Credit Check Form

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Credit Check Form
First Name: ____________________ Middle Initial: ______ Last Name: ____________________
Social Security Number: __________________________________________________________
Date of Birth: ____/____/______
Driver’s License Number: ____________________ State: _______ Expiration: ___/____/______
Home Phone Number: ________________________ Cell Phone: _________________________
Email Address: _________________________________________________________________
Spouse’s First Name: ___________________ Initial: ______ Last Name: ___________________
Social Security Number: __________________________________________________________
Date of Birth: ____/____/______
Driver’s License Number: ____________________ State: _______ Expiration: ___/____/______
Credit Check Authorization
I, ______________________________, do hereby authorize ____________________________
to perform a rental credit check with a credit agency. The above mentioned applicant agrees to
the terms of the Fair Credit Reporting Act Section 604 that states that credit reports are
allowed for a permissible reason. The credit report information will only be used for tenant
screening and all information will be kept confidential.
______________________________________________________________________________
Signature of Applicant
Date
______________________________________________________________________________
Signature of Spouse
Date
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