AUTHORIZATION TO RELEASE INFORMATION
Applicant hereby authorizes verification of any and all information set forth on this application, including release of information by
any bank, savings and loan, employer (present and former), landlord, and/or other lender. All such information hereon, and
released as authorized above, will be kept confidential. APPLICANT REPRESENTS THAT THE INFORMATION SET FORTH ON
THIS APPLICATION IS TRUE AND COMPLETE. Material misrepresentation on this Application will constitute default under the
lease or Rental Agreement between parties.
APPLICATION FEE – Applicant has submitted the sum of $_____________ which is a non-refundable payment for a credit check
and processing charge, receipt of which is acknowledged by Management. Such sum is not a rental payment or deposit amount.
In the event this application is approved or disapproved, this sum will be retained by management to cover the cost of processing
application as furnished by applicant. This Application must be signed before it can be processed by Management.
________________________________________________
_______________________________________________
Applicant’s Signature
Date
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
ACKNOWLEDGEMENT
Application Verification
Person Contacted
Remarks
Present Landlord
Previous Landlord
Applicant’s Employment
Bank
Reference (1)
Reference (2)
Reference (3)
Other
Driver’s License/ID
Credit Bureau
Verification completed by _____________________________
Monies Received
Date______________________________________________
Date
Description
Amount
Remarks___________________________________________
Application Fee
__________________________________________________
__________________________________________________
Security Deposit
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
THIS APPLICATION
__________________________________________________
Is Approved
Is Not Approved
FOR OFFICE USE ONLY – DO NOT WRITE BELOW
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