Timber Creek

Credit Application

	Applicants Name and Info:
1	Primary Applicant Name:
2	Social Security No:
3	Date of Birth:	Example: 01-01-1977
4	Home phone:	Example: 555-777-1234
5	Drivers Lic. No.
6	E-mail:
	Applicants Work Information:
7	Occupation:
8	Employer:
9	Business Address:
10	Business phone:
11	Type of business:
12	Position held:
13	Name of Supervisor:
14	How long employed:
15	Monthly Gross Income:
16	Previous employer if less then five years at current employer:
	Co-Applicant Name & Info:
17	Co-Applicant Name:
18	Social Security No:
19	Date of Birth:	Example: 01-01-1977
20	Home phone:	Example: 555-777-1234
21	Drivers Lic. No.
	Co-Applicant Work Info:
22	Occupation:
23	Employer:
24	Business Address:
25	Business phone:
26	Type of business:
27	Position held:
28	Name of Supervisor:
29	How long employed:
30	Monthly Gross Income:
31	Previous employer if less then five years at current employer:
	Applicants Current Address:
32	Present Address:
33	City, State, Zip:
34	How Long at president address:
35	Current rent:
36	Landlord or Agents Name:
37	Current lease expires:
38	Do you have pets? if yes explain kind:
39	Previous address:
40	City, State, Zip:
41	Landlord or Agent:

	Credit References of main Applicant:

	Name and Account Number	Highest amount or balance owed	Account opened	Address and phone
Mortgage
Bank Account
Car Loan/Lease
Credit Card
Credit Card
Credit Card
Credit Card
Line of credit

Personal References:
you must have three. Name, Address, Relationship, years known.

Have you ever filed for bankruptcy?     If yes explain:

Have you ever been evicted from any tenancy?     If yes explain:

Have you ever willfully and intentionally refused to pay any rent when due?     If yes explain:

Have you ever been convicted of a sex crime and or you a registered offender of child
molesting?

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT.
I AUTHORIZE ITS VERIFICATION AND THE OBTAINING OF CONSUMER
CREDIT REPORT AND CRIMINAL HISTORY REPORTS. I AGREE THAT
LANDLORD MAY TERMINATE ANY AGREEMENT ENTERED INTO IN
RELIANCE ON ANY MISSTATEMENT MADE ABOVE.

OFFICE: 586-615-3636
FAX: 866-809-5551
E-mail: rental@timbercreekinc.net