Credit Check Form
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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 Name:
__________________ Middle 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.
_______________________ Date_____
Signature of Applicant
________________________________
Signature of Spouse
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