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Terra Creek - Rental Application Form

  • Date Format: MM slash DD slash YYYY
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  • $ per month
  • NameSSNDate of Birth 
  • TypeBreedColorGenderNameAgeWeight 
  • YearMakeModelColorLicense Plate 
  • NameAddressPhone 
  • Terra Creek will furnish:



  • If this application is accepted by both parties, and the resident changes his or her mind, the deposit will be forfeited. Resident shall pay all costs, expenses and attorney fees which shall be incurred by the landlord due to a breach of this agreement, or a breach of the resident’s lease.


    Equal Housing Opportunity: It is our policy to lease apartments to the public on a non-discriminatory basis, without regard to race, religion, creed, color, sex, handicap, familial status, national origin, age, ancestry, sexual orientation, marital status or lawful source of income or any other protected class pursuant to federal, state or local laws. We practice equal opportunity.


    Electronic Rent Payments: Terra Creek Apartments requires direct preauthorized payments from your checking or savings account on the first day of every month beginning with the second months’ rent payment. If you choose not to have payments taken directly from your account, there will be a monthly charge of $20 to accept a personal check or money order.


  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please enter a number less than or equal to 2.



  • Release, Waiver and Indemnity: The undersigned hereby authorizes any and all third parties (i.e. current and former landlords, existing and former employers, creditors, credit reporting agencies, law enforcement agencies, etc.) having information regarding the undersigned to disclose any and all such information that may be requested with respect to the investigation of the suitability of the undersigned for occupancy. The undersigned hereby waives any and all claims, liabilities or actions which may exist with respect to any such disclosure and forever releases all such third parties from any liability with respect to such claims. The term “undersigned” shall mean the party whose signature appears below, together with his or her spouse and all of his/her heirs, successors, assigns and administrators. Additionally, the undersigned applicant(s) hereby declare that the representations of fact in this application are true and correct. Applicant(s) agree that if any information herein contained is found to be false, the application will be denied and the lease made in the strength of this application may, at the option of the landlord, be terminated at any time.


    Application Denied by Management: Management will mail return of the security deposit if application is denied. Management is not authorized to discuss credit reports, previous landlord references or employment references with applicant(s). Application will be denied if information provided is found to be false.
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Phone: 815-397-3320
Fax: 815-397-3380
Toll-Free: 888-815-3972
Email: TerraCreek@aol.com

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