Credit Check / Order Form Page 2

Applicant Rental Information

Current Landlord

Phone

Rent/Mortgage Amt

Applicant Employment Information

Current Employer

Supervisor

Phone

Start Date

Please Circle Yes or No Below:

Have you ever:

Declared Bankruptcy?

Yes

Been Foreclosed Upon?

Yes

Been Evicted?

Yes

* I verify that the information I have provided above is truthful and accurate to the

best of my knowledge. I understand that my signature below will give

SingleSource Property Solutions and the aforementioned Investor permission to

access and review my credit history as well as contact my current employer

and/or landlord.

Applicant Signature

Date

Co-Applicant Signature

Date

0 votes

Parent category: Financial