MANUFACTURED HOUSING COMMUNITIES CHECKLIST

* Required.

1	* Name of Community (Complete Legal Name):

2	* Address:
	Address Line 2:

3	* City:	* State: * Zip:

4	* Contact Person:

5	* Phone:	Fax:

6	* E-Mail:

7	Year Park Built:

8	Year Park Purchased:

9	Comments: (Does the community show pride of ownership? Describe the general condition,etc.):


10	Grand total of all sites:

11	Number of vacant sites:

12	Number of rented units: (incl. managers unit)

13	Number of units for sale:

14	Number of tenant occupied sites:

15	Community type:	Family Adult 55+ All ages

16	Number of single wide units:

17	Number of double wide units:

18	Other:

Rental receipts information:

19	Average monthly rent for a permanent residence:	$

20	Total annual receipts for all permanent sites:	$

21	Total annual receipts for short term/seasonal sites:	$

22	Do you have units other than manufactured homes for rent in your park? Yes No

23	Total number of units for rent to others:


Do you operate any of the following?

26	Grocery Store:	Yes No	Annual Receipts:	$

27	Snack Bar/Deli/Espresso:	Yes No	Annual Receipts:	$

28	Restaurant/Caterer:	Yes No	Annual Receipts:	$

29	Are pets allowed?	Yes No	If yes, please attach a copy of the pet rules.


Prior Insurance Information:

30	Present insurance carrier:

31	Policy number:

32	Exp. Date:

33	Have you ever had your insurance cancelled?	Yes No
	If so, please explain:

34	Have you had any losses within the past three years?	Yes No
	If so, please explain:

Management Experience:

35	Are you a member of your State Community Owners Association?	Yes No

36	Are you a member of any other Association in relation to your business operation? Yes No

37	Do you own any other communities?	Yes No

38	Do you have written rules and regulations and are they enforced?	Yes No

	Please attach a copy of the rules and regulations

39	If this is a new purchase and you have not previously owned manufactured housing communities,
	please describe your prior rental experience:

40	* Do you maintain a physical improvements and maintenance log?	Yes No

41	* Do you maintain a complaint log?	Yes No

42	* Do you require certificates of insurance, naming your community as an additional insured, from contractors and other vendors performing work in your community?	Yes No

43	What is the limit of liability you require?	$

44	Do you have a manager on site?	Yes No
	Full or Part Time?	Full Part

45	Do you have any other employees?	Yes No How many?

46	Annual payroll:	$

47	Do you employees operate their own vehicles in the course of their work for you?	Yes No
	If so, how many?

48	Do you hire vehicles for use in the operation of your community?	Yes No
	What type of vehicle do you hire? Annual Cost: $

Sales Operations:

49	Do you sell new or used units?	Yes No
	If so, number of units:	New: Used:

50	Do your employees set up homes?	Yes No

Community Description:

51	Is the community inside the city limits:	Yes No

52	Name of responding fire department:

53	Distance to fire station: Miles. Distance to hydrant: Feet.

54	Are units skirted?	Yes No

55	Tied down?	Yes No

56	Estimated average age of units:

57	Street construction: Paved Gravel Dirt Other:

58	Street lighting: Full Partial None

Community Services:

59	Are utilities underground?	Yes No

60	Is community on city sewer or septic? Sewer Septic

61	Is garbage collection done by city or by private party? City Private Party

62	Is community on city water or well? City Well

63	Is there a swimming pool in the community? Yes No

64	Do you have any of the following? Spa Hot Tub Whirlpool Sauna

65	Do you have any other water exposure? Yes No
	If so, describe: Lake Pond River Stream Ocean

66	Do you have any playgrounds? Yes No

Security:

67	Any security guards? Yes No
	Is the service provided by an independent contractor? Yes No
	Are the guards armed? Yes No

Comments:

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