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Landlord or lender name ________________________________________________
PLEASE PRINT CLEARLY IN CAPITALS!
| _______________________________ |
____________________ |
_________________ |
| Applicant Name and
Date of Birth |
Social Security #
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Signed |
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| _______________________________ |
____________________ |
_________________ |
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Co-Applicant Name (if any) and Date of Birth |
Social Security #
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Signed |
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______________________________________________________________________________ |
___________________________ |
| Street Address |
City |
State and Zip |
I/We hereby give consent for my above prospective landlord/lender to
open an account and run a credit report for me/us on the web site of Equifax
and/or TransUnion and review it. I understand they will give me/us a
copy of my/our credit report. They may accept email communications on my/our behalf
about this report.
| _______________________ |
| Date |
FEDERAL FAIR CREDIT REPORTING ACT IMPOSES CRIMINAL PENALTIES UP TO $5,000 AND A YEAR
IN PRISON AGAINST ANYONE WHO KNOWINGLY AND WILLFULLY OBTAINS INFORMATION FROM
A CONSUMER REPORTING AGENCY UNDER FALSE PRETENSES.
Neither Mortgage-Investments.Com, Inc. nor its officers, employees or agents or suppliers, shall be liable to
requester, named above, for any claim, injury or damage consequent upon furnishing such information.
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