Rental Application - Thalhimer Apartments (Page 3 of 3) in pdf

Rental Application - Thalhimer Apartments Page 3

NOTIFICATION and AUTHORIZATION for BACKGROUND CHECK

Para información en español, visite , o llame al (800) 332-9479.

I authorize Strategic Information Resources, Inc. to thoroughly investigate my personal history. I understand

that the information supplied by me, regarding my: Residence History, Employment History, Credit History,

Criminal History, and References, will be utilized as part of the processing procedures. A background

check will be conducted to verify the validity of the information submitted and will be utilized to develop

information concerning my character, general reputation, personal characteristics, and mode of living.

I acknowledge that these reports may be obtained at any time after receipt of my authorization and

throughout the course of my rental agreement.

I am aware that in the event an investigative consumer report is prepared, I am entitled to request additional

disclosures regarding the nature and scope of the investigation being requested as well as a written

summary of my rights under the Fair Credit Reporting Act.

I authorize and release from all liability, without reservation, the consumer reporting agency (CRA) and

any law enforcement agency, administrator, state/federal agency, institution, information service bureau,

employer, employee, insurance company or person gathering or providing information, to complete this

investigation.

My signature below certifies that this authorization and the accompanying application and other documents

were completed by myself and are complete and true to the best of my knowledge.

This release will remain valid unless revoked in writing.

Copies and facsimile copies of this document may be accepted in lieu of the original.

Applicant’s Signature

Printed Name

Date

Social Security #

Date of Birth

Current Address

City

State

Zip

Previous Address

City

State

Zip

Please list any alias names you have used in the past seven years. (May include maiden names, former leegal names, etc.)

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CA, OK, MN Residents Only:

Check here if you would like a copy of the background check results mailed to you.

Rental Application - Thalhimer Apartments Page 3