|
TENANT SCREENING AUTHORIZATION |
| Authorization For Release of Information For Tenant Screening |
|
Complete
and Fax to: 509-692-7298 |
|
|
|
|
Please Print All Information |
|
|
|
|
|
Company Name:__________________________________________________ |
Phone:_____________________ |
|
|
|
|
Contact Person:___________________________________________________ |
Fax:_______________________ |
|
|
|
| Applicant Information | |
|
|
|
| Name:______________________________________________________________________________________ Current Address:_____________________________________________________________________________ |
||||||||||||||||
|
||||||||||||||||
|
|
||||||||||||||||
| Drivers License Number:_______________________________________________________ | State Of Issuance:________ | |||||||||||||||
|
Current and Previous Landlords |
|
|
|
|
| Name:______________________________________________________ | Phone:__________________________ |
|
|
|
| Name:______________________________________________________ | Phone:__________________________ |
|
|
|
| Name:______________________________________________________ | Phone:__________________________ |
|
|
|
|
Current Employer |
|
|
|
|
|
|
|
| Company Name: ___________________________________________________________________________ | |
|
|
|
| Supervisor: ____________________________________________________Phone: (_____) ______________ | |
|
|
|
| Position: _______________________________________________________Salary: ____________________ | |
|
|
|
|
n
connection with my application for lease, I consent to have a background
investigation made on myself as to my character, employment history, credit history, criminal
record, and previous rental history. By this Authorization for Release of information and for the Procurement of a Consumer or Investigative Consumer Report, I hereby forever release, discharge, exonerate, hold harmless and indemnify Affiliated Background Searches, Inc., its employees, representatives, agents and subcontractors and any other person, entity, organization or institution furnishing information to them from any and all liabilities of every nature and kind, including but not limited to claims for libel, slander, invasion of privacy, related tort claims, misuse of information obtained from Affiliated Background Searches, Inc., and any other claim or cause of action arising out of providing this information. I understand that a photocopy or facsimile of this signed document shall be considered as valid and original. |
|
| Applicant's Signature: X_________________________________________________________ Date:_____________________________ |
|
|