Credit Report Authorization Form
Tenant Information:
Name: _______________________________________________________________
Address: _____________________________________________________________
City: __________________ State:________ Zip:______________________________
SSN: __________-______-____________
DOB: _______________________
Name: _______________________________________________________________
Address: _____________________________________________________________
City: __________________ State:________ Zip:______________________________
SSN: __________-______-____________
DOB: _______________________
Tenant Signature: _____________________________________________________________
Tenant Signature: _____________________________________________________________
I authorize ____________________ to run a credit report and I understand that the report will
be used only for the purpose of tenant screening. In the event of an adverse action based on
the credit report, the applicant may request a copy of the credit report from Experian Credit
Services by calling 1 866 200 6020.
Report Run by Staff: ______________________________________ Date: ________________