Release of Information Authorization – RUPPERT/YORKVILLE TENANT LEASE APPLICATION

Release of Information Authorization - RUPPERT/YORKVILLE LEASE APPLICATION

Release of Information Authorization - RUPPERT/YORKVILLE LEASE APPLICATION

Release of information authorization

I hereby authorize any individual, company or institution to Release to tenant data verification and/or its representative any And all information that they have concerning my character, Reputation, mode of living, employment history, educational History, criminal activity and credit report

 

I hereby release the individual, company or institution and all Individuals connected therewith from all liability for any damage Whatsoever incurred in furnishing such information.

 

Tenant

Co-Tenant

Payment

TENANT DATA VERIFICATION CO. INC.
SERVICING THE REALTY INDUSTRY
344 PORTION ROAD
LAKE RONKONKOMA, NEW YORK 11779
TEL.# (631) 615-2415 FAX# (631) 615-2422

I HEREBY AUTHORIZE TENANT DATA VERIFICATION, CO., INC., TO CHARGE MY CREDIT CARD FOR THE PURPOSE OF OBTAINING A CREDIT BACKGROUND. I (WE) RELEASE T.D.V. FROM ANY AND ALL LIABILITY FROM DOING SO.

Please provide documentation for each item listed

Assets

Liabilities
Income

A. Bank Information

B. Securities

C. Real Estate

D. Pension Funds

E. Life Insurance

F. Other Assets

G. Other Liabilities (other than Mortgages)

H. Other Income