I authorize _____________________________ to obtain information about me from my credit sources, current and previous landlords and employers and personal references. I authorize my credit sources, credit bureaus, current and previous landlords and employers, and personal references to disclose to __________________________________ such information about me as ____________________________________ may request.
Name: ____________________
Address: _______________________________________
_____________________________________________
Phone Number: ____________________
Date: ______________ Applicant: __________________________