Hauck Homes, Inc

291 Illinois Route 2

Dixon, IL 61021


I represent that the information on my application (which may have been filled out online) is true, and agree to notify the community office of any change in that information.† I authorize the community management to make inquires to verify that all the information contained here is true, including: a credit check, employment verification, rental history and a criminal background check.† I acknowledge that giving false information is grounds for an automatic denial and/or grounds for eviction from the community.† I understand that any application fee paid is non-refundable.

Application Agreement Form

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††††††††††† Customerís Printed Name † †††††††† †††††††††††Customerís Printed Name



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††††††††††††††† Customerís Signature ††† ††††††††††††††††††††††††††††Customerís Signature



_________________________________††††††† _______________________________

†††††††† †††††††† †††††††† Date † †††††††† †††††††††††††††††††††††††††††††††††††Managerís Signature

Thank you for filling out an application to live in one of

our wonderful communities.

Please print out this form below and sign it, date it

and present it to one of our community managers.

We will then begin processing your application as soon as possible.