The landlord, broker, or landlord’s representative is:
I give my permission:
AUTHORIZATION TO RELEASE INFORMATION
(Applicant),
have
submitted
an
application
to lease a property located at
(address, city, state, zip).
The landlord, broker, or landlord’s representative is:
(name)
(address)
(city, state, zip)
(fax)
(e-mail)
(phone)
(1)
to
my
current
and
former
employers
to
release
any
information
about
my
employment
history
and
income
history
to
the above-named person;
(2)
to my current and former landlords to release any information about my rental history to the above-named person;
(3)
to
my
current
and
former
mortgage
lenders
on
property
that
I
own
or
have
owned
to
release
any
information
about
my mortgage payment history to the above-named person;
(4)
to
my
bank,
savings
and
loan,
or
credit
union
to
provide
a
verification
of
funds
that
I
have
on
deposit
to
the
above-named person; and
(5)
to
the
above-named
person
to
obtain
a
copy
of
my
consumer
report
(credit
report)
from
any
consumer
reporting
agency and to obtain background information about me.