Apply Online Contact Us Terra Creek - Rental Application Form Apartment Address Street Address City State / Province / Region ZIP / Postal Code From Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Cost$ per monthMonthly Water and Sanitary FeeApplicant Name First Last SSNTelephone #Email (Home) Email (Work) Date of Birth MM DD YYYY Driver's License #StateAddressCity, State, ZipLandlord's Name First Last TelephoneAmount of RentLength of TenancyReason for Leaving?Previous AddressCity, State, ZipLandlord's Name First Last TelephoneAmount of RentLength of TenancyReason for Leaving?Has any Landlord ever filed Eviction proceedings against you? If yes, please explainHave you ever been convicted of a non-traffic related criminal offense? If yes, please explainEmployer NameTelephoneAddressCity, State, ZipJob Description & TitleName of SupervisorHow long employed?Annual Gross IncomePrevious EmployerTelephoneAddressCity, State, ZipJob Description & TitleName of SupervisorHow long employed?Annual Gross IncomePlease list all persons who will occupy the apartment, regardless of ageNameSSNDate of Birth TypeBreedColorGenderNameAgeWeight Do you have any pets?NoYesVehicle(s)YearMakeModelColorLicense Plate References and or persons to contact in emergencyNameAddressPhone Terra Creek will furnish: GarageYesGarbage PickupYesRefrigeratorYesSnow Removal 4"+YesRangeYesMicrowaveYesA/C CondenserYesWasher / DryerYesYard CareYesHeatNoSmoke DetectorYesAirNoCarbon Monoxide DetectorYesWaterNoFire ExtinguisherYesSanitaryNo 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. Prorated rent from Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Cost Date Format: MM slash DD slash YYYY Rent for the Month of: Date Format: MM slash DD slash YYYY Water and Sanitary FeeSecurity Deposit$150 Pet Deposit per petPlease enter a number less than or equal to 2.$150 non refundable pet feeMonthly Fee per petApplication Fee$5 Nonrefundable Access FeeAny Discounts 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.SignatureQuestions NameThis field is for validation purposes and should be left unchanged.