Authorization To Release Information Related To A Residential Lease Applicant

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Authorization to Release Information
Related to a Residential Lease Applicant
I, ______________________________________________________________
(applicant),
have submitted an application to lease a property located at _______________________
______________________________________________________(address,city,state,zip)
The landlord or landlord’s representative who will verify information is:
___________________________________________________(name)
___________________________________________________(address)
___________________________________________________(city,state,zip)
_______________________(phone)______________________(fax)
___________________________________________________(email)
I give my permission:
(1) to my current and former employers to release any information about my
employment history and income history to the above named person;
(2) to my current and former landlords to release any information about my rental
history to the above named person;
(3) to my current and former mortgage lenders on property that I own or have owned
to release any information about my mortgage payment history to the above
named person;
(4) to my bank, savings and loan, or credit union to provide a verification of funds
that I have on deposit to the above named person, and
(5) to the above named person to obtain a copy of my consumer report (credit report)
from any consumer reporting agency and to obtain criminal background
information about me.
___________________________________________________
______________
Applicant’s Signature
Date
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