Spouse/Roommate:
| Bank Name Where Savings Located _______________________________________________ | City/State_______________________________ |
| Savings Account Number___________________________ | |
| Bank Name Where Checking Located _______________________________________________ |
City/State______________________________ |
| Checking Account Number__________________________ |
CREDIT CARDS:
Applicant:
List Major Credit Cards (Master Card, Visa, American Express):
| Card Name____________________ | Card Number _____________________________________________ Exp date___________ |
| Card Name____________________ | Card Number _____________________________________________ Exp date___________ |
Spouse/Roommate:
List Major Credit Cards (Master Card, Visa, American Express):
| Card Name ___________________ | Card Number______________________________________________ Exp Date_______________ |
| Card Name ___________________ | Card Number ______________________________________________ Exp Date_______________ |
| LIST ALL DEBTS BY CREDITOR (Example car loans, car insurance, furniture payment, etc.) |
| Creditor's Name | Monthly Payment | Balance Owed |
| Total | $ | $ |
CREDIT HISTORY
List all former residences (and dates) that tenant and/or roommate/spouse has
been evicted:
________________________________
_____________________________
________________________________
_____________________________
List all Bankruptcies, Judgments (Name of Creditor) and Dates Assessed:
________________________________________________
________________________________________________