Rental Application

Verification Authorization

I , the undersigned, hereby authorize Property Matters, Inc., to obtain

A copy of my credit report
Employment verification
Deposits and bank statements
Landlord statements

from appropriate agencies for the purpose of verifying my credit and financial status in reference to the rental property at:

Address(Required)

Street Address City State Zip

Applicant Information

Name(Required)

Telephone Number(Required)

Email Address(Required)

Social Security Number(Required)

Driver's License Number(Required)

Date of Birth(Required)

Car Year/Make/Model

Current Address(Required)

Street Address City State Zip

How Long?(Required)

Landlord/Agent(Required)

Telephone(Required)

Previous Address(Required)

Street Address City State Zip

How Long?(Required)

Landlord/Agent(Required)

Telephone Number(Required)

Check all that apply

Have you been late for rent?

Refused to pay rent?

Been evicted?

Filed for bankruptcy?

Please explain(Required)

Occupation

Occupation(Required)

Company(Required)

Company Address(Required)

Street Address City State Zip

Business Phone(Required)

Supervisor(Required)

How Long?(Required)

Income(Required)

References

Credit Reference / Type

Reference(Required)

Account Number

Account Number(Required)

Address

Address(Required)

Street Address City State Zip

Address(Required)

Street Address City State Zip

Address(Required)

Street Address City State Zip

Nearest Relative

Personal Reference (1)

Personal Reference (2)

Name (Last, First)

Relative Name(Required)

Reference Name(Required)

Address

Address(Required)

Street Address City State Zip

Address(Required)

Street Address City State Zip

Address(Required)

Street Address City State Zip

Phone Number

Reference Phone(Required)

Length of Acquaintance

Length(Required)

By signing below, I understand that the authorization to obtain the above reports and statements, from all sources including those as provided in the application or other sources, is extended throughout the rental, employment, and/or escrow period, if applicable. Furthermore, I hold Property Matters, Inc. and its agents harmless of any and all liabilities.

I declare that the foregoing is true and correct, authorize its verification and the obtaining of a credit report. I (We) agree that the landlord or its agents may terminate any agreement entered into in reliance on any misstatement made above.

Name(Required)

Signature(Required)

Date
MM slash DD slash YYYY

CAPTCHA