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   Consent To Background And Reference Check

    

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Consent to Background and Reference Check

Applicant: ______________________________

Organization: ______________________________

Date: ______________________________

I, {Name}, authorize {Name/Company} and any agents thereof, to obtain information about me from my current and previous landlords, credit sources, credit bureaus, employers and personal references.

I allow my background and references to be checked in any way, provided that it is limited to information regarding my consideration for {credit/employment/residency.}

______________________________
Applicant Name

______________________________
Applicant Signature

______________________________
Date

______________________________
Address

______________________________
Phone Number

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