Mobile Home Park Form – Fill Out and Use This PDF

Mobile home Park Rental Agreement Disclosure Form

THIS DISCLOSURE STATEMENT CONCERNS THE MOBILE HOME PARK KNOWN AS: ABERDEEN RESORT

LOCATED AT: 150 TINEMAHA RD. # 106
IN THE CITY OF: INDEPENDENCE, 93526 COUNTY OF: INYO	STATE OF CALIFORNIA.

THIS STATEMENT IS A DISCLOSURE OF THE CONDITION OF THE PARK AND PARK COMMON AREAS

AS OF __________________________ IN COMPLIANCE WITH SECTION 798.75.5 OF THE CIVIL CODE.

Date

IT IS NOT A WARRANTY OF ANY KIND BY THE MOBILE HOME PARK OWNER OR PARK MANAGEMENT AND IS NOT A SUBSTITUTE FOR ANY INSPECTION BY THE PROSPECTIVE HOMEOWNER / LESSEE OF THE SPACE TO BE RENTED OR LEASED OR OF THE PARK, INCLUDING ALL COMMON AREAS REFERENCED IN TEHIS STATEMENT. THIS STATEMENT DOES NOT CREATE ANY NEW DUTY OR NEW LIABILITY ON THE PART OF THE MOBILE HOME PARK OWNER OR MOBILE HOME PARK MANAGEMENT OR AFFECT AY DUTIES THAT MAY HAVE EXISTED PRIOR TO THE EXACTMENT OF SECTION 798.75.5 OF THE CIVIL CODE, OTHER THAN THE DUTY TO DISCLOSE THE INFORMATION REQUIRED BY THE STATEMENT.

Are you (the mobile home park owner/ mobile home park manager) aware of any of the following.

H. Is there any

E. Are there any

F. Is there any

G. Are there any

encroachment,

D. Does the

substantial,

easement, non-

uncorrected park

uncorrected

pending lawsuits

conforming use,

B. Does the

facility have

citations or notices

damage to the

by or against the

or set-back

A. Park or

Park

C. Is the

any known

of abatement

facility from fire,

park affecting the

requirements

relating to the

flood,

facilities or

regarding this

common area

contain this

facility in

substantial

facilities issued by

earthquake, or

alleging defects

park common

facilities

facility

operation?

defects?

a public agency?

landslides?

in the facilities?

area facility?

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

Clubhouse

X

Walkways

X

Streets, roads

X

X

X

X

X

X

X

and access

Electric utility

system

X

X

X

X

X

X

X

Water utility

system

X

X

X

X

X

X

X

Gas utility

X

X

X

X

X

X

X

system

Common area

lighting system

X

X

X

X

X

X

X

Septic or sewer

system

X

X

X

X

X

X

X

Playground

X

RV storage

X

Parking areas

X

X

X

X

X

X

X

Swimming Pool

X

Spa pool

X

Laundry

X

X

X

X

X

X

X

Other Common

area facilities

X

*If there are other important park or common area facilities, please specify (attach additional sheets if necessary); _None_______________________________

_________________________________________________________________________________________________________________________________

If any item in C is checked “no”, or any item in D, E, F, G, or H is checked “yes”, please explain (attach additional sheets if necessary): ____________________

_________________________________________________________________________________________________________________________________

The mobile home park owner/park manager states that the information herein has been delivered to the prospective home owner /lessee a minimum of three days prior to execution of a rental agreement and is true and correct to the best of the park owner/ park manager’s knowledge as of the date signed by the park

owner/manager.

Park owner / Manager: ___________________________________ by: ______________________________________________ Date: ____________________

Print NameSignature

I /WE ACKNOWLEDGE RECEIPT OF A COMPLETED COPY OF THE PARK OWNER/MANAGER STATEMENT.

Prospective Homeowner

Lessee ______________________________________________________ Park Owner/Manager ___________________________________________________

Date: ______________________________________________________