MAKE/MODEL OF HOME_______________________________

YEAR OF HOME________________________________________

SIZE OF HOME LENGTH____________ WIDTH ____________

IF TRIPLE WIDE 3RD SECTION LENGTH_______ WIDTH____

NAME OF PARK _______________________________________

ADDRESS OF PARK_______________________Space #______

City___________________________________ Zip____________

PHONE NUMBER OF PARK______________________________

SPACE RENT OR ASSOCIATION DUES IF LAND $_________

SALES PRICE $____,____ DOWN PAYMENT $___,___

REQUESTED LOAN AMOUNT $___,_____

REALTOR’s NAME __________________Phone___ ___ _____

REALTOR’s ADDRESS __________________________________