Resident Application

Occupant __________________________________ SS#_____ ____ _______ DOB ___/__/__

Last Middle First

Occupant ___________________________________ SS#_____ ____ ________ DOB__/__/__

Last Middle First

Number of Residents living in Mobile Home__________

Previous Address

_____________________________ ____________ ____ _________ _____________

City State Zip Phone

New Address

______________________________ ____________ ____ __________ _____________

City State Zip Phone

Relatives living with you

Children:

Name _____________ Age____

Name ____________ Age____

Name _____________ Age ____

Other ________________________

Nearest Relative not living with you ________________ _________ ______________

Phone __________________ Last Middle First

Pets__________________________________ Weight __________ Limit 40lbs/per house pet

Vehicles(how many)________ Make________________________ Only 2 vehicles per lot

Employment: Name______________ Address____________________ Phone __________

I or we , hereby acknowledge receipt of a copy of the rules and regulations and understand same. If this application is approved , we hereby agree to comply with all the rules and regulations of Sunshine City Management Association Inc. I or we are aware of the Management Agreement recorded in official record book 6865 page 322 in Broward County Florida.

In addition there is a $50.00 nonrefundable applicant fee the applicant agrees to pay.

Signature___________________________ Date_________________________