Sublet Application Form (Page 13 of 19) in pdf

Sublet Application Form Page 13

Credit Report Authorization Form

(page 2 of 2)

Applicant’s Name (print)

Applicant’s Signature

Social Security #:

Date of Birth:

Phone:

Current Address:

City:

State:

Zip:

Co-Applicant’s Name (print)

Co-Applicant’s Signature

Social Security #:

Date of Birth:

Phone:

Current Address:

City:

State:

Zip:

Guarantor’s Name (print)

Guarantor’s Signature

Social Security #:

Date of Birth:

Phone:

Current Address:

City:

State:

Zip:

Authorization for Electronic Debit:

You are hereby on notice that all checks submitted to this office can be processed electronically, at first presentment, and

any re-presentments, by transmitting the amount of the check, routing number, account number and check serial number

of your financial institution. By submitting a check for payment, you are authorizing us to initiate an electronic debit from

your bank or asset account as early as the same day the check is received in our office. Please note that you will not

receive a cancelled check with your bank or asset account statement with respect to any checks processed

Electronically, but such amounts will appear as debits on the statement issued b y your bank or asset account.

Sublet Application Form Page 13