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I , hereby authorize an investigation of my credit report, tenant history and Criminal background information for the purposes of renting a house, apartment, or condominium from this owner/manager. Address of Rental : __________________________________________________________________________ Applicant’s Name: ___________________________________________________________________________ Home Phone: _________________________________ Cell Phone: ________________________________ Address: ___________________________________________________________________________________ City/State/Zip: _______________________________________________________________________________ Social Security Number: __________________ Date of Birth ___________ DL/ID #: _____________ State_____ ________________________________________ Name (please print) _______________________________________ Signature __________________________ Date Hold Deposit $__________________ Received by ____________________________ Date_______________ Remaining Deposit $__________________ Received by ____________________________ Date______________ OFFICE NOTES: ****WARNING/CONFIDENTIAL**** This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. CREDIT REPORT AUTHORIZATION Release of Information APPLICANT: PLEASE DO NOT WRITE BELOW (FOR OFFICE USE ONLY)
