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Consent to Background and Reference Check
I _______________________ 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 InformationTenant Information
First: 
Last: 
Phone: 
Email: 
Signed:________________
Date:________________
First: 
Last: 
Phone: 
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