRST HEAR ABOUT BIT-O’-HEAVEN?

Residents Name ( if referred ):

If Other:

Have you (or any person you have named on this application) ever been evicted from a tenancy or left
owing money?

Do you (or any person you have named on this application) have pending criminal charges, or ever been convicted of, plead guilty or no contest to, any criminal offense(s) or had any criminal offense(s) other than traffic infractions that were disposed of other than by acquittal or a finding of “not guilty”?

Promotion code?:

I hereby warrant to the truth of this RENTAL APPLICATION in its entirety. Further, I recognize that any falsification

on this application can be grounds to deny acceptance into the community or reasonable grounds for eviction

proceedings. I authorize the management to perform a credit investigation,criminal background check and to

investigate my previous address(s) or Landlord(s) to verify the above reported information which pertains to my

credit and financial responsibility. I further attest that I am 18 years of age or older.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

October 9, 2019 3:47 pm CDT

Bit-O-Heaven Application Uploaded by Barbra Margosian - office@bit-o-heaven.net IP 47.181.18.237