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Credit Application
Please complete all areas of this form.

Click here to download an Adobe PDF version.
Full legal name:    Email: 
S.S. Number:    Phone: 
Date of Birth:    Cell: 

Current Residence
Current Address: 
City, State, Zip:               How Long: 
Landlord Name:    Phone: 
Emergency Contact:    Phone: 

Current Employer      
Name of Company:     Job Title: 
Name of Supervisor:    Phone: 
Address:      How Long:      Salary: 

Previous Employer  (If less than one year with current employer)  
Name of Company:    Job Title: 
Name of Supervisor:    Phone: 
Address:       How Long:      Salary: 

Automobile Information      
Automobile Make:    Model: 
Color:    Year: 
Drivers License:    Plate: 
*Applicant understands that any vehicle on landlord's property, which is not in operating condition, may be removed from the premises by management at the expense of the tenant.

      Bank Name:      Address: 
Have you been convicted of a crime? 
Yes   No
If Yes, explain:

  1.   Phone: 
  2.   Phone: 
Applicant acknowledges and agrees to pay the non-refundable amount of $25 for the processing of this credit application.  Also, applicant hereby understands and agrees that approval of this credit application is contingent upon truthful information being provided herein, the references being satisfactory to Landlord and a satisfactory credit report.  Applicant hereby authorizes and permits the Landlord and/or the management of Town & Country Village Apartments to investigate and inquire into applicant's credit history and to request a credit report from any and all credit agencies, if necessary.
Please note that this application will not be processed until we receive your non-refundable application fee of $25.
By Clicking below, you have read and agreed to the above statements.
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