Rental application

Authorization for Release of Information

Authorization for Release of Information 

Consent 

I authorize and direct any Federal, State, or local agency, organization, business, or individual to release and verify my application to rent. I understand and agree that this authorization or the information obtained with its use may be given to and used by administration for a thorough background check on me as a tenant. I also consent for release of information from my file about my rental history to credit bureaus, collection agencies, or future landlords. This includes records on my payment history and any violations of my lease or occupancy policies. 

Information Covered 

I understand that additional information may be needed. Verifications and inquiries that may be requested include but are not limited to: 

Credit and Criminal Activity

Employment, Income and Assets 

Identity and Marital Status 

Medical or Child Care Allowances 

Residences and Rental Activity

Group or Individual That May be Asked 

The groups or individuals that may be asked to release the above information (depending on rental requirements) include but are not limited to:

Banks and other Financial Institutions 

Courts and Post Offices 

Law Enforcement Agencies 

Past and Present Employers 

Social Security Administration

Utility Companies

Welfare Agencies

Past and Present Landlords

Conditions 

I agree that a photocopy of this authorization may be used for the purposes stated above. The original of this authorization is on file in the management office. I understand I have a right to review my file and correct any information that I can prove is incorrect. 

Signatures 

Head of Household
Head of Household
First
Last
Co-Head of Household
Co-Head of Household
First
Last
Adult Member
Adult Member
First
Last
Adult Member
Adult Member
First
Last


Property Information


Personal Information

Name
Name
First
Middle
Last


Occupant Information

Full Names of All Other Residents
Full Names of All Other Residents
First
Middle
Last
First
Middle
Last
First
Middle
Last
First
Middle
Last
First
Middle
Last



Resident History



Employment Information




Miscellaneous References

Name
Name
First
Last
First
Last
First
Last
First
Last


Other Information


If there are other sources of income you would like us to consider, please list income, source, and person (Employer, etc.) who we could contact for confirmation.
You DO NOT have to reveal alimony, child support or spouse's annual income unless you want it considered in this application.


Have you or your co-applicant ever:


Emergency Contacts