Tenant Screening Form

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Tenant Screening Form
For your potential residency at [Property Name], Management will make inquiries into your
consumer credit history, rental history, criminal history, employment history, public records,
salary, and any additional history that may be important to your qualifications for residency.
Your are entitled to be informed if there is any adverse action taken due to this investigation,
such as a denial of your tenant application under the Fair Credit Reporting Act. If such an event
does occur, Management will provide you with information on how to correct any such
inaccuracies that may be appearing on your consumer report.
Please complete the requested information below and sign to authorize that any party
including, but not limited to, employers, law enforcement agencies, state agencies, institutions
and private information bureaus may be contacted by Management or a third party agent to
furnish any or all of the above listed information. Your authorization hereby releases
Management and or its agent from any and all liability for damages that may arise from such a
background investigation and or full disclosure of the requested information. You also release
from all liability all companies, agencies, employees, officials, officers and other persons who
may provide us the above listed information as requested to fully complete this tenant
screening process.
Date: ____/____/______
Tenant Applicant’s Full Name: _____________________________________________________
Tenant Applicant’s Signature: _____________________________________________________
Tenant Applicant’s Social Security Number: __________________________________________
Tenant Applicant’s Date of Birth: ____/____/______
Current Address: ________________________________________________________________
City: ____________________________________ State: _______ Zip: _____________________
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