Financial

Application Form

First Name *

Last Name *

Phone *

Email *

Marital Status

Date of birth *

Address

Street Address *

City

Province

Country

Postal code

Rent or Own *

How Long Have You Been At This Address? *

Social Insurance Number *

Market value of your home?

Monthly Rent or Mortgage Payment *

If you have a mortgage, who is the lender?

Previous address if you have been at current address less than two years

Current Employer *

Title

Current Employer Address *

Current Employer Phone

When did you start at current employer?

Monthly Income Before Taxes

Credit Score

Comments or Questions *

Current Bank You Bank With *

Tiny Home Builder Name *

I, Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from Humble Creek Canada. Permission to Obtain Consumer Credit Report By clicking "I Agree" below on this application form, I hereby give the right to obtain a consumer credit report regarding me for this application and the tiny home/RV unit. I indemnify "Humble Creek Canada" against any liability that might result from making such an investigation. I certify that the information above is correct to the best of my knowledge. I authorize "Humble Creek Canada" to make inquiries as necessary to verify the accuracy of the statements made by me and to determine my creditworthiness.