Tenant Application Form Page 2

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Emergency Contact
Name: _____________________
Phone #:______________
Relationship: ____________
Banking Information
Bank Name: ________________
Address: ________________________________________
Phone #: ___________________
Auto Model: _____________
Make: ____________
Year: ___________
How did you hear about us? _____________________________________________________
I/We hereby consent to allow Landlord Shield, Inc. to do a complete investigation of all information provided below. I
have personally filled in and/or reviewed all information listed above. A complete investigation may include any or all
of the following: Credit Report, Criminal Record, Employment or Rental History, References and Personal Interviews
with above references. I/We acknowledge that Landlord Shield, Inc. provides reports to apartments and does not
participate in the approval or denial process. My/Our signature(s) below authorizes all above listed companies to release
rental, job history (including salary) and criminal record information.
___________________________________
____________________________________
Applicant
Date
Spouse
Date
___________________________________
____________________________________
Co-applicant
Date
Resident Manager

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