Mercer Point

New Tenant Form

    Primary Tenant Information

    Tenant Name

    Email

    Home Phone

    Cell Phone

    Current Employer

    Position

    Work Phone

    Work Fax

    Mailing Address

    City

    State

    Zip

    Vehicle Information

    Driver's License Number

    State

    Date of Birth

    Vehicle 1

    Make

    Model

    Year

    Color

    Tag Number

    Tag State

    Decal Number

    Vehicle 2

    Make

    Model

    Year

    Color

    Tag Number

    Tag State

    Decal Number

    Secondary Tenant Information

    Tenant Name

    Email

    Home Phone

    Cell Phone

    Current Employer

    Position

    Work Phone

    Work Fax

    Mailing Address

    City

    State

    Zip

    Vehicle Information

    Driver's License Number

    State

    Date of Birth

    Vehicle 1

    Make

    Model

    Year

    Color

    Tag Number

    Tag State

    Decal Number

    Vehicle 2

    Make

    Model

    Year

    Color

    Tag Number

    Tag State

    Decal Number

    Emergency Contacts (In case of Emergency)

    Emergency Contact 1

    Emergency Contact Name

    Relationship

    Home Phone

    Cell Phone

    Emergency Contact 2

    Emergency Contact Name

    Relationship

    Home Phone

    Cell Phone

    Lease Information

    Name on Lease

    Name on Lease

    Name on Lease

    Beginning Lease Date

    Name on Lease

    Pets

    How Many Pets?

    Type of Pets

    Pet Breeds

    Gate Cards

    Number of gate cards assigned to unit

    Gate Card #

    Name on Card

    Gate Card #

    Name on Card

    Gate Card #

    Name on Card

    Gate Card #

    Name on Card

    Recreational vehicles, trailers, etc.

    Vehicle 1

    Type

    Make

    Model

    Color

    Registration

    Tag Number

    Vehicle 2

    Type

    Make

    Model

    Color

    Registration

    Tag Number

    Renters Insurance (if applicable)

    Insurance Type

    Insurance Company

    Insurance Agent

    Agent phone number

    Agent Email

    Policy number

    Policy Expiration Date

    Additional Information

    In addition to this completed form, please provide copies of the following documents to management.

    1. Completion of resident information for minors “Exhibit A” (All occupants under the age of 18, if applicable)

    2. Proof of current homeowners’ insurance

    3. Proof of auto insurance

    4. Copy of Vehicle Registration

    5. Photo ID (driver’s license or state identification card)

    6. Copy of HUD/ Settlement papers

    7. Copy of current unit keys

    8. $250.00 one-time administration fee (paid in full)

    Tenant Information for Minors

    Occupant 1

    Name

    Age

    Additional Info

    Occupant 2

    Name

    Age

    Additional Info

    Occupant 3

    Name

    Age

    Additional Info

    Occupant 4

    Name

    Age

    Additional Info

    Occupant 5

    Name

    Age

    Additional Info

    Resident Vehicle Information For Minors

    Vehicle 1

    Year

    Make

    Model

    Color

    Insurance Company

    Policy Number

    Agent Phone

    Tag Number

    Vehicle 2

    Year

    Make

    Model

    Color

    Insurance Company

    Policy Number

    Agent Phone

    Tag Number

    Vehicle 3

    Year

    Make

    Model

    Color

    Insurance Company

    Policy Number

    Agent Phone

    Tag Number

    Confirmation

    (Please note: Registration will not be considered complete until this document is completed in its entirety and all additional requested
    documents have been submitted. Registration will take 24 hours or one business day to process.

    By submitting this document, you verify that the submitted information is correct. Furthermore, you verify that a copy
    of the Mercer Point Rules and Regulations was received and that violations of Rules and Regulations is subject to fine per the Mercer Point fine
    schedule.