Tenant Data Verification CO.INC.

Servicing the realty industry

Ruppert Yorkville Towers
1619 3rd Ave, New York, NY 10128
212-534-7771

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.

Applicants payment of $20 per applicant is non-refundable.

Apartment

Building

Name of credit card holder

Billing address of card holder

City

State

Zip Code

Credit card number

Expiration date

Indicate type of card

* 3 or 4 Digit Security Code

Signature of card holder

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*Unable to process without this code

By clicking the Submit Tenant Verification form button, you will have completed the Required Tenant Lease documents

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