Consent to Background and Reference Check. Landlord or property Manager to obtain information about me from the credit sources, credit bureaus, current and previous landlords, criminal bureaus, eviction public record and personal references.

Consent to Background and Reference Check

I "prospective tenant" hereby authorize "Landlord/Manager" to obtain information about me from the credit sources, credit bureaus, current and previous landlords, criminal bureaus, eviction public record and personal references.

I authorize the credit sources, credit bureaus, current and previous landlords, criminal bureaus and personal references to disclose such information about me to the "Landlord/Manager."

Landlord Information

Tenant Information

First Name:
Last Name:
Phone Number:
Email:

Signed:	____________________________
Date:	____________________________

First Name:
Last Name:
Phone Number:
Email:

Signed:	____________________________
Date:	____________________________

Make copies of the blank form as necessary.

Each applicant needs to complete and sign the form before requesting credit report or criminal report.

Keep a copy of this form for your records.

For criminal report, fax a copy of this form to: 1-201-621-4406

Failure to comply with the FCRA can result in state or federal enforcement actions, as well as private lawsuits. Sections 616, 617, and 621. In addition, any person who knowingly and willfully obtains a consumer report under false pretenses may face criminal prosecution. Section 619. - federal Fair Credit Reporting Act (15 USC. 1681q)

1818 S. Stewart, suite 135, Springfield, MO 65804

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