Tenant Data Verification

Address of building
Apartment
Start of Lease
End of Lease
Name of Applicant
Telephone
Date of Birth
Email
Present Address
How long at the above address
Social Security
Present Landlord
Address
Phone
If less then two years, list previous address:
Previous Landlord
Address
Applicant employed by
Salary
Address
Phone
Position
How Long
Contact
If present employer is less than one year:
Previous Employer
Telephone
Address
How Long
Postion
Salary
Other sources of income
Contact person
Telephone
References:
Bank
Branch
Account
Emergency contact name
Telephone
Accountant
Address
Telephone
In connection with my application for this apartment, I authorize all banks, corporations, credit agencies, accountants, persons and employers, to release any information that they have about me to AMERICAN TENANT SCREEN, DATA VERIFICATION CO. and Linda Louey, or its agency and releases them from any and all liability or responsibility from doing so. Further, I authorize the procurement of the investigative consumer report and understand that such a report may contain information about my background/ character and personal reputation. I understand this notice will also apply to future update reports that may be requested. I understand that any misrepresentation by me may be the cause of rejection by the landlord.
Applicant’s Signature*
Hidden
Today Date