Contact Information *

First Name

Last Name

Phone *

(###)

###

####

Current Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is the unit an RV or Manufactured Home? *

RV

Manufactured Home

For RVs *

Is the DMV license & registration current (current year or later)?

Yes

No

Unit is NOT an RV

*

Is the title and/or registration in the applicants name? If not, will it be in the applicants name at time of placement?

Yes

No

Unit is NOT an RV

For Manufactured Homes *

Is the unit currently titled in the applicant's name?

Yes

No

Unit is NOT a Manufactured Home

*

Are there any taxes owed on the unit?

Yes

No

Unit is NOT a Manufactured Home

*

Has the applicant verified that the person currently on the title is legally able to transfer the title to the applicant?

Yes

No

N/A (Unit is in Applicant's Name)

Unit is NOT a Manufactured Home

Photos of Unit *

Photos of all 4 sides of the exterior and of each interior space/room are required for the pre-screen. Please submit photos to sara@coopmgt.com. Pre-screens will not be accepted without photos.

I understand and agree to send photos.

I need assistance in getting photos submitted.